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Types of social participation and psychological distress in Japanese older adults: A five-year cohort study

Author

Listed:
  • Shiho Amagasa
  • Noritoshi Fukushima
  • Hiroyuki Kikuchi
  • Koichiro Oka
  • Tomoko Takamiya
  • Yuko Odagiri
  • Shigeru Inoue

Abstract

Introduction: The most effective type of social participation against psychological distress in older adults is not well documented. The aim of this study was to examine whether different types of social participation are associated with changes in psychological distress level in older men and women in Japan. Methods: Two thousand seven hundred community-dwelling older adults (aged 65–74 years, 50% women) were randomly selected from the resident registry of three cities. Of these, participants who reported social participation and psychological distress level in the baseline survey in 2010 were followed up. Psychological distress was evaluated based on K6 scales at baseline and follow-up (in 2015). Social participation level was examined using question items from the National Health and Nutrition Survey in Japan. Exploratory factor analysis was used to derive the underlying factor structure. Multiple linear regression analysis was used to examine the association between social participation and changes in psychological distress level after adjusting for covariates stratified by both gender and age group or living arrangement. Results: Data from 825 community-dwelling older adults (45.3% women) were analyzed. Social participation was categorized into two types using factor analysis: community involvement (volunteer activities, community events, clubs for the elderly) and individual relationship (friendship, communication with family and friends, hobbies). During the 5-year follow-up, 29.5% of participants reported a deterioration in psychological distress. Higher community involvement was independently associated with lower risk of psychological distress for older women (β = 0.099, p = 0.047), whereas there were no associations with individual relationship for either gender. Furthermore, in older women living with others, higher community involvement was also associated with lower risk of psychological distress (β = 0.110, p = 0.048). Conclusion: Community involvement provides older women with mental health benefits regardless of individual relationship level. Promoting community involvement may be an effective strategy for healthy mental aging.

Suggested Citation

  • Shiho Amagasa & Noritoshi Fukushima & Hiroyuki Kikuchi & Koichiro Oka & Tomoko Takamiya & Yuko Odagiri & Shigeru Inoue, 2017. "Types of social participation and psychological distress in Japanese older adults: A five-year cohort study," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-12, April.
    • Handle: RePEc:plo:pone00:0175392
    DOI: 10.1371/journal.pone.0175392
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    1. Keiko Katagiri & Ju-Hyun Kim, 2018. "Factors determining the social participation of older adults: A comparison between Japan and Korea using EASS 2012," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-15, April.
    2. Miho Sato & Hiromi Kato & Makiko Noguchi & Hiroshi Ono & Kuniyuki Kobayashi, 2020. "Gender Differences in Depressive Symptoms and Work Environment Factors among Dairy Farmers in Japan," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    3. Kimiko Tomioka & Norio Kurumatani & Keigo Saeki, 2018. "The differential effects of type and frequency of social participation on IADL declines of older people," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-17, November.
    4. Yi Cai & Samuel D. Towne & C. Scott Bickel, 2019. "Multi-Level Factors Associated with Social Participation among Stroke Survivors: China’s Health and Retirement Longitudinal Study (2011–2015)," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    5. Melanie Davern & Rachel Winterton & Kathleen Brasher & Geoff Woolcock, 2020. "How Can the Lived Environment Support Healthy Ageing? A Spatial Indicators Framework for the Assessment of Age-Friendly Communities," IJERPH, MDPI, vol. 17(20), pages 1-20, October.
    6. Nobuaki Moriyama & Yoshitaka Nishikawa & Wataru Hoshi & Tomomi Kuga & Hajime Iwasa & Tomoo Murayama & Tatsuya Itagaki & Yuta Saito & Seiji Yasumura, 2021. "Association of Instrumental Activities of Daily Living, Physical Function, and Mental Health among Older Returnees after the Fukushima Daiichi Nuclear Power Station Accident," IJERPH, MDPI, vol. 18(21), pages 1-10, November.
    7. Kazuki Seko & Michiyo Hirano, 2021. "Predictors and Importance of Social Aspects in Ikigai among Older Women," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    8. Hiroyuki Kikuchi & Tomoki Nakaya & Tomoya Hanibuchi & Noritoshi Fukushima & Shiho Amagasa & Koichiro Oka & James F. Sallis & Shigeru Inoue, 2018. "Objectively Measured Neighborhood Walkability and Change in Physical Activity in Older Japanese Adults: A Five-Year Cohort Study," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    9. Miya Chang, 2022. "Comparative Study on Volunteering among Older Korean Immigrants in the United States and Older Koreans in South Korea," IJERPH, MDPI, vol. 19(12), pages 1-16, June.
    10. Manami Ejiri & Hisashi Kawai & Yoshinori Fujiwara & Kazushige Ihara & Yutaka Watanabe & Hirohiko Hirano & Hun Kyung Kim & Kaori Ishii & Koichiro Oka & Shuichi Obuchi, 2019. "Social participation reduces isolation among Japanese older people in urban area: A 3-year longitudinal study," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-11, September.
    11. Ryu Sasaki & Michiyo Hirano, 2020. "Development of a Scale for Assessing the Meaning of Participation in Care Prevention Group Activities Provided by Local Governments in Japan," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
    12. Naoki Deguchi & Narumi Kojima & Yosuke Osuka & Hiroyuki Sasai, 2022. "Factors Associated with Passive Sedentary Behavior among Community-Dwelling Older Women with and without Knee Osteoarthritis: The Otassha Study," IJERPH, MDPI, vol. 19(21), pages 1-9, October.
    13. Bazyli Czyżewski & Agnieszka Poczta-Wajda & Piotr Kułyk & Jolanta Drozdz, 2023. "Small farm as sustainable nexus of contracts: understanding the role of human capital and policy based on evidence from Poland," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 25(9), pages 10239-10260, September.
    14. Bazyli Czyżewski & Agnieszka Sapa & Piotr Kułyk, 2021. "Human Capital and Eco-Contractual Governance in Small Farms in Poland: Simultaneous Confirmatory Factor Analysis with Ordinal Variables," Agriculture, MDPI, vol. 11(1), pages 1-16, January.
    15. Shicheng Jin & Graham E Trope & Yvonne M Buys & Elizabeth M Badley & Kednapa Thavorn & Peng Yan & Harrish Nithianandan & Ya-Ping Jin, 2019. "Reduced social participation among seniors with self-reported visual impairment and glaucoma," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-16, July.
    16. Takashi Oshio & Kemmyo Sugiyama, 2022. "Social Participation as a Moderator for Caregivers’ Psychological Distress: a Dynamic Panel Data Model Analysis in Japan," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(3), pages 1813-1829, June.
    17. Deependra K. Thapa & Denis C. Visentin & Rachel Kornhaber & Michelle Cleary, 2020. "Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 1139-1152, December.

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