A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Socioeconomic and Psychosocial Adversity in Midlife and Depressive Symptoms Post Retirement: A 21-year Follow-up of the Whitehall II Study




TekijätVirtanen M, Ferrie JE, Batty GD, Elovainio M, Jokela M, Vahtera J, Singh-Manoux A, Kivimaki M

KustantajaELSEVIER SCIENCE INC

Julkaisuvuosi2015

JournalAmerican Journal of Geriatric Psychiatry

Tietokannassa oleva lehden nimiAMERICAN JOURNAL OF GERIATRIC PSYCHIATRY

Lehden akronyymiAM J GERIAT PSYCHIAT

Vuosikerta23

Numero1

Aloitussivu99

LopetussivuU129

Sivujen määrä12

ISSN1064-7481

DOIhttps://doi.org/10.1016/j.jagp.2014.04.001


Tiivistelmä

Objective: We examined whether socioeconomic and psychosocial adversity in midlife predicts post-retirement depressive symptoms. Design and Setting: 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.




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