TY - JOUR
T1 - Perceived emotional social support in bereaved spouses mediates the relationship between anxiety and depression
AU - Jacobson, Nicholas C.
AU - Lord, Kayla A.
AU - Newman, Michelle G.
N1 - Funding Information:
The availability of these data is made possible by a grant from the National Institute on Aging (Randolph M. Nesse, Principal Investigator, AG15948-01). The original data collection for the CLOC study was supported by NIA grants (Camille B. Wortman, Principal Investigator, AG610757-01, and James S. House, Principal Investigator, AG05561-01).
Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/3/15
Y1 - 2017/3/15
N2 - Background Prior research has shown that anxiety symptoms predict later depression symptoms following bereavement. Nevertheless, no research has investigated mechanisms of the temporal relationship between anxiety and later depressive symptoms or examined the impact of depressive symptoms on later anxiety symptoms following bereavement. Methods The current study examined perceived emotional social support as a possible mediator between anxiety and depressive symptoms in a bereaved sample of older adults (N =250). Anxiety and depressive symptoms were measured at Wave 1 (immediately after bereavement), social support was measured at Wave 2 (18 months after bereavement), and anxiety and depressive symptoms were also measured at Wave 3 (48 months after bereavement). Results Using Bayesian structural equation models, when controlling for baseline depression, anxiety symptoms significantly positively predicted depressive symptoms 48 months later, Further, perceived emotional social support significantly mediated the relationship between anxiety symptoms and later depressive symptoms, such that anxiety symptoms significantly negatively predicted later emotional social support, and emotional social support significantly negatively predicted later depressive symptoms. Also, when controlling for baseline anxiety, depressive symptoms positively predicted anxiety symptoms 48 months later. However, low emotional social support failed to mediate this relationship. Conclusions Low perceived emotional social support may be a mechanism by which anxiety symptoms predict depressive symptoms 48 months later for bereaved individuals.
AB - Background Prior research has shown that anxiety symptoms predict later depression symptoms following bereavement. Nevertheless, no research has investigated mechanisms of the temporal relationship between anxiety and later depressive symptoms or examined the impact of depressive symptoms on later anxiety symptoms following bereavement. Methods The current study examined perceived emotional social support as a possible mediator between anxiety and depressive symptoms in a bereaved sample of older adults (N =250). Anxiety and depressive symptoms were measured at Wave 1 (immediately after bereavement), social support was measured at Wave 2 (18 months after bereavement), and anxiety and depressive symptoms were also measured at Wave 3 (48 months after bereavement). Results Using Bayesian structural equation models, when controlling for baseline depression, anxiety symptoms significantly positively predicted depressive symptoms 48 months later, Further, perceived emotional social support significantly mediated the relationship between anxiety symptoms and later depressive symptoms, such that anxiety symptoms significantly negatively predicted later emotional social support, and emotional social support significantly negatively predicted later depressive symptoms. Also, when controlling for baseline anxiety, depressive symptoms positively predicted anxiety symptoms 48 months later. However, low emotional social support failed to mediate this relationship. Conclusions Low perceived emotional social support may be a mechanism by which anxiety symptoms predict depressive symptoms 48 months later for bereaved individuals.
UR - http://www.scopus.com/inward/record.url?scp=85009343977&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85009343977&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2017.01.011
DO - 10.1016/j.jad.2017.01.011
M3 - Article
C2 - 28103522
AN - SCOPUS:85009343977
VL - 211
SP - 83
EP - 91
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -