Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing

Amy Ronaldson; Jorge Arias De La Torre; Rebecca Bendayan; Mohammad E. Yadegarfar; Rebecca Rhead; Abdel Douiri; David Armstrong; Stephani Hatch; Matthew Hotopf; Alex Dregan

doi:10.1080/13607863.2021.2017847

Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing

Amy Ronaldson, Jorge Arias De La Torre, Rebecca Bendayan, Mohammad E. Yadegarfar, Rebecca Rhead, Abdel Douiri, David Armstrong, Stephani Hatch, Matthew Hotopf, Alex Dregan

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London, London, UK
CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain; National Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain.
Institute of Biomedicine (IBIOMED, University of Leon, León, Spain.
grid.37640.36 0000 0000 9439 0839 NIHR Maudsley Biomedical Research Centre South London and Maudsley NHS Foundation Trust London UK; grid.13097.3c 0000 0001 2322 6764 Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience (IoPPN) King’s College London 16 De Crespigny Park SE5 8AF London UK
National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London, UK
School of Life Course & Population Sciences, King’s College London, London, UK
National Institute for Health Research (NIHR) Biomedical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London
National Institute for Health Research Applied Research Collaboration South London, Guy’s and St Thomas’ NHS Foundation Trust and King’s College London, London, UK
Department of Primary Care Public Health Sciences, King's College London
ESRC Centre for Society and Mental Health, King’s College London, London, UK
SLaM South London and Maudsley NHS Foundation Trust

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

14 Citations (Scopus)

Abstract

Objectives: The aim of the current study was to identify specific patterns of physical multimorbidity and examine how these patterns associated with changes in social participation over time. Methods: We used latent class analysis to identify clusters of physical multimorbidity in 11,391 older adults. Mixed effects regression models were used to assess associations between physical multimorbidity clusters and changes in social participation over 15 years. Results: Four clusters of physical multimorbidity were identified. All physical multimorbidity clusters were associated with a reduction in cultural engagement (e.g. visits to theatre, cinema, museums) over time, with the strongest association seen in the complex/multisystem cluster (β = −0.26, 95% CI = −0.38 to −0.15). Similar results emerged for leisure activities. Adjusting for depressive symptoms fully attenuated some associations. All physical multimorbidity clusters were associated with an increase in civic participation over time. Conclusions: Physical multimorbidity reduced some aspects of social participation over time, with specific combinations of conditions having increased risk of reductions. Supplemental data for this article is available online at http://dx.doi.org/10.1080/13607863.2021.2017847.

Original language	English
Pages (from-to)	1-11
Journal	Aging & mental health
Early online date	17 Jan 2022
DOIs	https://doi.org/10.1080/13607863.2021.2017847
Publication status	Published - 17 Jan 2022

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10.1080/13607863.2021.2017847

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Ronaldson, A., Arias De La Torre, J., Bendayan, R., Yadegarfar, M. E., Rhead, R., Douiri, A., Armstrong, D., Hatch, S., Hotopf, M., & Dregan, A. (2022). Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing. Aging & mental health, 1-11. https://doi.org/10.1080/13607863.2021.2017847

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title = "Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing",

abstract = "Objectives: The aim of the current study was to identify specific patterns of physical multimorbidity and examine how these patterns associated with changes in social participation over time. Methods: We used latent class analysis to identify clusters of physical multimorbidity in 11,391 older adults. Mixed effects regression models were used to assess associations between physical multimorbidity clusters and changes in social participation over 15 years. Results: Four clusters of physical multimorbidity were identified. All physical multimorbidity clusters were associated with a reduction in cultural engagement (e.g. visits to theatre, cinema, museums) over time, with the strongest association seen in the complex/multisystem cluster (β = −0.26, 95% CI = −0.38 to −0.15). Similar results emerged for leisure activities. Adjusting for depressive symptoms fully attenuated some associations. All physical multimorbidity clusters were associated with an increase in civic participation over time. Conclusions: Physical multimorbidity reduced some aspects of social participation over time, with specific combinations of conditions having increased risk of reductions. Supplemental data for this article is available online at http://dx.doi.org/10.1080/13607863.2021.2017847.",

author = "Amy Ronaldson and {Arias De La Torre}, Jorge and Rebecca Bendayan and Yadegarfar, {Mohammad E.} and Rebecca Rhead and Abdel Douiri and David Armstrong and Stephani Hatch and Matthew Hotopf and Alex Dregan",

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Ronaldson, A , Arias De La Torre, J , Bendayan, R , Yadegarfar, ME , Rhead, R , Douiri, A , Armstrong, D , Hatch, S , Hotopf, M & Dregan, A 2022, 'Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing', Aging & mental health, pp. 1-11. https://doi.org/10.1080/13607863.2021.2017847

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AU - Arias De La Torre, Jorge

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AU - Yadegarfar, Mohammad E.

AU - Rhead, Rebecca

AU - Douiri, Abdel

AU - Armstrong, David

AU - Hatch, Stephani

AU - Hotopf, Matthew

AU - Dregan, Alex

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N2 - Objectives: The aim of the current study was to identify specific patterns of physical multimorbidity and examine how these patterns associated with changes in social participation over time. Methods: We used latent class analysis to identify clusters of physical multimorbidity in 11,391 older adults. Mixed effects regression models were used to assess associations between physical multimorbidity clusters and changes in social participation over 15 years. Results: Four clusters of physical multimorbidity were identified. All physical multimorbidity clusters were associated with a reduction in cultural engagement (e.g. visits to theatre, cinema, museums) over time, with the strongest association seen in the complex/multisystem cluster (β = −0.26, 95% CI = −0.38 to −0.15). Similar results emerged for leisure activities. Adjusting for depressive symptoms fully attenuated some associations. All physical multimorbidity clusters were associated with an increase in civic participation over time. Conclusions: Physical multimorbidity reduced some aspects of social participation over time, with specific combinations of conditions having increased risk of reductions. Supplemental data for this article is available online at http://dx.doi.org/10.1080/13607863.2021.2017847.

AB - Objectives: The aim of the current study was to identify specific patterns of physical multimorbidity and examine how these patterns associated with changes in social participation over time. Methods: We used latent class analysis to identify clusters of physical multimorbidity in 11,391 older adults. Mixed effects regression models were used to assess associations between physical multimorbidity clusters and changes in social participation over 15 years. Results: Four clusters of physical multimorbidity were identified. All physical multimorbidity clusters were associated with a reduction in cultural engagement (e.g. visits to theatre, cinema, museums) over time, with the strongest association seen in the complex/multisystem cluster (β = −0.26, 95% CI = −0.38 to −0.15). Similar results emerged for leisure activities. Adjusting for depressive symptoms fully attenuated some associations. All physical multimorbidity clusters were associated with an increase in civic participation over time. Conclusions: Physical multimorbidity reduced some aspects of social participation over time, with specific combinations of conditions having increased risk of reductions. Supplemental data for this article is available online at http://dx.doi.org/10.1080/13607863.2021.2017847.

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Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing

Abstract

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