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Stressful Life Events and Depressive Symptoms in a Post-War Context: Which Informal Support Makes a Difference?

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Abstract

Gerontological literature utilizes the life stress paradigm to understand the impact of stress on psychological well-being, as well as the protective role that social resources play in buffering those effects; however these relationships are not well understood within various historical and social contexts. Utilizing a sample of 490 community-residing older adults in post-civil war Lebanon, this study investigates the moderating role of various social support factors in the stress–depression relationship. Contrary to expectations, results suggest that older Lebanese are more susceptible to the effects of health-decline and serious accident events than other types of stressors such as losses in the family and financial problems. Furthermore, findings provide evidence for a differential protective role for the respondent’s spouse and children for only certain stressful events. The discussion highlights the role of family as a stress buffer in a shifting physical, social and political environmental context. Results from this study add to the discourse by emphasizing the importance of understanding the saliency of the stressor as well as source of support provided.

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References

  • Abyad, A. (1995). Geriatrics in Lebanon: The beginning. International Journal of Aging and Human Development, 41(4), 299–309.

    Article  Google Scholar 

  • Abyad, A. (2001). Health care for older persons: A country profile—Lebanon. Journal of the American Geriatrics Society, 49(10), 1366–1370.

    Article  Google Scholar 

  • Barrera, M. J. (1986). Distinctions between social support concepts, measures and models. American Journal of Community Psychology, 14, 413–455.

    Article  Google Scholar 

  • Beekman, A. T. F., Copeland, J. R. M., & Prince, M. J. (1999). Review of community prevalence of depression in later life. British Journal of Psychiatry, 174, 307–311.

    Article  Google Scholar 

  • Beevers, C. G., Wells, T. T., & Miller, I. W. (2007). Predicting response to depression treatment: The role of negative cognition. Journal of Consulting and Clinical Psychology, 75(3), 422–431.

    Article  Google Scholar 

  • Brilman, E., & Ormel, J. (2001). Life events, difficulties and onset of depressive episodes in later life. Psychological Medicine, 31, 859–869.

    Google Scholar 

  • Chiriboga, D. A., Black, S. A., Aranda, M., & Markides, K. (2002). Stress and depressive symptoms among Mexican elders. Journal of Gerontology: Psychological Sciences, 57B(6), P559–P568.

    Google Scholar 

  • Chong, M. Y., Chen, C. C., Tsang, H. Y., Yeh, T. L., Chen, C. S., Lee, Y. H., et al. (2001). Community study of depression in old age in Taiwan: Prevalence, life events and socio-demographic correlates. British Journal of Psychiatry, 178, 29–35.

    Article  Google Scholar 

  • Chou, K. L., & Chi, I. (2001a). Financial strain and depressive symptoms in Hong Kong elderly Chinese: The moderating or mediating effect of sense of control. Aging & Mental Health, 5, 23–30.

    Article  Google Scholar 

  • Chou, K. L., & Chi, I. (2001b). Stressful life events and depressive symptoms: Social support and sense of control as mediators or moderators? International Journal of Aging and Human Development, 52(2), 155–171.

    Article  Google Scholar 

  • Cronkite, R. C., & Moos, R. H. (1984). The role of predisposing and moderating factors in the stress–illness relationship. Journal of Health and Social Behavior, 25, 372–393.

    Article  Google Scholar 

  • Devanand, D. P., Kim, M. K., Paykina, N., & Sackeim, H. A. (2002). Adverse life events in elderly patients with major depression or dysthymic disorder and in health-control subjects. American Journal of Geriatric Psychiatry, 10(3), 265–274.

    Google Scholar 

  • Ensel, W. M., & Lin, N. (1991). The life stress paradigm and psychological distress. Journal of Health and Social Behavior, 32, 321–341.

    Article  Google Scholar 

  • Farhood, L., Zurayk, H., Chaya, M., Saadeh, F., Meshefedjian, G., & Sidani, T. (1993). The impact of war on the physical and mental health of the family: The Lebanese experience. Social Science & Medicine, 36(12), 1555–1567.

    Article  Google Scholar 

  • Ganguli, M., Dube, S., Johnston, J. M., Pandav, R., Chandra, V., & Dodge, J. H. (1999). Depressive symptoms, cognitive impairment and functional impairment in a rural elderly population in India: A Hindi version of the Geriatric Depression Scale (GDS-H). International Journal of Geriatric Psychiatry, 14, 807–820.

    Article  Google Scholar 

  • Glass, T. A., Kasl, S. V., & Berkman, L. F. (1997). Stressful life events and depressive symptoms among the elderly: Evidence from a prospective community study. Journal of Aging and Health, 9(1), 70–89.

    Article  Google Scholar 

  • Karam, E., Howard, D. B., Karam, A. N., Ashkar, A., Chaya, M., Melhem, N., et al. (1998). Major depression and external stressors: The Lebanon wars. European Archives of Psychiatry and Clinical Neurosciences, 248, 225–230.

    Article  Google Scholar 

  • Karam, E. G., Mneimneh, Z. N., Karam, A. N., Fayyad, J. A., Nasser, S. C., Chatterji, S., et al. (2006). Prevalence and treatment of mental disorders in Lebanon: A national epidemiological survey. The Lancet, 367, 1000–1006.

    Article  Google Scholar 

  • Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffee, M. W. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychological function. JAMA, 185, 914–919.

