Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?

Espirito-Santo, Helena; Costa-Santos, Hugo; Simões-Cunha, Luís; Lemos, Laura; Grasina, Alexandra; Daniel, Fernanda

Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?

dc.contributor.author	Espirito-Santo, Helena
dc.contributor.author	Costa-Santos, Hugo
dc.contributor.author	Simões-Cunha, Luís
dc.contributor.author	Lemos, Laura
dc.contributor.author	Grasina, Alexandra
dc.contributor.author	Daniel, Fernanda
dc.date.accessioned	2023-02-23T15:17:56Z
dc.date.available	2023-02-23T15:17:56Z
dc.date.issued	2022
dc.description.abstract	Abstract - Background: Emotion dysregulation has been consistently linked to psychopathology, and the relationship between disability and depressive symptomatology in old age is well-known. Objective: To examine the mediational role of emotional dysregulation in the relationship between perceived disability and depressive symptomatology in older adults. Methods: Two hundred eighty-three participants, aged 60–96 years (M ± SD = 74.22 ± 8.69; 62.9% women; 29.0% with long-term care support [LTC-S] and 71.0% community residents without LTC-S), were assessed with the Geriatric Depression Scale-8 (GDS-8), the World Health Organization Disability Assessment Schedule-2 (WHODAS-2), and the Difficulties in Emotion Regulation Scale-16 (DERS-16). Results: A mediation model was established, which revealed: (1) a moderate association between WHODAS-2 and GDS-8 (ˇ = 0.20; p < .001); (2) DERS-16 partially and weakly mediated the relationship between WHODAS-2 and GDS-8 (ˇ = 0.003; p < .01). The model explained 31.9% of the variance of depressive symptoms. An inconsistent mediation model was obtained in the LTC-S group. Conclusions: Globally, our findings indicate that disability has an indirect relationship with depressive symptomatology through emotional dysregulation (except for those in the LTC-S). Accordingly, we present suggestions for the treatment of depressive symptoms and for the inclusion of other emotion regulation variables in the study of the disability-depressive symptom link in future studies with older people in the LTC-S. / Resumen - Antecedentes: La desregulación de las emociones se ha relacionado sistemáticamente con la psicopatología, y es bien conocida la relación entre la discapacidad y la sintomatología depresiva en la edad avanzada. Objetivo: Examinar el papel mediador de la desregulación emocional en la relación entre la discapacidad percibida y la sintomatología depresiva en los adultos mayores. Materiales y métodos: Doscientos ochenta y tres participantes, entre 60-96 anos de edad ˜ (M ± DE = 74,22 ± 8,69; 62,9% mujeres; 29% con apoyo de cuidados de larga duración [A-CLD] y 71% residentes en la comunidad sin A-CLD), fueron evaluados con la Geriatric Depression Scale-8 (GDS-8), el World Health Organization Disability Assessment Schedule-2 (WHODAS-2) y la Difficulties in Emotion Regulation Scale-16 (DERS-16). Resultados: Se estableció un modelo de mediación que reveló: (1) una asociación moderada entre el WHODAS-2 y el GDS-8 (! = 0,20; p < 0,001); (2) el DERS-16 medió parcial y ligeramente la relación entre el WHODAS-2 y el GDS-8 (! = 0,003; p < 0,01). El modelo explicó el 31,9% de la varianza de los síntomas depresivos. Se ha obtenido un modelo de mediación inconsistente en el grupo A-CLD. Conclusiones: Globalmente, nuestros hallazgos indican que la discapacidad tiene una relación indirecta con la sintomatología depresiva a través de la desregulación emocional. En consecuencia, presentamos sugerencias para el tratamiento de los síntomas depresivos y para la inclusión de otras variables de regulación de las emociones en el estudio del vínculo discapacidad-síntomas depresivos en futuros estudios con personas mayores en el A-CLD.	pt_PT
dc.identifier.citation	Espirito-Santo, H., Costa-Santos, L., Simões-Cunha et al. (2022) Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?. Revista Española de Geriatría y Gerontología. https://doi.org/10.1016/j.regg.2022.09.009	pt_PT
dc.identifier.doi	https://doi.org/10.1016/j.regg.2022.09.009	pt_PT
dc.identifier.issn	0211-139X
dc.identifier.uri	http://repositorio.ismt.pt/jspui/handle/123456789/1462
dc.language.iso	eng	pt_PT
dc.publisher	Elsevier Espana	pt_PT
dc.relation.ispartofseries	6;
dc.subject	Sintomas depressivos - Depressive symptoms	pt_PT
dc.subject	Incapacidade - Disability	pt_PT
dc.subject	Desregulação emocional - Emotional dysregulation	pt_PT
dc.subject	Análise mediacional - Mediational analysis	pt_PT
dc.title	Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?	pt_PT
dc.type	article	pt_PT
degois.publication.firstPage	312	pt_PT
degois.publication.issue	6	pt_PT
degois.publication.lastPage	319	pt_PT
degois.publication.volume	57	pt_PT