Lifestyle regularity and activity level as protective factors against bereavement-related depression in late-life

This study sought to determine whether high regularity in the timing of daily activities among the elderly soon after spousal death was protective against depressive symptomatology 1 and 2 years later, and the degree to which the depression-buffering effects of high lifestyle regularity were contingent upon the level of activity performed. The regularity of daily activities was assessed at 3 months post-loss among 41 spousally bereaved subjects aged 60 and above; depressive symptomatology was measured at 3, 12, and 24 months post-loss. Multiple regression analyses revealed that greater lifestyle regularity at 3 months post-loss predicted lower levels of depressive symptoms at 1 year post-loss among those in the upper-half level of activity. There was a trend, which suggested that greater lifestyle regularity at 3 months post-loss was associated with lower levels of depressive symptoms at 24 months post-loss among those in the upper-third level of activity. These preliminary results suggest that for aged widows and widowers, lifestyle regularity may prevent long-lasting depressive symptomatology secondary to spousal bereavement, provided an adequate number of activities are performed. Depression 3:297–302 (1995/1996). © 1996 Wiley-Liss, Inc.

[1]  M. Hamilton A RATING SCALE FOR DEPRESSION , 1960, Journal of neurology, neurosurgery, and psychiatry.

[2]  B. Linn,et al.  CUMULATIVE ILLNESS RATING SCALE , 1968, Journal of the American Geriatrics Society.

[3]  D. Kupfer,et al.  Interval between onset of sleep and rapid-eye-movement sleep as an indicator of depression. , 1972, Lancet.

[4]  P. Clayton Mortality and morbidity in the first year of widowhood. , 1974, Archives of general psychiatry.

[5]  L. Thompson,et al.  Psychosocial Factors Affecting Adaptation to Bereavement in the Elderly , 1982, International journal of aging & human development.

[6]  Malcolm J. Bond,et al.  Time structure and purposeful activity among employed and unemployed university graduates , 1983 .

[7]  M. Caserta,et al.  Identifying Elderly with Coping Difficulties after Two Years of Bereavement , 1986 .

[8]  A. Stewart,et al.  The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. , 1989, JAMA.

[9]  P. Leaf,et al.  Depressive episodes and dysphoria resulting from conjugal bereavement in a prospective community sample. , 1990, The American journal of psychiatry.

[10]  Clayton,et al.  Bereavement and depression. Discussion , 1990 .

[11]  S. Harlow,et al.  A longitudinal study of risk factors for depressive symptomatology in elderly widowed and married women. , 1991, American journal of epidemiology.

[12]  S. Zisook,et al.  Depression through the first year after the death of a spouse. , 1991, The American journal of psychiatry.

[13]  Daniel J Buysse,et al.  Electroencephalographic sleep in spousal bereavement and bereavement-related depression of late life , 1992, Biological Psychiatry.

[14]  T H Monk,et al.  Daily social rhythms in the elderly and their relation to objectively recorded sleep. , 1992, Sleep.

[15]  R W Baloh,et al.  Age-related changes in visual tracking. , 1994, Journal of gerontology.

[16]  T H Monk,et al.  Regularity of daily life in relation to personality, age, gender, sleep quality and circadian rhythms , 1994, Journal of sleep research.

[17]  D. Kupfer,et al.  Social rhythm in anxiety disorder patients. , 1994, Anxiety.

[18]  Daniel J Buysse,et al.  Psychosocial correlates and sequelae of electroencephalographic sleep in healthy elders. , 1994, Journal of gerontology.