Evidence map›Paper›PMID 37037348›Full record

ArticleJournal of the American Medical Directors Association2023

Changes in Satisfaction with Meaningful Activities and Onset of Depressive Symptoms among Community-Dwelling Japanese Older Adults: A Population-Based Study Before and During the COVID-19 Pandemic.

Michio Maruta, Takayuki Tabira, Suguru Shimokihara, Hyuma Makizako, Yuriko Ikeda, Gwanghee Han, Yoshihiko Akasaki, Yuma Hidaka, Rena Nakahara, Taishiro Kamasaki and 3 more

Abstract read
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In one paragraph

Article in Journal of the American Medical Directors Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Michio MarutaDepartment of Health Sciences, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto, Nagasaki, Japan; Visiting Researcher, Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan. Electronic address: m_maruta@nagasaki-u.ac.jp.
Takayuki TabiraDepartment of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Suguru ShimokiharaGraduate School of Health Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Hyuma MakizakoDepartment of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Yuriko IkedaDepartment of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Gwanghee HanVisiting Researcher, Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Yoshihiko AkasakiDepartment of Rehabilitation, Tarumizu Municipal Medical Center, Tarumizu Chuo Hospital, Kinko-cho, Tarumizu, Japan.
Yuma HidakaDepartment of Rehabilitation, Medical Corporation, Sanshukai, Okatsu Hospital, Masagohonmachi, Kagoshima, Japan.
Rena NakaharaGraduate School of Health Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan; Department of Rehabilitation, Medical Corporation, Sanshukai, Okatsu Hospital, Masagohonmachi, Kagoshima, Japan.
Taishiro KamasakiGraduate School of Health Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Wataru KukizakiGraduate School of Health Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Takuro KubozonoDepartment of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Mitsuru OhishiDepartment of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to clarify the association between changes in satisfaction with meaningful activities and the occurrence of depressive symptoms before and during the coronavirus disease 2019 (COVID-19) pandemic.

designA population-based prospective cohort study (Tarumizu Study). SETTING AND

participantsA total of 231 community-dwelling older adults aged ≥65 years without depressive symptoms at baseline.

methodsThe participants completed baseline (June to December 2018, before the COVID-19 pandemic) and follow-up (September to December 2021, during the COVID-19 pandemic) assessments. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Participants selected meaningful activities from the 95 activities included in the Aid for Decision-Making in Occupation Choice, and their satisfaction levels were evaluated. Satisfaction with the most meaningful activities was assessed as to whether it was maintained/improved or decreased at follow-up.

resultsIn the follow-up survey, 31 (14.3%) participants reported the occurrence of depressive symptoms. Compared with before the COVID-19 pandemic, the rates of meaningful activities during the COVID-19 pandemic decreased for interpersonal interaction and social life and increased for leisure, sports, self-care, and domestic life. Logistic regression analysis revealed that changes in satisfaction with meaningful activity were associated with the occurrence of depressive symptoms after adjusting for demographic variables, baseline GDS scores, cognitive and physical status, and instrumental activities of daily living (odds ratio, 2.78; 95% confidence interval, 1.17-6.59, P = .020). CONCLUSIONS AND IMPLICATIONS: To avoid decreasing satisfaction with meaningful activities, supporting older adults may be protective against the occurrence of depressive symptoms. Our findings highlight the need for health care professionals to not only encourage older adults to participate in activities for their mental health but also consider whether the activities are meaningful or satisfying for them.

Indexed as

DepressionPersonal SatisfactionActivities of Daily LivingAgedCOVID-19East Asian PeopleHumansPandemicsProspective Studiesactivity satisfactioncommunity-dwelling older adultsCOVID-19 pandemicDepressive symptomsmeaningful activity

Identifiers

PMID37037348
PMCPMC10027954

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.