Rumination moderates the longitudinal associations of awareness of age-related change with depressive and anxiety symptoms

S. Sabatini; B. Dritschel; F. S. Rupprecht; O. C. Ukoumunne; C. Ballard; H. Brooker; A. Corbett; L. Clare

doi:10.1080/13607863.2023.2176820

Rumination moderates the longitudinal associations of awareness of age-related change with depressive and anxiety symptoms

S. Sabatini^*, B. Dritschel, F. S. Rupprecht, O. C. Ukoumunne, C. Ballard, H. Brooker, A. Corbett, L. Clare

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Objective
Lower awareness of age-related gains (AARC-gains) and higher awareness of age-related losses (AARC-losses) may be risk factors for depressive and anxiety symptoms. We explored whether: (1) Baseline AARC-gains and AARC-losses predict depressive and anxiety symptoms at one-year follow-up; (2) age and rumination moderate these associations; (3) levels of AARC-gains and AARC-losses differ among individuals with different combinations of current and past depression and/or with different combinations of current and past anxiety.

Methods
In this one-year longitudinal cohort study participants (N=3386; mean age = 66.0; SD = 6.93) completed measures of AARC-gains, AARC-losses, rumination, depression, anxiety, and lifetime diagnosis of depression and anxiety in 2019 and 2020. Regression models with tests of interaction were used.

Results
Higher AARC-losses, but not lower AARC-gains, predicted more depressive and anxiety symptoms. Age did not moderate these associations. Associations of lower AARC-gains and higher AARC-losses with more depressive symptoms and of higher AARC-losses with more anxiety symptoms were stronger in those with higher rumination. Individuals with both current and past depression reported highest AARC-losses and lowest AARC-gains. Those with current, but not past anxiety, reported highest AARC-losses.

Conclusion
Perceiving many age-related losses may place individuals at risk of depressive and anxiety symptoms, especially those who frequently ruminate.

Original language	English
Pages (from-to)	1711-1719
Number of pages	9
Journal	Aging & Mental Health
Volume	27
Issue number	9
Early online date	10 Feb 2023
DOIs	https://doi.org/10.1080/13607863.2023.2176820
Publication status	Published - 30 Apr 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Mental health
Mood
Subjective age
Gains and losses
Prevention

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10.1080/13607863.2023.2176820

Sabantini_2023_AMH_Rumination_AAM
Copyright © 2023 informa UK limited, trading as taylor & Francis group. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1080/13607863.2023.2176820.
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Cite this

@article{634bfdffdb584ee3996d975328df6ccf,

title = "Rumination moderates the longitudinal associations of awareness of age-related change with depressive and anxiety symptoms",

abstract = "Objective Lower awareness of age-related gains (AARC-gains) and higher awareness of age-related losses (AARC-losses) may be risk factors for depressive and anxiety symptoms. We explored whether: (1) Baseline AARC-gains and AARC-losses predict depressive and anxiety symptoms at one-year follow-up; (2) age and rumination moderate these associations; (3) levels of AARC-gains and AARC-losses differ among individuals with different combinations of current and past depression and/or with different combinations of current and past anxiety. Methods In this one-year longitudinal cohort study participants (N=3386; mean age = 66.0; SD = 6.93) completed measures of AARC-gains, AARC-losses, rumination, depression, anxiety, and lifetime diagnosis of depression and anxiety in 2019 and 2020. Regression models with tests of interaction were used. Results Higher AARC-losses, but not lower AARC-gains, predicted more depressive and anxiety symptoms. Age did not moderate these associations. Associations of lower AARC-gains and higher AARC-losses with more depressive symptoms and of higher AARC-losses with more anxiety symptoms were stronger in those with higher rumination. Individuals with both current and past depression reported highest AARC-losses and lowest AARC-gains. Those with current, but not past anxiety, reported highest AARC-losses. Conclusion Perceiving many age-related losses may place individuals at risk of depressive and anxiety symptoms, especially those who frequently ruminate.",

keywords = "Mental health, Mood, Subjective age, Gains and losses, Prevention",

author = "S. Sabatini and B. Dritschel and Rupprecht, \{F. S.\} and Ukoumunne, \{O. C.\} and C. Ballard and H. Brooker and A. Corbett and L. Clare",

note = "Funding: This paper represents independent research funded by the National Institute for Health and Care Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King{\textquoteright}s College London. Obi Ukoumunne and Linda Clare were supported by the National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) South West Peninsula.",

year = "2023",

month = apr,

day = "30",

doi = "10.1080/13607863.2023.2176820",

language = "English",

volume = "27",

pages = "1711--1719",

journal = "Aging \& Mental Health",

issn = "1360-7863",

publisher = "Taylor and Francis",

number = "9",

}

TY - JOUR

T1 - Rumination moderates the longitudinal associations of awareness of age-related change with depressive and anxiety symptoms

AU - Sabatini, S.

