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Michael J Zvolensky - One of the best experts on this subject based on the ideXlab platform.
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Financial Strain and cognitive based smoking processes the explanatory role of depressive symptoms among adult daily smokers
Addictive Behaviors, 2017Co-Authors: Zuzuky Robles, Lorraine R Reitzel, Kirsten J Langdon, Michael J Zvolensky, Sahar Anjum, Lorra Garey, Brooke Y Kauffman, Ruben Rodriguezcano, Clayton NeighborsAbstract:Abstract Little work has focused on the underlying mechanisms that may link Financial Strain and smoking processes. The current study tested the hypothesis that Financial Strain would exert an indirect effect on cognitive-based smoking processes via depressive symptoms. Three clinically significant dependent variables linked to the maintenance of smoking were evaluated: negative affect reduction motives, negative mood abstinence expectancies, and perceived barriers for quitting. Participants included 102 adult daily smokers (Mage = 33.0 years, SD = 13.60; 35.3% female) recruited from the community to participate in a self-guided (unaided; no psychological or pharmacological intervention) smoking cessation study. Results indicated that depressive symptoms explain, in part, the relation between Financial Strain and smoking motives for negative affect reduction, negative mood abstinence expectancies, and perceived barriers for quitting. Results indicate that smoking interventions for individuals with high levels of Financial Strain may potentially benefit from the addition of therapeutic tactics aimed at reducing depression.
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Financial Strain and smoking cessation among men and women within a self guided quit attempt
Addictive Behaviors, 2015Co-Authors: Lorraine R Reitzel, Kirsten J Langdon, Nga T Nguyen, Michael J ZvolenskyAbstract:Abstract Introduction Financial Strain, defined as an unfavorable asset-to-needs ratio, has been associated with reduced odds of smoking cessation in the context of a structured clinical study providing cessation assistance. This study reports on a secondary data analysis that assessed the association of Financial Strain and biochemically-verified smoking abstinence within a structured clinical study of smokers making a self-guided cessation attempt. Methods Participants ( N = 58; 65.5% men) were enrolled in a study about anxiety sensitivity and smoking cessation whereby they were instructed to initiate a self-guided quit attempt. Relations between Financial Strain and biochemically-verified smoking abstinence on the quit day and at Days 3, 7, 14, 28, and 90 post-quit were assessed using generalized estimating equations controlling for age, sex, race, education, partner status, pre-quit cigarettes smoked per day, and time. Results Associations between Financial Strain and abstinence in the whole sample were marginal (aOR = .94, 95% CI = .87–1.01, observations = 293; p = .07). However, sex was a significant moderator: greater Financial Strain was associated with lower odds of abstinence for men (aOR = .90, 95% CI = .80–1.00, observations = 201; p = .05), but not women (aOR = 1.05, 95% CI = .91–1.21, observations = 92; p = .48). Conclusions Results indicated that Financial Strain was associated with lower odds of cessation among men undergoing a self-guided quit attempt in the context of a structured clinical study. These data suggest that Financial Strain may be an important socioeconomic determinant of smoking cessation and support its relevance for better understanding socioeconomic-based smoking-related health disparities. Future work may benefit by exploring sex-specific models of Financial Strain in the context of smoking cessation.
Lorraine R Reitzel - One of the best experts on this subject based on the ideXlab platform.
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Financial Strain and cognitive based smoking processes the explanatory role of depressive symptoms among adult daily smokers
Addictive Behaviors, 2017Co-Authors: Zuzuky Robles, Lorraine R Reitzel, Kirsten J Langdon, Michael J Zvolensky, Sahar Anjum, Lorra Garey, Brooke Y Kauffman, Ruben Rodriguezcano, Clayton NeighborsAbstract:Abstract Little work has focused on the underlying mechanisms that may link Financial Strain and smoking processes. The current study tested the hypothesis that Financial Strain would exert an indirect effect on cognitive-based smoking processes via depressive symptoms. Three clinically significant dependent variables linked to the maintenance of smoking were evaluated: negative affect reduction motives, negative mood abstinence expectancies, and perceived barriers for quitting. Participants included 102 adult daily smokers (Mage = 33.0 years, SD = 13.60; 35.3% female) recruited from the community to participate in a self-guided (unaided; no psychological or pharmacological intervention) smoking cessation study. Results indicated that depressive symptoms explain, in part, the relation between Financial Strain and smoking motives for negative affect reduction, negative mood abstinence expectancies, and perceived barriers for quitting. Results indicate that smoking interventions for individuals with high levels of Financial Strain may potentially benefit from the addition of therapeutic tactics aimed at reducing depression.
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Financial Strain and smoking cessation among men and women within a self guided quit attempt
Addictive Behaviors, 2015Co-Authors: Lorraine R Reitzel, Kirsten J Langdon, Nga T Nguyen, Michael J ZvolenskyAbstract:Abstract Introduction Financial Strain, defined as an unfavorable asset-to-needs ratio, has been associated with reduced odds of smoking cessation in the context of a structured clinical study providing cessation assistance. This study reports on a secondary data analysis that assessed the association of Financial Strain and biochemically-verified smoking abstinence within a structured clinical study of smokers making a self-guided cessation attempt. Methods Participants ( N = 58; 65.5% men) were enrolled in a study about anxiety sensitivity and smoking cessation whereby they were instructed to initiate a self-guided quit attempt. Relations between Financial Strain and biochemically-verified smoking abstinence on the quit day and at Days 3, 7, 14, 28, and 90 post-quit were assessed using generalized estimating equations controlling for age, sex, race, education, partner status, pre-quit cigarettes smoked per day, and time. Results Associations between Financial Strain and abstinence in the whole sample were marginal (aOR = .94, 95% CI = .87–1.01, observations = 293; p = .07). However, sex was a significant moderator: greater Financial Strain was associated with lower odds of abstinence for men (aOR = .90, 95% CI = .80–1.00, observations = 201; p = .05), but not women (aOR = 1.05, 95% CI = .91–1.21, observations = 92; p = .48). Conclusions Results indicated that Financial Strain was associated with lower odds of cessation among men undergoing a self-guided quit attempt in the context of a structured clinical study. These data suggest that Financial Strain may be an important socioeconomic determinant of smoking cessation and support its relevance for better understanding socioeconomic-based smoking-related health disparities. Future work may benefit by exploring sex-specific models of Financial Strain in the context of smoking cessation.
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abstract pr1 Financial Strain and cancer risk factors among african american adults
Cancer Epidemiology Biomarkers & Prevention, 2014Co-Authors: Pragati Shailesh Advani, Lorraine R Reitzel, Nga Nguyen, Felicia D Fisher, Elaine J Savoy, Adolfo G Cuevas, David W Wetter, Lorna H McneillAbstract:Background: Early screening and treatment advances have resulted in an overall decline in cancer death rates over the past two decades in the United States (US). However, considerable ethnic disparities still exist in terms of which groups most benefit from these trends. Cancer statistics (2013) suggest that overall cancer incidence and death rates are higher among African Americans as compared to Whites for several cancer sites. Modifiable risk behaviors (smoking, heavy alcohol use, insufficient physical activity, poor diet) and associated outcomes (overweight/obesity) have been causally linked to cancer incidence and related mortality among adults of all ethnicities. However, even after accounting for differences in risk behavior prevalence, African Americans tend to disproportionately suffer from the adverse consequences of behavior risk factors for cancer relative to other ethnic groups. Social determinants, including socioeconomic influences, have been cited as factors contributing to these disparities. There has been recent interest in how Financial Strain, or an unfavorable income to needs ratio, might uniquely contribute to engagement in modifiable behavioral risk factors for cancer over and above other socioeconomic indicators, but these relations have not been previously examined among African Americans. The current study addressed this gap. Objectives: To examine associations between Financial Strain and multiple modifiable behavioral risk factors for cancer (smoking, heavy alcohol use, insufficient physical activity, insufficient fruit and vegetable intake, overweight/obesity, and multiple risk factors) among 1278 African American adults (age=46.5+12.6, 77% female), and explore potential mediators (stress and depressive symptoms) of those associations. Methods: A series of regression models were used to examine associations between Financial Strain and cancer risk factors. All analyses were adjusted for age, sex, partner status, total annual household income, educational level, and employment status. Analyses involving overweight/obesity status additionally controlled for fruit and vegetable intake and physical activity. Statistical significance was set at p Results: Greater Financial Strain was associated with greater odds of insufficient physical activity (p Conclusions: Financial Strain may contribute to higher cancer risk among African Americans through associations with insufficient physical activity, smoking, and multiple behavioral risk factors for cancer. Greater stress and depressive symptoms may lie along the causal pathway. Future