TY - JOUR
T1 - Activity participation and affect among nursing home residents
T2 - Support for a behavioural model of depression
AU - Meeks, S.
AU - Young, C. M.
AU - Looney, S. W.
N1 - Funding Information:
This research was supported in part by a grant #R21 MH63073 from the National Institutes of Mental Health (S. Meeks, PI) and an Undergraduate Research Grant from the University of Louisville. The data were collected for the second author’s Honor’s Thesis. The authors also wish to thank Elizabeth Burton, Brandy Chaneb, Bethanie Hilke and Jeanelle Sears for their work in collecting the observation and self-report data.
PY - 2007/11
Y1 - 2007/11
N2 - One focus of interventions being developed for depression in nursing homes is increasing pleasant events. The conceptual foundation of such interventions requires establishing links among activity levels, depressive symptoms and positive affect. We observed activity and affect among 28 nursing home residents, five-days-a-week for four weeks, and concurrently collected self-reported affect and depression data. Inclusion of intra-individual analyses using random effects models demonstrated considerable individual variability in the relationship between positive affect and activity, although the results broadly supported the association. Participants differed with regard to what types of events were pleasurable and with regard to the relationships among pleasure, interest and activity. Depression levels were related to some of these individual differences. Activity was related primarily to interest rather than pleasure and higher interest was related to fewer depressive symptoms. Our findings emphasize the importance of individually tailoring pleasant events interventions and suggest that prescriptive group activities are unlikely to prove effective as means for improving positive affect.
AB - One focus of interventions being developed for depression in nursing homes is increasing pleasant events. The conceptual foundation of such interventions requires establishing links among activity levels, depressive symptoms and positive affect. We observed activity and affect among 28 nursing home residents, five-days-a-week for four weeks, and concurrently collected self-reported affect and depression data. Inclusion of intra-individual analyses using random effects models demonstrated considerable individual variability in the relationship between positive affect and activity, although the results broadly supported the association. Participants differed with regard to what types of events were pleasurable and with regard to the relationships among pleasure, interest and activity. Depression levels were related to some of these individual differences. Activity was related primarily to interest rather than pleasure and higher interest was related to fewer depressive symptoms. Our findings emphasize the importance of individually tailoring pleasant events interventions and suggest that prescriptive group activities are unlikely to prove effective as means for improving positive affect.
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U2 - 10.1080/13607860701546910
DO - 10.1080/13607860701546910
M3 - Article
C2 - 18074263
AN - SCOPUS:37049003962
SN - 1360-7863
VL - 11
SP - 751
EP - 760
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 6
ER -