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Relationship between late‐life depression and life stressors: Large‐scale cross‐sectional study of a representative sample of the Japanese general population
Author(s) -
Kaji Tatsuhiko,
Mishima Kazuo,
Kitamura Shingo,
Enomoto Minori,
Nagase Yukihiro,
Li Lan,
Kaneita Yoshitaka,
Ohida Takashi,
Nishikawa Toru,
Uchiyama Makoto
Publication year - 2010
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.2010.02097.x
Subject(s) - stressor , depression (economics) , psychology , logistic regression , cross sectional study , odds ratio , incidence (geometry) , population , demography , medicine , center for epidemiologic studies depression scale , gerontology , psychiatry , depressive symptoms , cognition , environmental health , physics , pathology , sociology , optics , economics , macroeconomics
Aim: The purpose of the present study was to clarify the relationship between late‐life depression and daily life stress in a representative sample of 10 969 Japanese subjects. Methods: Data on 10 969 adults aged ≥50 who participated in the Active Survey of Health and Welfare in 2000, were analyzed. The self‐administered questionnaire included items on 21 reasons for life stressors and the magnitude of stress, as well as the Japanese version of the Center for Epidemiologic Studies Depression Scale (CES‐D). The relationship between the incidence of life stressors and mild–moderate (D 16 ) and severe (D 26 ) depressive symptoms was examined using logistic regression analysis. Results: A total of 21.9% of subjects had D 16 symptoms, and 9.3% had D 26 symptoms. Further, increased age and being female were associated with more severe depressive state. Logistic regression analysis indicated that the strongest relationship between both the incidence of D 16 and D 26 symptoms and life stressors stemmed from ‘having no one to talk to’ (odds ratio = 3.3 and 5.0, respectively). Late‐life depression was also associated with ‘loss of purpose in life’, ‘separation/divorce’, ‘having nothing to do’, ‘health/illness/care of self’, and ‘debt’. Conclusion: There is a relationship between late‐life depression and diminished social relationships, experiences involving loss of purpose in life or human relationships, and health problems in the Japanese general population.