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Depressive Symptoms, Self-Reported Physical Functioning, and Identity in Community-Dwelling Older Adults

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Abstract

In this study, we examined the relationship between self-reported physical functioning and depressive symptoms by testing the mediation of identity processes in linking this relationship. Sixty-eight older adults (mean age = 74.4) participated in this cross-sectional study. Participants completed measures of physical functioning (Physical Symptoms Checklist), depressive symptoms (CESD-20) and identity processes (IES-G). The relationship between physical functioning and depressive symptoms was partially mediated by sensitivity of older adults to feedback from experiences, the process known as identity accommodation (Whitbourne et al. 2002). Not only are physical changes relevant to negative psychological outcomes in later adulthood, but it is the interpretation of these changes that seems to have particular relevance for aging individuals. Though preliminary based on cross-sectional data, the findings suggest that examining individual differences in sensitivity to aging stereotypes may help identify factors related to depressive symptoms in later adulthood. Future research is needed to disentangle these interrelated concepts.

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References

  • Atkinson, H. H., Rosano, C., Simonsick, E. M., Williamson, J. D., Davis, C., Ambrosius, W. T., et al. (2007). Cognitive function, gait speed decline, and comorbidities: the health, aging and body composition study. Journals of Gerontology Series A: Biological and Medical Sciences, 62, 844–850.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  Google Scholar 

  • Cameron, L., Leventhal, E.A., & Leventhal, H. (1993). Symptoms representations and affect as determinants of care seeking in a community-swelling, adult sample population. Health Psychology, 12, 171–179.

    Article  Google Scholar 

  • Cameron, L., Leventhal, E.A., & Leventhal, H. (1995). Seeking medical care in response to symptoms and life stress. Psychosomatic Medicine, 57, 37–47.

    Google Scholar 

  • Charney, D. S., Reynolds, C. F., 3rd, Lewis, L., Lebowitz, B. D., Sunderland, T., Alexopoulos, G. S., et al. (2003). Depression and bipolar support alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Archives of General Psychiatry, 60, 664–672.

    Article  Google Scholar 

  • Christensen, H., Jorm, A. F., Mackinnon, A. J., Korten, A. E., Jacomb, P. A., Henderson, A. S., et al. (1999). Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychological Medicine, 29, 325–339.

    Article  Google Scholar 

  • Cramer, P., & Jones, C. J. (2007). Defense mechanisms predict differential lifespan change in self-control and self-acceptance. Journal of Research in Personality, 41, 841–855.

    Article  Google Scholar 

  • Davey, A., Halverson, C. F., Jr., Zonderman, A. B., & Costa, P. T., Jr. (2004). Change in depressive symptoms in the Baltimore longitudinal study of aging. Journal of Gerontology: Psychological Sciences, 59, 270–277.

    Google Scholar 

  • Everson-Rose, S. A., Skarupski, K. A., Bienias, J. L., Wilson, R. S., Evans, D. A., & Mendes de Leon, C. F. (2005). Do depressive sypmtoms predict declines in physical performance in elderly, biracial population? Psychosomatic Medicine, 2005, 609–615.

    Article  Google Scholar 

  • Gatz, M., & Hurwicz, M. L. (1990). Are old people more depressed? Cross-sectional data on center for epidemiological studies depression scale factors. Psychology and Aging, 5, 284–290.

    Article  Google Scholar 

  • Hertzog, C., Van Alstine, J., Usala, P. D., Hultsch, D. F., & Dixon, R. (1990). Measurement properties of the center for epidemiological studies depression scale (CES-D) in older populations. Psychological Assessment, 2, 64–72.

    Article  Google Scholar 

  • Hess, T.M., Birren, J.E., & Schaie, K.W. (2006). Attitudes toward aging and their effects on behavior. In Handbook of the psychology of aging (6th ed.). (pp. 379–406). Amsterdam Netherlands: Elsevier.

  • Jones, K.M., Whitbourne, S.K., Skultety, K.M., & Whitbourne, S.B. (2009). Identity processes and memory controllability in middle and later adulthood. Journal of Applied Gerontology.

  • Kraus, A. (1996). Psychotherapy based on identity problems of depressives. American Journal of Psychotherapy, 49, 197–202.

    Google Scholar 

  • Laidlaw, K. (2001). An empirical review of cognitive therapy for late life depression: does research evidence suggest adaptations are necessary for cognitive therapy with older adults? Clinical Psychology & Psychotherapy, 8, 1–14.

