Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?

• Autor(a) principal: Espirito-Santo, Helena
• Data de Publicação: 2022
• Outros Autores: Costa-Santos, Hugo, Sim?es-Cunha, Lu?s, Lemos, Laura, Grasina, Alexandra, Daniel, Fernanda
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/Espirito-Santo, H., Costa-Santos, L., Sim?es-Cunha et al. (2022) Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?. Revista Espa?ola de Geriatr?a y Gerontolog?a. https://doi.org/10.1016/j.regg.2022.09.009; https://doi.org/10.1016/j.regg.2022.09.009
• topic: Sintomas depressivos - Depressive symptoms; Incapacidade - Disability; Desregula??o emocional - Emotional dysregulation; An?lise mediacional - Mediational analysis

Abstract - Background: Emotion dysregulation has been consistently linked to psychopathology, and the relationship between disability and depressive symptomatology in old age is well-known. Objective: To examine the mediational role of emotional dysregulation in the relationship between perceived disability and depressive symptomatology in older adults. Methods: Two hundred eighty-three participants, aged 60?96 years (M ? SD = 74.22 ? 8.69; 62.9% women; 29.0% with long-term care support [LTC-S] and 71.0% community residents without LTC-S), were assessed with the Geriatric Depression Scale-8 (GDS-8), the World Health Organization Disability Assessment Schedule-2 (WHODAS-2), and the Difficulties in Emotion Regulation Scale-16 (DERS-16). Results: A mediation model was established, which revealed: (1) a moderate association between WHODAS-2 and GDS-8 (? = 0.20; p < .001); (2) DERS-16 partially and weakly mediated the relationship between WHODAS-2 and GDS-8 (? = 0.003; p < .01). The model explained 31.9% of the variance of depressive symptoms. An inconsistent mediation model was obtained in the LTC-S group. Conclusions: Globally, our findings indicate that disability has an indirect relationship with depressive symptomatology through emotional dysregulation (except for those in the LTC-S). Accordingly, we present suggestions for the treatment of depressive symptoms and for the inclusion of other emotion regulation variables in the study of the disability-depressive symptom link in future studies with older people in the LTC-S. / Resumen - Antecedentes: La desregulaci?n de las emociones se ha relacionado sistem?ticamente con la psicopatolog?a, y es bien conocida la relaci?n entre la discapacidad y la sintomatolog?a depresiva en la edad avanzada. Objetivo: Examinar el papel mediador de la desregulaci?n emocional en la relaci?n entre la discapacidad percibida y la sintomatolog?a depresiva en los adultos mayores. Materiales y m?todos: Doscientos ochenta y tres participantes, entre 60-96 anos de edad ? (M ? DE = 74,22 ? 8,69; 62,9% mujeres; 29% con apoyo de cuidados de larga duraci?n [A-CLD] y 71% residentes en la comunidad sin A-CLD), fueron evaluados con la Geriatric Depression Scale-8 (GDS-8), el World Health Organization Disability Assessment Schedule-2 (WHODAS-2) y la Difficulties in Emotion Regulation Scale-16 (DERS-16). Resultados: Se estableci? un modelo de mediaci?n que revel?: (1) una asociaci?n moderada entre el WHODAS-2 y el GDS-8 (! = 0,20; p < 0,001); (2) el DERS-16 medi? parcial y ligeramente la relaci?n entre el WHODAS-2 y el GDS-8 (! = 0,003; p < 0,01). El modelo explic? el 31,9% de la varianza de los s?ntomas depresivos. Se ha obtenido un modelo de mediaci?n inconsistente en el grupo A-CLD. Conclusiones: Globalmente, nuestros hallazgos indican que la discapacidad tiene una relaci?n indirecta con la sintomatolog?a depresiva a trav?s de la desregulaci?n emocional. En consecuencia, presentamos sugerencias para el tratamiento de los s?ntomas depresivos y para la inclusi?n de otras variables de regulaci?n de las emociones en el estudio del v?nculo discapacidad-s?ntomas depresivos en futuros estudios con personas mayores en el A-CLD.