We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
The Bidirectional Relationship Between Depressive Symptoms and Homebound Status Among Older Adults.
- Authors
Xiang, Xiaoling; An, Ruopeng; Oh, Hyunsung
- Abstract
Objectives This study aimed to examine the bidirectional relationship between depressive symptoms and homebound status among older adults. Method The study sample included 7,603 community-dwelling older adults from the National Health and Aging Trends Study. A bivariate latent state-trait model of depressive symptoms and homebound status was estimated via structural equation modeling. Results The model fit the data well (Root Mean Square Error of Approximation =.02, Comparative Fit Index =.97, Standardized Root Mean Square Residual =.06). The relationship between homebound status and depressive symptoms can be decomposed into three parts: a moderate correlation between the stable trait components (r =.56, p <.001); a contemporary association of the state components (b =.17, p <.001); and bidirectional lagged effects between the state components. Change in homebound status was as a stronger predictor of depressive symptoms (b =.19, p <.001) than change in depressive symptoms was of homebound status (b =.06, p <.001; test of difference: Δ scaled χ2(1) = 24.2, p <.001). Discussion Homebound status and depressive symptoms form a feedback loop to influence each other. Improving the outdoor mobility of older adults may have immediate benefits for reducing depressive symptoms.
- Subjects
MENTAL depression; INTERPERSONAL relations; LATENT structure analysis; STATISTICS; STRUCTURAL equation modeling; INDEPENDENT living; DESCRIPTIVE statistics; OLD age
- Publication
Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 2020, Vol 75, Issue 2, p357
- ISSN
1079-5014
- Publication type
Article
- DOI
10.1093/geronb/gbx180