    Article  Google Scholar 

  • Laidlaw, K., Davidson, K., Toner, H., Jackson, G., Clark, S., Law, J., et al. (2008). A randomised controlled trial of cognitive behaviour therapy vs treatment as usual in the treatment of mild to moderate late life depression. International Journal of Geriatric Psychiatry, 23, 843–850.

    Article  Google Scholar 

  • Landreville, P., Landry, J., Baillargeon, L., Guerette, A., & Matteau, E. (2001). Older adults' acceptance of psychological and pharmacological treatments for depression. Journals of Gerontology: Psychological Science, 56, P285–291.

    Google Scholar 

  • Levy, B. R., & Leifheit-Limson, E. (2009). The stereotype-matching effect: greater influence on functioning when age stereotypes correspond to outcomes. Psychology and Aging, 24, 230–233.

    Article  Google Scholar 

  • Levy, B. R., Slade, M. D., Kunkel, S. R., & Kasl, S. V. (2002). Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83, 261–270.

    Article  Google Scholar 

  • MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 593–614.

    Article  Google Scholar 

  • Nakao, M., & Yano, E. (2006). Somatic symptoms for predicting depression: one-year follow-up study in annual health examinations. Psychiatry and Clinical Neurosciences, 60, 219–225.

    Article  Google Scholar 

  • Nguyen, H. T., & Zonderman, A. B. (2006). Relationship between age and aspects of depression: consistency and reliability across two longitudinal studies. Psychology and Aging, 21, 119–126.

    Article  Google Scholar 

  • Pfeiffer, E., & Busse, E. (1975). Mental disorders in later life, affective disorders, paranoid, neurotic and situational reactions. In E. Busse & E. Pfeiffer (Eds.), Mental illness in later life. Washington: American Psychiatric Association.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D acale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Roberts, J. E., Shapiro, A. M., & Gamble, S. A. (1999). Level and perceived stability of self-esteem prospectively predict depressive symptoms during psychoeducational group treatment. British Journal of Clinical Psychology, 38(Pt 4), 425–429.

    Article  Google Scholar 

  • Skultety, K. M., & Whitbourne, S. K. (2004). Gender differences in identity processes and self-esteem in middle and later adulthood. Journal of Women & Aging, 16, 175–188.

    Article  Google Scholar 

  • Sneed, J. R., & Whitbourne, S. K. (2003). Identity processing and self-consciousness in middle and later adulthood. Journal of Gerontology: Psychological Sciences, 58, P313–319.

    Google Scholar 

  • Thombs, B. D., Bresnick, M. G., Magyar-Russell, G., Lawrence, J. W., McCann, U. D., & Fauerbach, J. A. (2007). Symptoms of depression predict change in physical health after burn injury. Burns, 33, 292–298.

    Article  Google Scholar 

  • Thombs, B. D., Ziegelstein, R. C., Stewart, D. E., Abbey, S. E., Parakh, K., & Grace, S. L. (2008). Physical health status assessed during hospitalization for acute coronary syndrome predicts mortality 12 months later. Journal of Psychosomatic Research, 65, 587–593.

    Article  Google Scholar 

  • Whitbourne, S. K. (1986). The me I know: A study of adult identity. New York: Springer-Verlag.

    Google Scholar 

  • Whitbourne, S. K. (2008). Adult development and aging: Biopsychosocial perspectives. New York: Wiley.

    Google Scholar 

  • Whitbourne, S. K., & Collins, K. J. (1998). Identity processes and perceptions of physical functioning in adults: theoretical and clinical implications. Psychotherapy: Theory, Research, Practice, Training, 35, 519–530.

    Article  Google Scholar 

  • Whitbourne, S.K., & Sneed, J.R. (2002). The paradox of well-being, identity processes, and stereotype threat: Ageism and its potential relationships to the self in later life. In T. D. Nelson (Ed.), Ageism: Stereotyping and prejudice against older persons. (pp. 247–273): The MIT Press.

  • Whitbourne, S. K., Sneed, J. R., & Skultety, K. M. (2002). Identity processes in adulthood: theoretical and methodological challenges. Identity, 2, 29–45.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, Weill Cornell Medical College, 21 Bloomingdale Road, White Plains, NY, 10605, USA

    Mark I. Weinberger

  2. Department of Psychology, University of Massachusetts Amherst, Amherst, MA, 01003, USA

    Susan Krauss Whitbourne

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  1. Mark I. Weinberger
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  2. Susan Krauss Whitbourne
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Correspondence to Mark I. Weinberger.

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Weinberger, M.I., Whitbourne, S.K. Depressive Symptoms, Self-Reported Physical Functioning, and Identity in Community-Dwelling Older Adults. Ageing Int 35, 276–285 (2010). https://doi.org/10.1007/s12126-010-9053-4

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