    Google Scholar 

  • Kessler, R. C. (1997). The effects of stressful life events on depression. Annual Review of Psychology, 48, 191–214.

    Article  Google Scholar 

  • Kraaij, V., Arensman, E., & Spinhoven, P. (2002). Negative life events and depression in elderly persons: A meta-analysis. Journal of Gerontology: Psychological Sciences, 57B(1), P87–P94.

    Google Scholar 

  • Kraaij, V., & DeWilde, E. J. (2001). Negative life events and depressive symptoms in the elderly: A life span perspective. Aging & Mental Health, 5(1), 84–91.

    Article  Google Scholar 

  • Krause, N. (1998). Early parental loss, recent life events, and changes in health among older adults. Journal of Aging and Health, 10(4), 395–421.

    Article  Google Scholar 

  • Krause, N. (1994). Stressors in salient roles and well-being in later life. Journal of Gerontology, 49, P137–P148.

    Article  Google Scholar 

  • Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.

    Google Scholar 

  • Lynch, S. M., & George, L. K. (2002). Interlocking trajectories of loss-related events and depressive symptoms among elders. Journal of Gerontology: Social Sciences, 57B(2), S117–S125.

    Google Scholar 

  • Makoul, J. (2003). Physical and social contexts of the three urban communities of Nabaa, Burj el Barajneh Palestinian camp and Hay el Sullum. Unpublished report CRPH. Beirut, Lebanon: American University of Beirut.

    Google Scholar 

  • Murthy, R. S., & Lakshminarayna, R. (2006). Mental health consequences of war: A brief review of research findings. World Psychiatry, 5(1), 25–30.

    Google Scholar 

  • Oatley, K., & Bolton, W. (1985). A social-cognitive theory of depression on reaction to life events. Psychological Review, 92, 373–388.

    Article  Google Scholar 

  • Orrell, M. W. (1994). Life events in the elderly. International Review of Psychiatry, 6(1), 59–72.

    Article  Google Scholar 

  • Pearlin, L. I., & Skaff, M. M. (1996). Stress and the life course: A paradigmatic alliance. The Gerontologist, 36(2), 239–247.

    Google Scholar 

  • Phifer, J. F. (1990). Psychological distress and somatic symptoms after natural disaster: Differential vulnerability among older adults. Psychology and Aging, 5(3), 412–420.

    Article  Google Scholar 

  • Ramos, M., & Wilmoth, J. (2003). Social relationships and depressive symptoms among older adults in southern Brazil. Journal of Gerontology: Social Sciences, 58B(4), S253–S261.

    Google Scholar 

  • Roberts, B., Dunkle, R., & Haug, M. (1994). Physical, psychological, and social resources as moderators of the relationship of stress to mental health of the very old. Journal of Gerontology: Social Sciences, 49 Suppl.(1), 35–43.

    Google Scholar 

  • Salari, S. (2002). Invisible in aging research: Arab Americans, Middle Eastern immigrants, and Muslims in the United States. The Gerontologist, 42, 580–588.

    Google Scholar 

  • Smallegan, M. (1989). Level of depressive symptoms and life stresses for culturally diverse older adults. The Gerontologist, 29, 45–50.

    Google Scholar 

  • Thoits, P. A. (1995). Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior, (Extra Issue), 53–79.

  • Tyler, K. A., & Hoyt, D. R. (2000). The effects of an acute stressor on depressive symptoms among older adults: The moderating effects of social support and age. Research on Aging, 22(2), 143–164.

    Article  Google Scholar 

  • Uhlenberg, P., & Miner, S. (2001). Life Course and Aging: A Cohort Perspective. In R. H. Binstock, & L. K. George (Eds.) Handbook of Aging and the Social Sciences ((pp. 208–224)5th ed.). San Diego, CA, USA: Academic Press.

    Google Scholar 

  • Vinkers, D. J., Gussekloo, J., Stek, M. L., Westenorp, R. G. J., & van der Mast, R. C. (2004). The 15-item Geriatric Depression Scale (GDS-15) detects changes in depressive symptoms after a major negative life event: The Leiden 85-plus Study. International Journal of Geriatric Psychiatry, 19, 80–84.

    Article  Google Scholar 

  • Wetherington, E., & Kessler, R. C. (1986). Perceived support, received support, and adjustment to stressful life events. Journal of Health and Social Behavior, 27, 78–89.

    Article  Google Scholar 

  • Yeh S. C. J. & Liu Y. Y. (2003). Influence of social support on cognitive function in the elderly. BMC Health Services Research, 3:9 (online) http://www.biomedcentral.com/1472-6963/3/9.

  • Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.

    Article  Google Scholar 

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Acknowledgment

Data for this paper comes from a larger inter-disciplinary research project on Urban Health, coordinated by the Center for Research on Population and Health at the American University of Beirut, Lebanon, with support from the Wellcome Trust, Mellon Foundation, and Ford Foundation.

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Correspondence to Abla M. Sibai.

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Jawad, M.H., Sibai, A.M. & Chaaya, M. Stressful Life Events and Depressive Symptoms in a Post-War Context: Which Informal Support Makes a Difference?. J Cross Cult Gerontol 24, 19–32 (2009). https://doi.org/10.1007/s10823-008-9059-5

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  • DOI: https://doi.org/10.1007/s10823-008-9059-5

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