ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2020
The Bidirectional Relationship Between Depressive Symptoms and Homebound Status Among Older Adults.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Effects of an active arcade gaming intervention on psychosocial outcomes for homebound older adults: a pilot randomised controlled trial.BMC geriatrics · 2026Trial
- Leveraging Aging Service Providers to Support Internet-Based Cognitive Behavioral Therapy for Depression in Homebound Older Adults: Protocol for a Type 1 Hybrid Effectiveness-Implementation Randomized Controlled Trial.JMIR research protocols · 2025Article
- Depressive symptoms and frailty, effects of social distancing and isolation in older adults.Investigacion y educacion en enfermeria · 2025Article
- Socially focused intelligent assistive technologies for caregiving for homebound older adults with cognitive impairment: a scoping review.Innovation in aging · 2025Review
- The bidirectional relationship between homebound status and falls among older adults: a longitudinal study.BMC geriatrics · 2022Article
- Article
- Physical isolation and mental health among older US adults during the COVID-19 pandemic: longitudinal findings from the COVID-19 Coping Study.Social psychiatry and psychiatric epidemiology · 2022Article
- Prospective assessment of dementia on transitions in homeboundness using multistate Markov models.Journal of the American Geriatrics Society · 2022Article
- Longitudinal association between personality traits and homebound status in older adults: results from the National Health and Aging Trends Study.BMC geriatrics · 2022Article
- The dynamics of being homebound over time: A prospective study of Medicare beneficiaries, 2012-2018.Journal of the American Geriatrics Society · 2021Article
- A Scoping Review of Homebound Older People: Definition, Measurement and Determinants.International journal of environmental research and public health · 2021Article
- Trajectories of Homebound Status in Medicare Beneficiaries Aged 65 and Older.The Gerontologist · 2020Article
- Trajectories of major depression in middle-aged and older adults: A population-based study.International journal of geriatric psychiatry · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesThis study aimed to examine the bidirectional relationship between depressive symptoms and homebound status among older adults.
methodThe study sample included 7,603 community-dwelling older adults from the National Health and Aging Trends Study. A bivariate latent state-trait model of depressive symptoms and homebound status was estimated via structural equation modeling.
resultsThe model fit the data well (Root Mean Square Error of Approximation = .02, Comparative Fit Index = .97, Standardized Root Mean Square Residual = .06). The relationship between homebound status and depressive symptoms can be decomposed into three parts: a moderate correlation between the stable trait components (r = .56, p <.001); a contemporary association of the state components (b = .17, p <.001); and bidirectional lagged effects between the state components. Change in homebound status was as a stronger predictor of depressive symptoms (b = .19, p < .001) than change in depressive symptoms was of homebound status (b = .06, p < .001; test of difference: Δ scaled χ2(1) = 24.2, p < .001). DISCUSSION: Homebound status and depressive symptoms form a feedback loop to influence each other. Improving the outdoor mobility of older adults may have immediate benefits for reducing depressive symptoms.
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