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The mechanisms underlying the negative effect of depression on life satisfaction among the elderly: the roles of ostracism and economic income

Published online by Cambridge University Press:  01 October 2021

Lei Shao Open the ORCID record for Lei Shao [Opens in a new window] ,
Guoliang Yu  and
Denghao Zhang
Lei Shao
Affiliation:
School of Education, Renmin University of China, Beijing, China
Guoliang Yu
Affiliation:
Institute of Psychology, Renmin University of China, Beijing, China
Denghao Zhang*
Affiliation:
Department of Psychology, Renmin University of China, Beijing, China
*
Correspondence should be addressed to: Denghao Zhang, Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing, China. Email: zhangdenghao@126.com.
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Abstract

Objectives:

Depression is prevalent among older persons, which seriously threatens their life satisfaction. This study aimed to explore the internal mechanisms by which depression influences life satisfaction among the elderly, as well as the mediating and moderating effects of ostracism and economic income, respectively, in a sample of rural older adults across China.

Design:

This was a cross-sectional survey conducted as part of the project “Thousands of People and Hundreds of Villages (2019).”

Setting:

Participants were rural older adults from 31 provincial-level administrative units across China.

Participants:

The sample composed of 1,754 participants aged 60 years and over.

Measurements:

Depression was assessed with the depression subscale of the Depression Anxiety Stress Scales, life satisfaction with the Satisfaction with Life Scale, ostracism with the Ostracism Experience Scale (OES), and economic income and other control variables with related demographic scales. Moderation and mediation analyses were performed using the regression-based approach as conducted by Hayes (2013).

Results:

Depression negatively predicted life satisfaction among the elderly. Ostracism played a partially mediating role between depression and life satisfaction. Economic income moderated the effect of depression and ostracism on life satisfaction: High economic income weakened the negative effect of depression on life satisfaction and enhanced the negative effect of ostracism on life satisfaction.

Conclusion:

Improving depressed elderly people’s interpersonal relationships and financial support could improve their life satisfaction.

Keywords

depressionlife satisfactionostracismeconomic income
Type
Original Research Article
Information
International Psychogeriatrics , Volume 34 , Special Issue 8: Issue Theme: Geriatric Mental Health among Chinese Older Adults , August 2022 , pp. 715 - 724
Copyright
© International Psychogeriatric Association 2021

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References

Adams, T. R., Rabin, L. A., Da Silva, V. G., Katz, M. J., Fogel, J. and Lipton, R. B. (2016). Social support buffers the impact of depressive symptoms on life satisfaction in old age. Clinical Gerontologist, 39, 139–157.CrossRefGoogle ScholarPubMed
Alexopoulos, G. S. (2005). Depression in the elderly. The Lancet, 365, 1961–1970.CrossRefGoogle ScholarPubMed
Andrews, F. M. and Withey, S. B. (1976). Social Indicators of Well-Being: America’s Perception of Life Quality. New York: Plenum.CrossRefGoogle Scholar
Areán, P. A. et al. (2010). Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care. International Journal of Geriatric Psychiatry, 25, 765–769.CrossRefGoogle Scholar
Argyle, M. (2013). The Psychology of Happiness. London: Routledge.CrossRefGoogle Scholar
Bai, M. (2017). Seize the new contradictions and solve the unbalanced and inadequate development problem. Price Theory and Practice, 11, 11–14.Google Scholar
Ball, R. and Chernova, K. (2008). Absolute income, relative income, and happiness. Social Indicators Research, 88, 497–529.CrossRefGoogle Scholar
Bayram, N., Aytac, S., Aytac, M., Sam, N. and Bilgel, N. (2012). Poverty, ostracism, and life satisfaction: a study from Turkey. Journal of Poverty, 16, 375–391.CrossRefGoogle Scholar
Berg, A. I., Hassing, L. B., McClearn, G. E., and Johansson, B. (2006). What matters for life satisfaction in the oldest-old? Aging and Mental Health, 10, 257–264.CrossRefGoogle ScholarPubMed
Berg, A. I., Hoffman, L., Hassing, L. B., McClearn, G. E. and Johansson, B. (2009). What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80+. Aging and Mental Health, 13, 191–201.CrossRefGoogle ScholarPubMed
Berkman, L. F. et al. (1986). Depressive symptoms in relation to physical health and functioning in the elderly. American Journal of Epidemiology, 124, 372–388.CrossRefGoogle ScholarPubMed
Blazer, D. G. (1983). Impact of late-life depression on the social network. American Fournal of Psychiatry, 140, 162–166.Google ScholarPubMed
Carter-Sowell, A. R. (2010). Salting a wound, building a callous, or throwing in the towel? The measurement and effects of chronic ostracism experiences. Available at: https://docs.lib.purdue.edu/dissertations/AAI3444490/; last accessed 9 October 2020.Google Scholar
Cheng, S.-T. and Chan, A. C. M. (2006). Relationship with others and life satisfaction in later life: do gender and widowhood make a difference? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61, P46–P53.CrossRefGoogle Scholar
Collins, A. L., Glei, D. A. and Goldman, N. (2009). The role of life satisfaction and depressive symptoms in all-cause mortality. Psychology and Aging, 24, 696–702.CrossRefGoogle ScholarPubMed
Coyne, J. C. (1976a). Depression and the response of others. Journal of Abnormal Psychology, 85, 186–193.CrossRefGoogle Scholar
Coyne, J. C. (1976b). Toward an interactional description of depression. Psychiatry, 39, 28–40.CrossRefGoogle ScholarPubMed
Cui, H. Z. (2015). Analysis on the influencing factors of subjective well-being among rural elderly people: based on questionnaire survey data of farmers in 8 provinces. Chinese Rural Economy, 4, 72–80.Google Scholar
Diener, E. and Biswas-Diener, R. (2009). Will money increase subjective well-being? A literature review and guide to needed research. In: Diener, E. (Eds.), The Science of Well-Being (pp 119–154). The Netherlands: Springer.CrossRefGoogle Scholar
Diener, E., Emmons, R. A., Larsen, R. J. and Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.CrossRefGoogle ScholarPubMed
Diener, E. and Seligman, M. E. P. (2004). Beyond money: toward an economy of well-being. Psychological Science in the Public Interest, 5, 1–31.CrossRefGoogle ScholarPubMed
Ding, Z. H., Zhang, Y. F. and Xia, Y. H. (2019). The current situation and changed of income sources of older people in China: 2010–2015. Scientific Research on Aging, 7, 33–46.Google Scholar
Evans, I. E. M., Llewellyn, D. J., Matthews, F. E., Woods, R. T., Brayne, C. and Clare, L. (2019). Social isolation, cognitive reserve, and cognition in older people with depression and anxiety. Aging and Mental Health, 23, 1691–1700.CrossRefGoogle ScholarPubMed
Ferring, D. et al. (2004). Life satisfaction of older people in six European countries: findings from the European study on adult well-being. European Journal of Ageing, 1, 15–25.CrossRefGoogle Scholar
Fiske, A., Gatz, M. and Pedersen, N. L. (2003). Depressive symptoms and aging: the effects of illness and non-health-related events. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, P320–P328.CrossRefGoogle ScholarPubMed
Ghubach, R., El-Rufaie, O., Zoubeidi, T., Sabri, S., Yousif, S. and Moselhy, H. F. (2010). Subjective life satisfaction and mental disorders among older adults in UAE in general population. International Journal of Geriatric Psychiatry, 25, 458–465.CrossRefGoogle ScholarPubMed
Girling, D. M., Huppert, F. A., Brayne, C., Paykel, E. S., Gill, C. and Mathewson, D. (1995). Depressive symptoms in the very elderly – their prevalence and significance. International Journal of Geriatric Psychiatry, 10, 497–504.CrossRefGoogle Scholar
Gong, X., Xie, X. Y., Xu, R. and Luo, Y. J. (2010). Psychometric properties of the Chinese versions of DASS-21 in Chinese college students. Chinese Journal of Clinical Psychology, 18, 443–446.Google Scholar
Gutiérrez, M., Tomás, J. M., Galiana, L., Sancho, P. and Cebrià, M. A. (2013). Predicting life satisfaction of the Angolan elderly: a structural model. Aging and Mental Health, 17, 94–101.CrossRefGoogle ScholarPubMed
Hames, J. L., Hagan, C. R. and Joiner, T. E. (2013). Interpersonal processes in depression. Annual Review of Clinical Psychology, 9, 355–377.CrossRefGoogle ScholarPubMed
Hayes, A. F. (2013). Introduction to Mediation, Moderation, and conditional Process Analysis: A Regression-Based Approach. New York: The Guilford Press.Google Scholar
Haynie, D. A., Berg, S., Johansson, B., Gatz, M. and Zarit, S. H. (2001). Symptoms of depression in the oldest old: a longitudinal study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56, P111–P118.CrossRefGoogle ScholarPubMed
Hsu, H.-C. (2012). Trajectories and covariates of life satisfaction among older adults in Taiwan. Archives of Gerontology and Geriatrics, 55, 210–216.CrossRefGoogle ScholarPubMed
Joiner, T. E. and Metalsky, G. I. (1995). A prospective test of an integrative interpersonal theory of depression: a naturalistic study of college roommates. Journal of Personality and Social Psychology, 69, 778.CrossRefGoogle ScholarPubMed
Katz, R. (2009). Intergenerational family relations and life satisfaction among three elderly population groups in transition in the Israeli multi-cultural society. Journal of Cross-Cultural Gerontology, 24, 77–91.CrossRefGoogle ScholarPubMed
Kim, B. J., Harris, L. M. and Cha, Y. (2017). Differences in the relationship between depression and self-rated life satisfaction in older Korean and Chinese immigrants. Social Work in Mental Health, 15, 555–566.CrossRefGoogle Scholar
Kim, S.-Y. and Sok, S. R. (2012). Relationships among the perceived health status, family support and life satisfaction of older Korean adults: relationship among older Korean adults. International Journal of Nursing Practice, 18, 325–331.CrossRefGoogle Scholar
Kraaij, V., Arensman, E. and Spinhoven, P. (2002). Negative life events and depression in elderly persons: a meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57, P87–P94.CrossRefGoogle ScholarPubMed
Krause, N. and Borawski-Clark, E. (1995). Social class differences in social support among older adults. The Gerontologist, 35, 498–508.CrossRefGoogle ScholarPubMed
Lee, E. K. O. and Lee, J. (2013). Education, functional limitations, and life satisfaction among older adults in South Korea. Educational Gerontology, 39, 514–526.CrossRefGoogle Scholar
Lee, J. and Cagle, J. G. (2018). Ostracism factors influencing life satisfaction among older adults. Journal of Poverty and Social Justice, 26, 35–50.CrossRefGoogle Scholar
Li, C., Chi, I., Zhang, X., Cheng, Z., Zhang, L. and Chen, G. (2015). Urban and rural factors associated with life satisfaction among older Chinese adults. Aging and Mental Health, 19, 947–954.CrossRefGoogle Scholar
Li, H., Chi, I. and Xu, L. (2013). Life satisfaction of older Chinese adults living in rural communities. Journal of Cross-Cultural Gerontology, 28, 153–165.CrossRefGoogle ScholarPubMed
Liao, P. A. (2012). National health insurance program and life satisfaction of the elderly. Aging and Mental Health, 16, 983–992.CrossRefGoogle ScholarPubMed
Liu, L.-J. and Guo, Q. (2008). Life satisfaction in a sample of empty-nest elderly: a survey in the rural area of a mountainous county in China. Quality of Life Research, 17, 823–830.CrossRefGoogle Scholar
Markides, K. S. and Martin, H. W. (1979). A causal model of life satisfaction among the elderly. Journal of Gerontology, 34, 86–93.CrossRefGoogle ScholarPubMed
Meléndez, J. C., Tomás, J. M., Oliver, A. and Navarro, E. (2009). Psychological and physical dimensions explaining life satisfaction among the elderly: a structural model examination. Archives of Gerontology and Geriatrics, 48, 291–295.CrossRefGoogle ScholarPubMed
Menec, V. H. (2003). The relation between everyday activities and successful aging: a 6-year longitudinal study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, P74–P82.CrossRefGoogle ScholarPubMed
Mhaoláin, A. M. N. et al. (2012). Subjective well-being amongst community-dwelling elders: What determines satisfaction with life? Findings from the Dublin healthy aging study. International Psychogeriatrics, 24, 316–323.CrossRefGoogle Scholar
Moussa, M. T., Lovibond, P., Laube, R. and Megahead, H. A. (2017). Psychometric properties of an Arabic version of the depression anxiety stress scales (DASS). Research on Social Work Practice, 27, 375–386.CrossRefGoogle Scholar
Neufeld, J. E. et al. (2006). The engagement model of person-environment interaction. The Counseling Psychologist, 34, 245–259. doi: 10.1177/0011000005281319.CrossRefGoogle Scholar
Shao, L., Dong, Y., Feng, J. X. and Zhang, D. H. (2020). The effect of ostracism on subjective well-being for adults in China: the chain mediating role of social identification and control. Chinese Journal of Clinical Psychology, 28, 234–238.Google Scholar
Shin, D. C. and Johnson, D. M. (1978). Avowed happiness as an overall assessment of the quality of life. Social Indicators Research, 5, 475–492.CrossRefGoogle Scholar
Starr, L. R. and Davila, J. (2008). Excessive reassurance seeking, depression, and interpersonal rejection: a meta-analytic review. Journal of Abnormal Psychology, 117, 762–775.CrossRefGoogle ScholarPubMed
Stavrova, O. and Luhmann, M. (2016). Social connectedness as a source and consequence of meaning in life. The Journal of Positive Psychology, 11, 470–479.CrossRefGoogle Scholar
Williams, K. D. (2007). Ostracism. Annual Review of Psychology, 58, 425–452.CrossRefGoogle ScholarPubMed
Williams, K. D. (2009). Ostracism: a temporal need-threat model. Advances in Experimental Social Psychology, 41, 275–314.CrossRefGoogle Scholar
Xing, Z. J. (2011). A study of the relationship between income and subjective well-being in China. Sociological Studies, 25, 196–246.Google Scholar
Xiong, C. Q. and Xu, Y. L. (2009). Reliability and validity of the satisfaction with life scale for Chinese demos. China Journal of Health Psychology, 17, 948–949.Google Scholar
Yan, Z. Y., Su, X. R. and Wu, J. J. (2019). The satisfaction level of the needs of the rural elderly affects their life satisfaction: the mediating effect of loneliness. Available at: https://webofproceedings.org/proceedings_series/ESSP/ICESS%202019/ICESS19132.pdf; last accessed 20 October 2020.Google Scholar
Zhang, Y., Chen, Y. and Ma, L. (2017). Depression and cardiovascular disease in elderly: Current understanding. Journal of Clinical Neuroscience, 47, 1–5.CrossRefGoogle ScholarPubMed
Zis, P., Daskalaki, A., Bountouni, I., Sykioti, P., Varrassi, G. and Paladini, A. (2017). Depression and chronic pain in the elderly: links and management challenges. Clinical Interventions in Aging, 12, 709–720.CrossRefGoogle ScholarPubMed
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