interventions aimed at reducing cancer disparities need to focus on African Americans experiencing higher Financial Strain while addressing their stress and depressive symptoms. Although additional studies with longitudinal designs are needed to confirm these results, potential theoretical, intervention, and policy implications are discussed. This abstract is also presented as Poster B1. Citation Format: Pragati Advani, Lorraine Reitzel, Nga Nguyen, Felicia Fisher, Elaine Savoy, Adolfo Cuevas, David Wetter, Lorna McNeill. Financial Strain and cancer risk factors among African American adults. [abstract]. In: Proceedings of the Sixth AACR Conference: The Science of Cancer Health Disparities; Dec 6–9, 2013; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2014;23(11 Suppl):Abstract nr PR1. doi:10.1158/1538-7755.DISP13-PR1
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Financial Strain and cancer risk behaviors among african americans
Cancer Epidemiology Biomarkers & Prevention, 2014Co-Authors: Pragati Shailesh Advani, Lorraine R Reitzel, Nga Nguyen, Felicia D Fisher, Elaine J Savoy, Adolfo G Cuevas, David W Wetter, Lorna H McneillAbstract:Background: African Americans suffer disproportionately from the adverse consequences of behavioral risk factors for cancer relative to other ethnic groups. Recent studies have assessed how Financial Strain might uniquely contribute to engagement in modifiable behavioral risk factors for cancer, but not among African Americans. The current study examined associations between Financial Strain and modifiable cancer risk factors (smoking, at-risk alcohol use, overweight/obesity, insufficient physical activity, inadequate fruit and vegetable intake, and multiple risk factors) among 1,278 African American adults (age, 46.5 ± 12.6 years; 77% female) and explored potential mediators (stress and depressive symptoms) of those associations. Methods: Logistic regression models were used to examine associations between Financial Strain and cancer risk factors. Analyses were adjusted for age, sex, partner status, income, educational level, and employment status. Analyses involving overweight/obesity status additionally controlled for fruit and vegetable intake and physical activity. Nonparametric bootstrapping procedures were used to assess mediation. Results: Greater Financial Strain was associated with greater odds of insufficient physical activity ( P < 0.003) and smoking ( P = 0.005) and was positively associated with the total number of cancer risk factors ( P < 0.0001). There was a significant indirect effect of both stress and depressive symptoms on the relations of Financial Strain with physical inactivity and multiple risk factors, respectively. Conclusions: Future interventions aimed at reducing cancer disparities should focus on African Americans experiencing higher Financial Strain while addressing their stress and depressive symptoms. Impact: Longitudinal studies are needed to assess the temporal and causal relations between Financial Strain and modifiable behavioral cancer risk factors among African Americans. Cancer Epidemiol Biomarkers Prev; 23(6); 967–75. ©2014 AACR . This article is featured in Highlights of This Issue, [p. 893][1] [1]: /lookup/volpage/23/893?iss=6
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Financial Strain and self rated health among black adults
American Journal of Health Behavior, 2014Co-Authors: Elaine J Savoy, Pragati Shailesh Advani, Lorraine R Reitzel, Nga Nguyen, Felicia D Fisher, Adolfo G Cuevas, David W Wetter, Lorna H McneillAbstract:Health disparities among Black adults have been an ongoing problem in the United States.1 For example, prevalence and mortality rates are higher among Black adults for heart disease, cancer, and stroke as compared to other ethnic groups.2–4 Blacks also have higher rates of HIV/AIDS than their White counterparts, and 2.3 times the infant mortality rate.4 These health disparities are reflected in perceived health status as well, with Black adults reporting substantially poorer self-reported health when compared to Whites.5 Self-reported health has been consistently linked to premature mortality and chronic conditions such as diabetes and heart disease, which particularly affect Black adults.6,7 Socioeconomic status (SES) has been linked to the health disparities experienced by Blacks. Relative to those at the higher end of the SES spectrum, individuals of lower SES experience comparatively worse health outcomes.8–10 Unfortunately, Blacks may be at particular risk for experiencing the negative ramifications of low SES on health, given that they tend to have lower SES than individuals of other race/ethnicities in this country.11 However, although a few studies have linked low SES with poorer health outcomes and higher mortality rates among Black adults,6,11 there remains debate on exactly how SES affects health. Previous studies have suggested that individuals of low SES may lack sufficient funds to satisfy basic needs and experience decreased access to healthcare and a lower quality of healthcare, potentially as a result of income inadequacy.12,13 Consequently, because income inadequacy may be a mechanism underlying the relations between low SES and negative health outcomes, it is of interest to better understand relations between income inadequacy and health status. Income inadequacy, also known as Financial Strain, represents an individual’s unfavorable subjective perception of their income to needs ratio.14 As such, perceptions of Financial Strain can vary widely among individuals of low income (based on their needs), and can be relevant to individuals across the SES spectrum.15 Several studies have examined the relations between Financial Strain and health. Results indicate that Financial Strain is positively correlated with poor health outcomes such as early disability, increased psychological stress, chronic health conditions, and even mortality.16,17 For instance, using retrospective data about economic adversities experienced over a lifetime, one study found that long-term Financial Strain at the poverty level was associated with a variety of negative health outcomes in an older adult and elderly population of 1167 adults, including over 400 Black men and women.17 Another study also found a strong correlation between Financial Strain at the poverty level and poor health among a sample of 699 middle-aged Black twins.16 A third study found that as exposure to negative Financial situations increased, the risk for poor self-rated health increased, as well as the risk for depressed mood, stress, smoking, and drug use in a sample of 1,506 urban emergency department patients, with over 50% of the sample under the age of 35 and overall 39% of whom were Black.18 However, no previous studies have examined the association of Financial Strain and self-rated health within a large sample of Blacks, with a diverse age range and wide-ranging spectrum of incomes. Since Financial Strain can be relevant to any period of life, not just older age, understanding more about the association between Financial Strain and self-rated health in diverse Black samples of adults is important.8 A neo-materialistic perspective suggests that inadequate access to resources accounts for the relation between Financial Strain and poor health.19–21 This approach posits that the social determinants of health affect one’s living conditions, which in turn influences health. However, conceptual models linking low SES (more generally) to poorer health and less desirable health behaviors have proposed that psychosocial mechanisms such as depression and stress might underlie these relations. For example, Gallo and Matthews reviewed the extant literature and found a correlation between lower SES and negative emotions and attitudes, particularly depressive symptoms.22 Research suggests that these negative emotions in turn have an adverse effect on health outcomes such as cardiovascular morbidity.22 In addition, studies have found that people with low SES face more chronically negative and stressful life events, which are also interpreted more negatively.22 Relevant to Financial Strain in particular, several studies have argued that those with lower SES have less material and psychological resources to manage these stressors, which may lead to increased susceptibility to future stresses.7,22 Although the aforementioned conceptual models make reference to objective SES indicators such as income, education, and/or occupation, similar pathways have been suggested to underlie relations between Financial Strain and poor self-rated health.23 This psychosocial perspective suggests that Financial Strain impacts health over time through chronic over-activation of physiologic systems related to stress (ie, increased allostatic load), which lead to assorted negative systemic effects.16,23,24 However, to the best of our knowledge, no previous studies have addressed the potential indirect effects of stress and depressive symptoms on the association between Financial Strain and self-rated health among a large sample of Black adults. The purpose of the current study was to examine the relationship between Financial Strain and self-rated health in a large church-based sample of Black adults, while controlling for several important covariates including age, sex, partner status, income, education, and employment status. A secondary aim of the current study was to assess whether relations between Financial Strain and self-rated health were mediated by depressive symptoms and/or stress. Although at least one previous study has investigated the association between Financial Strain and self-rated health among Black adults (among middle-aged twins, in that case),16 more research is needed among Blacks of diverse ages and Financial means. Based on the previous literature in this area, we hypothesized that greater Financial Strain would be associated with worse self-rated health, and that stress and depressive symptoms would underlie this association.
Neal Krause - One of the best experts on this subject based on the ideXlab platform.
