Socioeconomic and psychosocial adversity in midlife and depressive symptoms post retirement: a 21-year follow-up of the Whitehall II study.
Am J Geriatr Psychiatry
; 23(1): 99-109.e1, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-24816123
ABSTRACT
OBJECTIVE:
We examined whether socioeconomic and psychosocial adversity in midlife predicts post-retirement depressive symptoms. DESIGN ANDSETTING:
A prospective cohort study of British civil servants who responded to a self-administered questionnaire in middle-age and at older ages, 21 years later.PARTICIPANTS:
The study sample consisted of 3,939 Whitehall II Study participants (2,789 men, 1,150 women; mean age 67.6 years at follow-up) who were employed at baseline and retired at follow-up. MEASUREMENTS Midlife adversity was assessed by self-reported socioeconomic adversity (low occupational position; poor standard of living) and psychosocial adversity (high job strain; few close relationships). Symptoms of depression post-retirement were measured by the Center for Epidemiologic Studies Depression scale.RESULTS:
After adjustment for sociodemographic and health-related covariates at baseline and follow-up, there were strong associations between midlife adversities and post-retirement depressive symptoms low occupational position (odds ratio [OR] 1.70, 95% confidence interval [CI] 1.15-2.51), poor standard of living (OR 2.37, 95% CI 1.66-3.39), high job strain (OR 1.52, 95% CI 1.09-2.14), and few close relationships (OR 1.51, 95% CI 1.12-2.03). The strength of the associations between socioeconomic, psychosocial, work-related, or non-work related exposures and depressive symptoms was similar.CONCLUSIONS:
Robust associations from observational data suggest that several socioeconomic and psychosocial risk factors for symptoms of depression post-retirement can be detected already in midlife.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aposentadoria
/
Classe Social
/
Depressão
/
Emprego
/
Relações Interpessoais
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Am J Geriatr Psychiatry
Assunto da revista:
GERIATRIA
/
PSIQUIATRIA
Ano de publicação:
2015
Tipo de documento:
Article