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Chronic diseases and depression: the modifying role of psychosocial resources

Author

Listed:
  • Bisschop, M. Isabella
  • Kriegsman, Didi M. W.
  • Beekman, Aartjan T. F.
  • Deeg, D.J.H.Dorly J. H.

Abstract

Psychosocial coping resources have been found to protect against depressive symptoms in people with and without chronic diseases. It has not been established, however, whether these resources have the same effects across patients with different diseases. Therefore, the aim of the study was to estimate the direct and buffer effects of psychosocial resources on depression, and to examine whether these effects are different for various chronic diseases. Data were obtained from the Longitudinal Aging Study Amsterdam. In all, 2288 community-dwelling respondents (age 55-85) were included and followed for a maximum of 6 years. Depressive symptoms (using the Center for Epidemiologic Studies-Depression scale), the presence of seven frequently occurring chronic diseases, social support and personal coping resources, physical functioning and sociodemographic variables were assessed by structured interviews. Generalized estimating equation models were estimated for each disease, social support and personal coping resources. All resources, except social network size, showed a direct effect on depressive symptoms regardless of the presence of chronic diseases. Having a partner, high self-esteem, mastery, self-efficacy and feeling less lonely additionally buffered the negative effect of some, but not all, specific chronic diseases. Unexpectedly, in patients with cardiac disease, none of the psychosocial resources exerted a buffer effect on depressive symptoms. For instrumental and emotional support only direct (unfavorable) effects and no buffer effects could be observed. In conclusion, our study provides evidence that buffer effects of psychosocial resources are different across various chronic diseases. This suggests that interventions to enhance specific resources may ameliorate depressive symptoms in specific chronic patients groups.

Suggested Citation

  • Bisschop, M. Isabella & Kriegsman, Didi M. W. & Beekman, Aartjan T. F. & Deeg, D.J.H.Dorly J. H., 2004. "Chronic diseases and depression: the modifying role of psychosocial resources," Social Science & Medicine, Elsevier, vol. 59(4), pages 721-733, August.
    • Handle: RePEc:eee:socmed:v:59:y:2004:i:4:p:721-733
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    Cited by:

    1. Francesco Ruotolo & Gennaro Ruggiero & Zaira Cattaneo & Maria Arioli & Michela Candini & Francesca Frassinetti & Francesca Pazzaglia & Ferdinando Fornara & Andrea Bosco & Tina Iachini, 2023. "Psychological Reactions during and after a Lockdown: Self-Efficacy as a Protective Factor of Mental Health," IJERPH, MDPI, vol. 20(17), pages 1-15, August.
    2. Jaroslav Petru & Eva Jarosova, 2019. "Exploring Impact of Coping Approaches on Intrinsic Perceived Overall Wellness: A Study of Executives and Senior Managers in Czech Republic," Central European Business Review, Prague University of Economics and Business, vol. 2019(3), pages 54-68.
    3. Shinya Ito & Mie Sasaki & Satoko Okabe & Nobuhiro Konno & Aya Goto, 2018. "Depressive Symptoms and Associated Factors in Female Students in Fukushima Four Years after the Fukushima Nuclear Power Plant Disaster," IJERPH, MDPI, vol. 15(11), pages 1-11, October.
    4. Hava Tovel & Sara Carmel, 2014. "Maintaining Successful Aging: The Role of Coping Patterns and Resources," Journal of Happiness Studies, Springer, vol. 15(2), pages 255-270, April.
    5. Kathrin Heinitz & Timo Lorenz & Daniel Schulze & Julia Schorlemmer, 2018. "Positive organizational behavior: Longitudinal effects on subjective well-being," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-15, June.
    6. Patrick Peretti-Watel, 2006. "Lien social et santé en situation de précarité : état de santé, recours aux soins, abus d'alcool et réseau relationnel parmi les usagers des services d'aide," Économie et Statistique, Programme National Persée, vol. 391(1), pages 115-130.
    7. Kiviruusu, Olli & Huurre, Taina & Aro, Hillevi, 2007. "Psychosocial resources and depression among chronically ill young adults: Are males more vulnerable?," Social Science & Medicine, Elsevier, vol. 65(2), pages 173-186, July.
    8. Mandemakers, Jornt J. & Monden, Christiaan W.S., 2010. "Does education buffer the impact of disability on psychological distress?," Social Science & Medicine, Elsevier, vol. 71(2), pages 288-297, July.
    9. Chokkanathan, Srinivasan, 2009. "Resources, stressors and psychological distress among older adults in Chennai, India," Social Science & Medicine, Elsevier, vol. 68(2), pages 243-250, January.
    10. Mi‐Young Kang & Caroline Ellis‐Hill, 2015. "How do people live life successfully with Parkinson's disease?," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(15-16), pages 2314-2322, August.

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