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The Bidirectional Relationship Between Depressive Symptoms and Homebound Status Among Older Adults

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  • Xiaoling Xiang
  • Ruopeng An
  • Hyunsung Oh
  • Deborah Carr

Abstract

ObjectivesThis study aimed to examine the bidirectional relationship between depressive symptoms and homebound status among older adults.MethodThe 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.ResultsThe 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).DiscussionHomebound 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.

Suggested Citation

  • Xiaoling Xiang & Ruopeng An & Hyunsung Oh & Deborah Carr, 2020. "The Bidirectional Relationship Between Depressive Symptoms and Homebound Status Among Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(2), pages 357-366.
    • Handle: RePEc:oup:geronb:v:75:y:2020:i:2:p:357-366.
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    File URL: http://hdl.handle.net/10.1093/geronb/gbx180
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    Cited by:

    1. Young Ko & Wonjung Noh, 2021. "A Scoping Review of Homebound Older People: Definition, Measurement and Determinants," IJERPH, MDPI, vol. 18(8), pages 1-17, April.

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