Nejvíce citovaný článek - PubMed ID 33257789
Trajectories of depressive symptoms and associated patterns of cognitive decline
Aims. Parental postpartum depressive symptoms have been extensively studied, but the combined longitudinal depression trajectories of parents and their long-term development beyond the postpartum period remain largely underexplored. We identified dyadic longitudinal depressive symptom trajectories in new parents, followed over an 11-year period, and compared parental characteristics, as well as child temperament and mental health factors, across different parental trajectory classes. Methods. A prenatal cohort of 5,518 couples was studied. Depressive symptoms were measured using the Edinburgh Postnatal Depression Scale at eight time points: in the prenatal stage, in the newborn stage, and at 6 months, 18 months, 3 years, 5 years, 7 years and 11 years after the birth of the child. Results. Dyadic Latent Class Growth Modelling identified five classes of couples: (1) mother has elevated depressive symptoms, father is non-depressed (24%); (2) both mother and father have elevated depressive symptoms (20%); (3) both mother and father are constantly non-depressed (42%); (4) both mother and father are constantly depressed (5%); and (5) mother is constantly depressed, father has elevated depressive symptoms (9%). Relationship maintenance (particularly being married or separated) was the most strongly associated with the classes. Socio-economic resources, emotional well-being, health, obstetric history and parental background also served as meaningful covariates. Child temperament and mental health showed weak correlations with parental trajectory classes. Conclusions. Parents with postpartum depressive symptoms often experience depressive symptoms long-term. Separated parents are particularly vulnerable to adverse depressive trajectories. Our findings underscore the importance of dyadic methods in estimating unique combinations of parental depression trajectories.
- Klíčová slova
- depressive symptoms, dyadic trajectories, latent trajectories, postpartum depression, relationship maintenance,
- Publikační typ
- časopisecké články MeSH
Couples often resemble each other in characteristics like depression, but the reasons for this homogamy (i.e., similarity) remain unclear. We investigated two potential mechanisms: preference for a self-similar partner and convergence (i.e., increasing similarity) over time. In a nationally representative sample of 2,793 Czech individuals who we surveyed three times in one year, we examined self-reports of participants', their ideal partners', and their actual partners' "pessimism and depressiveness". Participants preferred partners less depressive than themselves, yet their actual partners were more depressive than desired. Those who ended their relationships showed a greater ideal-versus-actual partner discrepancy than those who stayed together. In stable relationships, individuals adjusted their ideal preferences to align more closely with their actual partners over time. We identified four relationship classes with latent class growth modeling based on self and partner evaluations: both non-depressive, both depressive, self depressive and partner non-depressive, and self non-depressive and partner depressive. Romantic relationships were most stable when both partners were non-depressive and most likely to dissolve when both were depressive. While we failed to detect convergence overall, we found it within heterogamous (i.e., dissimilar) classes. Overall, our findings suggest that homogamy and heterogamy in depressiveness are complexly associated with relationship maintenance.
- Klíčová slova
- Assortative mating, Convergence, Depressiveness, Heterogamy, Homogamy, Mate preference,
- MeSH
- deprese * psychologie epidemiologie MeSH
- dospělí MeSH
- interpersonální vztahy MeSH
- lidé středního věku MeSH
- lidé MeSH
- longitudinální studie MeSH
- manželství * psychologie MeSH
- mladý dospělý MeSH
- sexuální partneři * psychologie MeSH
- zpráva o sobě MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
Cognitive function, physical activity, and depressive symptoms are intertwined in later life. Yet, the nature of the relationship between these three variables is unclear. Here, we aimed to determine which of physical activity or cognitive function mediated this relationship. We used large-scale longitudinal data from 51,191 adults 50 years of age or older (mean: 64.8 years, 54.7% women) from the Survey of Health, Ageing and Retirement in Europe (SHARE). Results of the longitudinal mediation analyses combined with autoregressive cross-lagged panel models showed that the model with physical activity as a mediator better fitted the data than the model with cognitive function as a mediator. Moreover, the mediating effect of physical activity was 8-9% of the total effect of cognitive function on depressive symptoms. Our findings suggest that higher cognitive resources favor the engagement in physical activity, which contributes to reduced depressive symptoms.
- MeSH
- cvičení * psychologie MeSH
- deprese * psychologie MeSH
- dospělí MeSH
- kognice MeSH
- lidé středního věku MeSH
- lidé MeSH
- longitudinální studie MeSH
- stárnutí psychologie MeSH
- zdravotnické přehledy MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
The occurrence of depression is influenced by social relationships, however, most studies focus on individuals, not couples. We aimed to study how depressive symptoms of couples evolve over time and determine, which characteristics are associated with their distinct trajectories. A multi-centric cohort sample of 11,136 heterosexual couples (mean age = 60.76) from 16 European countries was followed for up to 12 years (SHARE study). Information on depressive symptoms measured by EURO-D scale was collected every 2 years. Dyadic growth mixture modeling extracted four distinct classes of couples: both non-depressed (76.91%); only women having consistently high depressive symptoms while men having consistently low depressive symptoms (8.08%); both having increasing depressive symptoms (7.83%); and both having decreasing depressive symptoms (7.18%). Couples with increasing depressive symptoms had the highest prevalence of relationship dissolution and bereavement. In comparison to the nondepressed class, individuals with any depressive symptoms were less psychologically and physically well. Our results suggest that distinct mechanisms are responsible for couples' various longitudinal trajectories of depressive symptoms.
- MeSH
- deprese * diagnóza epidemiologie MeSH
- interpersonální vztahy * MeSH
- lidé středního věku MeSH
- lidé MeSH
- longitudinální studie MeSH
- prevalence MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Geografické názvy
- Evropa epidemiologie MeSH
AIMS: To investigate the associations of physical-activity trajectories with the level of cognitive performance and its decline in adults 50 years of age or older. METHODS: We studied 38729 individuals (63 ± 9 years; 57% women) enrolled in the Survey of Health, Ageing and Retirement in Europe (SHARE). Physical activity was self-reported and cognitive performance was assessed based on immediate recall, verbal fluency, and delayed recall. Physical-activity trajectories were estimated using growth mixture modelling and linear mixed effects models were used to investigate the associations between the trajectories and cognitive performance. RESULTS: The models identified two physical-activity trajectories of physical activity: constantly-high physical activity (N=27634: 71%) and decreasing physical activity (N=11095; 29%). Results showed that participants in the decreasing physical-activity group exhibited a lower level of cognitive performance compared to the high physical-activity group (immediate recall: ß=0.94; 95% confidence interval [CI]=0.92 to 0.95; verbal fluency: ß=0.98; 95% CI=0.97 to 0.98; delayed recall: ß=0.95; 95% CI=0.94 to 0.97). Moreover, compared with participants in the constantly-high physical-activity group, participants in the decreasing physical-activity group showed a steeper decline in all cognitive measures (immediate recall: ß=-0.04; 95% CI=-0.05 to -0.04; verbal fluency: ß=-0.22; 95% CI=-0.24 to -0.21; delayed recall: ß=-0.04; 95% CI=-0.05 to -0.04). CONCLUSIONS: Physical-activity trajectories are associated with the level and evolution of cognitive performance in adults over 50 years. Specifically, our findings suggest that a decline in physical activity over multiple years is associated with a lower level and a steeper decline in cognitive performance.
- MeSH
- cvičení MeSH
- kognice MeSH
- kognitivní dysfunkce * epidemiologie MeSH
- krátkodobá paměť MeSH
- lidé MeSH
- stárnutí MeSH
- zdravotnické přehledy MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH