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Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support

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Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support. / Heser, Kathrin; Wagner, Michael; Wiese, Birgitt; Prokein, Jana; Ernst, Annette; König, Hans-Helmut; Brettschneider, Christian; Riedel-Heller, Steffi G; Luppa, Melanie; Weyerer, Siegfried; Eifflaender-Gorfer, Sandra; Bickel, Horst; Mösch, Edelgard; Pentzek, Michael; Fuchs, Angela; Maier, Wolfgang; Scherer, Martin; Eisele, Marion; AgeCoDe Study Group.

in: DEMENT GER COGN D EX, Jahrgang 4, Nr. 3, 2015, S. 481-93.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Heser, K, Wagner, M, Wiese, B, Prokein, J, Ernst, A, König, H-H, Brettschneider, C, Riedel-Heller, SG, Luppa, M, Weyerer, S, Eifflaender-Gorfer, S, Bickel, H, Mösch, E, Pentzek, M, Fuchs, A, Maier, W, Scherer, M, Eisele, M & AgeCoDe Study Group 2015, 'Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support', DEMENT GER COGN D EX, Jg. 4, Nr. 3, S. 481-93. https://doi.org/10.1159/000368189

APA

Heser, K., Wagner, M., Wiese, B., Prokein, J., Ernst, A., König, H-H., Brettschneider, C., Riedel-Heller, S. G., Luppa, M., Weyerer, S., Eifflaender-Gorfer, S., Bickel, H., Mösch, E., Pentzek, M., Fuchs, A., Maier, W., Scherer, M., Eisele, M., & AgeCoDe Study Group (2015). Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support. DEMENT GER COGN D EX, 4(3), 481-93. https://doi.org/10.1159/000368189

Vancouver

Heser K, Wagner M, Wiese B, Prokein J, Ernst A, König H-H et al. Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support. DEMENT GER COGN D EX. 2015;4(3):481-93. https://doi.org/10.1159/000368189

Bibtex

@article{09a8a1f11f30447b8d2909417c0862d0,
title = "Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support",
abstract = "BACKGROUND: Social relations and depressive symptoms are intertwined. They both predict subsequent dementia, but only few studies on the association between social life aspects and subsequent dementia exist.METHODS: The risk of subsequent dementia was estimated over 2 follow-up assessments, each 18 months apart, depending on leisure activity, social support (general scale and the 3 factors emotional support, practical support, and social integration), and depressive symptoms, using proportional hazard models in a cohort of elderly patients (n = 2,300, with a mean age of 82.45 years) recruited for the study by their general practitioners.RESULTS: Higher depressive symptoms and lower cognitive and physical activity were associated with an increased risk of subsequent all-cause dementia and Alzheimer's dementia (AD). While neither social engagement nor the general social support scale was associated with subsequent dementia, a higher level of social integration was associated with a lower dementia risk. In combined models, the results for activity variables remained similar, but the strength of the association between depressive symptoms and the subsequent risk of dementia decreased, and the association with social integration disappeared.CONCLUSIONS: Depressive symptoms increased and activity variables decreased the risk of subsequent dementia; however, activity variables, namely cognitive and physical activity, partly mediated the effect of depressive symptoms on the subsequent risk of all-cause dementia and AD. In many cases, social support was not associated with a risk of subsequent dementia.",
author = "Kathrin Heser and Michael Wagner and Birgitt Wiese and Jana Prokein and Annette Ernst and Hans-Helmut K{\"o}nig and Christian Brettschneider and Riedel-Heller, {Steffi G} and Melanie Luppa and Siegfried Weyerer and Sandra Eifflaender-Gorfer and Horst Bickel and Edelgard M{\"o}sch and Michael Pentzek and Angela Fuchs and Wolfgang Maier and Martin Scherer and Marion Eisele and {AgeCoDe Study Group}",
year = "2015",
doi = "10.1159/000368189",
language = "English",
volume = "4",
pages = "481--93",
journal = "DEMENT GER COGN D EX",
issn = "1664-5464",
publisher = "S. Karger AG",
number = "3",

}

RIS

TY - JOUR

T1 - Associations between Dementia Outcomes and Depressive Symptoms, Leisure Activities, and Social Support

AU - Heser, Kathrin

AU - Wagner, Michael

AU - Wiese, Birgitt

AU - Prokein, Jana

AU - Ernst, Annette

AU - König, Hans-Helmut

AU - Brettschneider, Christian

AU - Riedel-Heller, Steffi G

AU - Luppa, Melanie

AU - Weyerer, Siegfried

AU - Eifflaender-Gorfer, Sandra

AU - Bickel, Horst

AU - Mösch, Edelgard

AU - Pentzek, Michael

AU - Fuchs, Angela

AU - Maier, Wolfgang

AU - Scherer, Martin

AU - Eisele, Marion

AU - AgeCoDe Study Group

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Social relations and depressive symptoms are intertwined. They both predict subsequent dementia, but only few studies on the association between social life aspects and subsequent dementia exist.METHODS: The risk of subsequent dementia was estimated over 2 follow-up assessments, each 18 months apart, depending on leisure activity, social support (general scale and the 3 factors emotional support, practical support, and social integration), and depressive symptoms, using proportional hazard models in a cohort of elderly patients (n = 2,300, with a mean age of 82.45 years) recruited for the study by their general practitioners.RESULTS: Higher depressive symptoms and lower cognitive and physical activity were associated with an increased risk of subsequent all-cause dementia and Alzheimer's dementia (AD). While neither social engagement nor the general social support scale was associated with subsequent dementia, a higher level of social integration was associated with a lower dementia risk. In combined models, the results for activity variables remained similar, but the strength of the association between depressive symptoms and the subsequent risk of dementia decreased, and the association with social integration disappeared.CONCLUSIONS: Depressive symptoms increased and activity variables decreased the risk of subsequent dementia; however, activity variables, namely cognitive and physical activity, partly mediated the effect of depressive symptoms on the subsequent risk of all-cause dementia and AD. In many cases, social support was not associated with a risk of subsequent dementia.

AB - BACKGROUND: Social relations and depressive symptoms are intertwined. They both predict subsequent dementia, but only few studies on the association between social life aspects and subsequent dementia exist.METHODS: The risk of subsequent dementia was estimated over 2 follow-up assessments, each 18 months apart, depending on leisure activity, social support (general scale and the 3 factors emotional support, practical support, and social integration), and depressive symptoms, using proportional hazard models in a cohort of elderly patients (n = 2,300, with a mean age of 82.45 years) recruited for the study by their general practitioners.RESULTS: Higher depressive symptoms and lower cognitive and physical activity were associated with an increased risk of subsequent all-cause dementia and Alzheimer's dementia (AD). While neither social engagement nor the general social support scale was associated with subsequent dementia, a higher level of social integration was associated with a lower dementia risk. In combined models, the results for activity variables remained similar, but the strength of the association between depressive symptoms and the subsequent risk of dementia decreased, and the association with social integration disappeared.CONCLUSIONS: Depressive symptoms increased and activity variables decreased the risk of subsequent dementia; however, activity variables, namely cognitive and physical activity, partly mediated the effect of depressive symptoms on the subsequent risk of all-cause dementia and AD. In many cases, social support was not associated with a risk of subsequent dementia.

U2 - 10.1159/000368189

DO - 10.1159/000368189

M3 - SCORING: Journal article

C2 - 25685139

VL - 4

SP - 481

EP - 493

JO - DEMENT GER COGN D EX

JF - DEMENT GER COGN D EX

SN - 1664-5464

IS - 3

ER -