AU - Dritschel, B.

AU - Rupprecht, F. S.

AU - Ukoumunne, O. C.

AU - Ballard, C.

AU - Brooker, H.

AU - Corbett, A.

AU - Clare, L.

N1 - Funding: This paper represents independent research funded by the National Institute for Health and Care Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. Obi Ukoumunne and Linda Clare were supported by the National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) South West Peninsula.

PY - 2023/4/30

Y1 - 2023/4/30

N2 - Objective Lower awareness of age-related gains (AARC-gains) and higher awareness of age-related losses (AARC-losses) may be risk factors for depressive and anxiety symptoms. We explored whether: (1) Baseline AARC-gains and AARC-losses predict depressive and anxiety symptoms at one-year follow-up; (2) age and rumination moderate these associations; (3) levels of AARC-gains and AARC-losses differ among individuals with different combinations of current and past depression and/or with different combinations of current and past anxiety. Methods In this one-year longitudinal cohort study participants (N=3386; mean age = 66.0; SD = 6.93) completed measures of AARC-gains, AARC-losses, rumination, depression, anxiety, and lifetime diagnosis of depression and anxiety in 2019 and 2020. Regression models with tests of interaction were used. Results Higher AARC-losses, but not lower AARC-gains, predicted more depressive and anxiety symptoms. Age did not moderate these associations. Associations of lower AARC-gains and higher AARC-losses with more depressive symptoms and of higher AARC-losses with more anxiety symptoms were stronger in those with higher rumination. Individuals with both current and past depression reported highest AARC-losses and lowest AARC-gains. Those with current, but not past anxiety, reported highest AARC-losses. Conclusion Perceiving many age-related losses may place individuals at risk of depressive and anxiety symptoms, especially those who frequently ruminate.

AB - Objective Lower awareness of age-related gains (AARC-gains) and higher awareness of age-related losses (AARC-losses) may be risk factors for depressive and anxiety symptoms. We explored whether: (1) Baseline AARC-gains and AARC-losses predict depressive and anxiety symptoms at one-year follow-up; (2) age and rumination moderate these associations; (3) levels of AARC-gains and AARC-losses differ among individuals with different combinations of current and past depression and/or with different combinations of current and past anxiety. Methods In this one-year longitudinal cohort study participants (N=3386; mean age = 66.0; SD = 6.93) completed measures of AARC-gains, AARC-losses, rumination, depression, anxiety, and lifetime diagnosis of depression and anxiety in 2019 and 2020. Regression models with tests of interaction were used. Results Higher AARC-losses, but not lower AARC-gains, predicted more depressive and anxiety symptoms. Age did not moderate these associations. Associations of lower AARC-gains and higher AARC-losses with more depressive symptoms and of higher AARC-losses with more anxiety symptoms were stronger in those with higher rumination. Individuals with both current and past depression reported highest AARC-losses and lowest AARC-gains. Those with current, but not past anxiety, reported highest AARC-losses. Conclusion Perceiving many age-related losses may place individuals at risk of depressive and anxiety symptoms, especially those who frequently ruminate.

KW - Mental health

KW - Mood

KW - Subjective age

KW - Gains and losses

KW - Prevention

UR - https://www.scopus.com/pages/publications/85147817672

U2 - 10.1080/13607863.2023.2176820

DO - 10.1080/13607863.2023.2176820

M3 - Article

SN - 1360-7863

VL - 27

SP - 1711

EP - 1719

JO - Aging & Mental Health

JF - Aging & Mental Health

IS - 9

ER -

Rumination moderates the longitudinal associations of awareness of age-related change with depressive and anxiety symptoms

Abstract

UN SDGs

Keywords

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