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The effect of lifetime cumulative adversity on change and chronicity in depressive symptoms and quality of life in older adults

  • Amit Shrira (a1) (a2)
Abstract

Background: Lifetime cumulative adversity (LCA) has a detrimental effect on mental health. However, it is less clear whether it also increases the risk for mental health deterioration across time, and whether it is related to a continuous impairment in mental health among older adults. The current study aimed to examine whether LCA is related to deterioration and to continuous vulnerability in depressive symptoms and quality of life.

Method: Nine thousand one hundred fifty four older adults (mean age = 63 at Wave 1) who participated in the first three waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) reported exposure to negative life events, depressive symptoms, and quality of life.

Results: Respondents with more LCA were at greater risk of high level of depressive symptoms and low level of quality of life. Those with more adversity were at greater risk of reporting an increase in depressive symptoms and a decrease in quality of life between waves. LCA was also related to continuous high level of depressive symptoms and low level of quality of life. The effect of LCA was stronger for depressive symptoms than for quality of life.

Conclusions: LCA is associated with decline, as well as with continuous impairment, in major markers of mental health at the second half of life. The overall modest effects imply that resilience to LCA is widespread among older adults. Still, prevention and intervention programs should target old people with cumulative adversity, as they are in risk for deterioration and chronic vulnerability in important components of mental health.

Copyright
Corresponding author
Correspondence should be addressed to: Amit Shrira, Israel Gerontological Data Center, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel. Phone: +972-4-8100547; Fax: +972-4-8100547. E-mail: amitshar@post.tau.ac.il.
References
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American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn, text revision. Washington, DC: Author.
Blazer, D. and Hybels, C. (2005). Origins of depression in later life. Psychological Medicine, 35, 12411252, doi:10.1017/S0033291705004411.
Börsch-Supan, A. et al. (eds.) (2008). First Results from the Survey of Health, Ageing and Retirement in Europe (2004–2007): Starting the Longitudinal Dimension. Mannheim, Germany: MEA.
Elder, G. H., Shanahan, M. J. and Clipp, E. C. (1997). Linking combat and physical health: the legacy of World War II in men's lives. American Journal of Psychiatry, 154, 330336.
Ferraro, K. F. and Shippee, T. P. (2009). Aging and cumulative inequality: how does inequality get under the skin? The Gerontologist, 49, 333343, doi:10.1093/geront/gnp034.
Green, J. et al. (2010). Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication I. Archives of General Psychiatry, 67, 113123, doi:10.1001/archgenpsychiatry.2009.186.
Hardt, J. and Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260273, doi:10.1111/j.1469-7610.2004.00218.x.
Hildon, Z. et al. (2010). Examining resilience of quality of life in the face of health-related and psychosocial adversity at older ages: what is “right” about the way we age? The Gerontologist, 50, 3647, doi:10.1093/geront/gnp067.
Hyde, M., Wiggins, R. D., Higgs, P. and Blane, D. (2003). A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP-19). Aging and Mental Health, 7, 186194, doi:10.1080/1360786031000101157.
Keinan, G., Shrira, A. and Shmotkin, D. (in press). The association between cumulative adversity and mental health: considering dose and primary focus of adversity. Quality of Life Research, doi:10.1007/s11136-011-0035-0.
Kessler, R. C. (1997). The effects of stressful life events on depression. Annual Review of Psychology, 48, 191214, doi:10.1146/annurev.psych.48.1.191.
Keyes, C. L. M. (2007). Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health. American Psychologist, 62, 95108, doi:10.1037/0003-066X.62.2.95.
Klein, D. N. (2010). Chronic depression: diagnosis and classification. Current Directions in Psychological Science, 19, 96100, doi:10.1177/0963721410366007.
Kraaij, V., Arensman, E. and Spinhoven, P. (2002). Negative life events and depression in elderly persons: a meta-analysis. Journal of Gerontology: Psychological Sciences, 57B, P87P94, doi:10.1093/geronb/57.1.P87.
Krause, N. (2004). Lifetime trauma, emotional support, and life satisfaction among older adults. The Gerontologist, 44, 615623, doi:10.1093/geront/44.5.615.
Lapp, L. K., Agbokou, C. and Ferreri, F. (2011). PTSD in the elderly: the interaction between trauma and aging. International Psychogeriatrics, 23, 858868, doi:10.1017/S1041610211000366.
Lin, J., Epel, E. and Blackburn, E. (2012). Telomeres and lifestyle factors: roles in cellular aging. Mutation Research, 730, 8589, doi:10.1016/j.mrfmmm.2011.08.003.
Lucas, R. E. (2007). Adaptation and the set-point model of subjective well-being: does happiness change after major life events? Current Directions in Psychological Science, 16, 7579, doi:10.1111/j.1467-8721.2007.00479.x
Mancini, A. D., Bonanno, G. A. and Clark, A. E. (2011). Stepping off the hedonic treadmill: individual differences in response to major life events. Journal of Individual Differences, 32, 144152, doi:10.1027/1614-0001/a000047.
Moos, R. H., Schutte, K. K., Brennan, P. L. and Moos, B. S. (2005). The interplay between life stressors and depressive symptoms among older adults. Journal of Gerontology: Psychological Sciences, 60B, P199P206, doi:10.1093/geronb/60.4.P199.
Prince, M. J. et al. (1999). Development of the Euro-D scale – A European Union initiative to compare symptoms of depression in 14 European centres. British Journal of Psychiatry, 174, 330338, doi:10.1192/bjp.174.4.330.
Schröder, M. (ed.) (2011). Retrospective Data Collection in the Survey of Health, Ageing and Retirement in Europe. SHARELIFE Methodology. Mannheim, Germany: MEA.
Seery, M. D., Holman, E. A. and Silver, R. C. (2010). Whatever does not kill us: cumulative lifetime adversity, vulnerability, and resilience. Journal of Personality and Social Psychology, 99, 10251041, doi:10.1037/a0021344.
Shmotkin, D. and Litwin, H. (2009). Cumulative adversity and depressive symptoms among older adults in Israel: the differential roles of self-oriented versus other-oriented events of potential trauma. Social Psychiatry and Psychiatric Epidemiology, 44, 989997, doi:10.1007/s00127-009-0020-x.
Shrira, A., Shmotkin, D. and Litwin, H. (2012). Potentially traumatic events at different points in the life span and mental health: findings from SHARE-Israel. American Journal of Orthopsychiatry, 82, 251259, doi:10.1111/j.1939-0025.2012.01149.x.
Sim, J., Bartlam, B. and Bernard, M. (2011). The CASP-19 as a measure of quality of life in old age: evaluation of its use in a retirement community. Quality of Life Research, 20, 9971004, doi:10.1007/s11136-010-9835-x.
Turner, R. J. and Lloyd, D. A. (1995). Lifetime traumas and mental health: the significance of cumulative adversity. Journal of Health and Social Behavior, 36, 360376, doi:10.2307/2137325.
United Nations Educational, Scientific and Cultural Organisation (UNESCO) (1997). International Standard Classification of Education 1997. Geneva: UNESCO.
Wilmoth, J. M., London, A. S. and Parker, W. M. (2010). Military service and men's health trajectories in later life. Journal of Gerontology: Social Sciences, 65B, 744755, doi:10.1093/geronb/gbq072.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
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