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Financial Strain, Religious Involvement, and Life Satisfaction
2020Co-Authors: Neal KrauseAbstract:The purpose of this study is to see if Financial Strain affects the religious involvement and life satisfaction of older Mexican Americans. In the process, an effort was made to explore the factors that promote Financial Strain in this ethnic group, including immigration status and English language use. The data come from a nationwide survey of older Mexican Americans. Support was found for the following core relationships in the study model: (1) older adults who were born in Mexico will have less schooling; (2) less education will be associated with less frequent use of English; (3) less frequent use of English will be associated with greater Financial Strain; (4) greater Financial Strain leads to less formal involvement in the church; (5) older people who are less involved in the church will have a diminished sense of religious meaning; and (6) older adults with a lower sense of religious meaning will be less satisfied with life. A number of studies suggest that ongoing Financial Strain is associated with poor physical (Krause, Newsom, and Rook 2008) and mental health (Lincoln 2007). As this literature began to mature, an effort was made to determine how the deleterious effects of Financial Strain might arise. Although a number of potentially important mechanisms were identified, a small cluster of studies suggest that Financial Strain operates by promoting greater social isolation from others (Mendes de Leon, Rapp and Kasl 1994). The purpose of this study is to see whether greater exposure to Financial Strain is associated with less involvement in the church and a diminished sense of life satisfaction. In the process, an effort is made to contribute to the literature in three potentially important ways. First, the relationships between Financial Strain, involvement in the church, and well-being are studied in a ethnic group that has received far too little attention in the literature on religion and health – older Mexican Americans. In fact, there has been relatively little progress in studying the effects of religion among older Mexican Americans since the pioneering work of Levin and Markides in the 1980s (Levin and Markides 1985). Second, an effort is made to develop a conceptual model that shows how Financial difficulties arise among older Mexican Americans. Less involvement in the church figures prominently in this respect.
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religious doubt Financial Strain and depressive symptoms among older mexican americans
Mental Health Religion & Culture, 2012Co-Authors: Neal KrauseAbstract:A number of studies suggest that various positive aspects of religion help older people cope more effectively with stress. However, the literature further indicates that religion may have negative as well as positive influences in the stress process. This suggests that instead of enhancing coping efforts, religion may also exacerbate the effects of stress. The purpose of this study was to see if one negative aspect of religion (i.e., religious doubt) exacerbates the effects of Financial Strain on depressive symptoms among older Mexican Americans. A nationwide survey of 1005 older Mexican Americans was conducted. The findings suggest that the effects of Financial Strain on depressive symptoms are stronger for older Mexican Americans who have more doubts about religion. This study aims to contribute to the literature by assessing the negative aspects of religion with data provided by an ethnic group that has been largely overlooked in the literature.
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are changes in Financial Strain associated with changes in alcohol use and smoking among older adults
Journal of Studies on Alcohol and Drugs, 2011Co-Authors: Benjamin A Shaw, Neda Agahi, Neal KrauseAbstract:Objective:This study aimed to assess whether changes in levels of Financial Strain are associated with changes in alcohol use and smoking among older adults.Method:Multilevel analyses were conducted using longitudinal data from a randomly selected national sample of older adults (N = 2,352; 60% female). The data were collected in six waves during the period of 1992–2006. We estimated associations between within-person changes in levels of Financial Strain and the odds of engaging in heavy drinking and smoking, while also testing for the moderating effects of gender, education, and age.Results:A direct association was observed between changes in levels of Financial Strain and the odds of heavy drinking, particularly among elderly men (odds ratio [OR] = 1.31) and those with low levels of education (OR = 1.27). A direct association between changes in levels of Financial Strain and the odds of smoking was also evident, particularly among the young-old (i.e., age 65 at baseline; OR = 1.44).Conclusions:Exposure...
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Financial Strain religious involvement and life satisfaction among older mexican americans
Research on Aging, 2011Co-Authors: Neal Krause, Elena BastidaAbstract:The purpose of this study is to see if Financial Strain affects the religious involvement and life satisfaction of older Mexican Americans. In the process, an effort was made to explore the factors that promote Financial Strain in this ethnic group, including immigration status and English language use. The data come from a nationwide survey of older Mexican Americans. Support was found for the following core relationships in the study model: (1) older adults who were born in Mexico will have less schooling; (2) less education will be associated with less frequent use of English; (3) less frequent use of English will be associated with greater Financial Strain; (4) greater Financial Strain leads to less formal involvement in the church; (5) older people who are less involved in the church will have a diminished sense of religious meaning; and (6) older adults with a lower sense of religious meaning will be less satisfied with life.
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Financial Strain, economic values, and somatic symptoms in later life.
Psychology and Aging, 1992Co-Authors: Neal Krause, Elizabeth BakerAbstract:: The purpose of this study was to evaluate whether the impact of Financial Strain on psychological distress depends on the value that older adults place on economic success. Feelings of personal control were specified as an intervening variable in this process. The data came from a nationwide survey of 819 people in Canada who were 55 years of age and older. The findings reveal that Financial problems are associated with diminished feelings of control and that these effects are stronger when elderly people value economic achievement highly. In addition, Financial Strain and diminished feelings of control are related to increased distress regardless of how highly economic success is valued.
Federico Triolo - One of the best experts on this subject based on the ideXlab platform.
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social engagement in late life may attenuate the burden of depressive symptoms due to Financial Strain in childhood
Journal of Affective Disorders, 2020Co-Authors: Federico Triolo, Linnea Sjöberg, Davide L. Vetrano, Marco Bertolotti, Laura Fratiglioni, Alexander Darinmattsson, Serhiy DekhtyarAbstract:Abstract Background : It remains poorly understood if childhood Financial Strain is associated with old-age depression and if active social life may mitigate this relationship. Aims : To investigate the association between childhood Financial Strain and depressive symptoms during aging; to examine whether late-life social engagement modifies this association. Method : 2884 dementia-free individuals (aged 60+) from the Swedish National study of Aging and Care-Kungsholmen were clinically examined over a 15-year follow-up. Presence of childhood Financial Strain was ascertained at baseline. Depressive symptoms were repeatedly assessed with the Montgomery–Asberg Depression Rating Scale. Social engagement comprised information on baseline social network and leisure activities. Linear, logistic and mixed-effect models estimated baseline and longitudinal associations accounting for sociodemographic, clinical, and lifestyle factors. Results : Childhood Financial Strain was independently associated with a higher baseline level of depressive symptoms (β = 0.37, 95%CI 0.10-0.65), but not with symptom change over time. Relative to those without Financial Strain and with active social engagement, depressive burden was increased in those without Financial Strain but with inactive social engagement (β = 0.43, 95%CI: 0.15-0.71), and in those with both Financial Strain and inactive engagement (β = 0.99; 95%CI: 0.59-1.40). Individuals with Financial Strain and active social engagement exhibited similar depressive burden as those without Financial Strain and with active social engagement. Limitations : Recall bias and reverse causality may affect study results, although sensitivity analyses suggest their limited effect. Conclusions : Early-life Financial Strain may be of lasting importance for old-age depressive symptoms. Active social engagement in late-life may mitigate this association.
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OLD-AGE DEPRESSIVE SYMPTOMS: THE ROLE OF EARLY-LIFE Financial Strain AND LATE-LIFE SOCIAL ENGAGEMENT
Innovation in Aging, 2019Co-Authors: Federico Triolo, Linnea Sjöberg, Davide L. Vetrano, Alexander Darin-mattsson, Marco Bertolotti, Laura Fratiglioni, Serhiy DekhtyarAbstract:Abstract It remains unclear if childhood socioeconomic disadvantage is associated with depression in old age. This study aims to investigate the effect of childhood Financial Strain on depressive symptoms in old age, and to examine whether late-life social engagement modifies this association. Data from the Swedish National study of Aging and Care in Kungsholmen, a community-based longitudinal study of aging, spanning clinical assessments over 15 years of follow-up were used. Information on Financial Strain in childhood was collected at baseline. Repeated measures of the Montgomery–Åsberg Depression Rating Scale were used to define depressive trajectories. A social engagement index comprised information on baseline social network and leisure activities. Linear mixed models were used to estimate depressive trajectories. Childhood Financial Strain was associated with a higher level of depressive symptoms (β = 0.36; p<0.05), but not the rate of symptom accumulation over time. Relative to those with a combination of no Financial Strain and active social engagement, the level of depressive symptoms was progressively increased in those without Financial Strain but with inactive social engagement (β = 0.29; p<0.05), as well as in those with both Financial Strain and inactive engagement (β= 0.83; p<0.05). Individuals with Financial Strain who had active social engagement exhibited a similar burden of symptoms as those without Financial Strain and with rich social engagement. Early-life Financial Strain may have a lasting effect on old age depressive symptoms, although its detrimental consequences may be modified by active social engagement in late life.
Serhiy Dekhtyar - One of the best experts on this subject based on the ideXlab platform.
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social engagement in late life may attenuate the burden of depressive symptoms due to Financial Strain in childhood
Journal of Affective Disorders, 2020Co-Authors: Federico Triolo, Linnea Sjöberg, Davide L. Vetrano, Marco Bertolotti, Laura Fratiglioni, Alexander Darinmattsson, Serhiy DekhtyarAbstract:Abstract Background : It remains poorly understood if childhood Financial Strain is associated with old-age depression and if active social life may mitigate this relationship. Aims : To investigate the association between childhood Financial Strain and depressive symptoms during aging; to examine whether late-life social engagement modifies this association. Method : 2884 dementia-free individuals (aged 60+) from the Swedish National study of Aging and Care-Kungsholmen were clinically examined over a 15-year follow-up. Presence of childhood Financial Strain was ascertained at baseline. Depressive symptoms were repeatedly assessed with the Montgomery–Asberg Depression Rating Scale. Social engagement comprised information on baseline social network and leisure activities. Linear, logistic and mixed-effect models estimated baseline and longitudinal associations accounting for sociodemographic, clinical, and lifestyle factors. Results : Childhood Financial Strain was independently associated with a higher baseline level of depressive symptoms (β = 0.37, 95%CI 0.10-0.65), but not with symptom change over time. Relative to those without Financial Strain and with active social engagement, depressive burden was increased in those without Financial Strain but with inactive social engagement (β = 0.43, 95%CI: 0.15-0.71), and in those with both Financial Strain and inactive engagement (β = 0.99; 95%CI: 0.59-1.40). Individuals with Financial Strain and active social engagement exhibited similar depressive burden as those without Financial Strain and with active social engagement. Limitations : Recall bias and reverse causality may affect study results, although sensitivity analyses suggest their limited effect. Conclusions : Early-life Financial Strain may be of lasting importance for old-age depressive symptoms. Active social engagement in late-life may mitigate this association.
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OLD-AGE DEPRESSIVE SYMPTOMS: THE ROLE OF EARLY-LIFE Financial Strain AND LATE-LIFE SOCIAL ENGAGEMENT
Innovation in Aging, 2019Co-Authors: Federico Triolo, Linnea Sjöberg, Davide L. Vetrano, Alexander Darin-mattsson, Marco Bertolotti, Laura Fratiglioni, Serhiy DekhtyarAbstract:Abstract It remains unclear if childhood socioeconomic disadvantage is associated with depression in old age. This study aims to investigate the effect of childhood Financial Strain on depressive symptoms in old age, and to examine whether late-life social engagement modifies this association. Data from the Swedish National study of Aging and Care in Kungsholmen, a community-based longitudinal study of aging, spanning clinical assessments over 15 years of follow-up were used. Information on Financial Strain in childhood was collected at baseline. Repeated measures of the Montgomery–Åsberg Depression Rating Scale were used to define depressive trajectories. A social engagement index comprised information on baseline social network and leisure activities. Linear mixed models were used to estimate depressive trajectories. Childhood Financial Strain was associated with a higher level of depressive symptoms (β = 0.36; p<0.05), but not the rate of symptom accumulation over time. Relative to those with a combination of no Financial Strain and active social engagement, the level of depressive symptoms was progressively increased in those without Financial Strain but with inactive social engagement (β = 0.29; p<0.05), as well as in those with both Financial Strain and inactive engagement (β= 0.83; p<0.05). Individuals with Financial Strain who had active social engagement exhibited a similar burden of symptoms as those without Financial Strain and with rich social engagement. Early-life Financial Strain may have a lasting effect on old age depressive symptoms, although its detrimental consequences may be modified by active social engagement in late life.
