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Cognitive coping and depressive symptoms in the elderly: A longitudinal study
Abstract
The objective of the present longitudinal study was to examine the relationship between cognitive coping strategies and depressive symptoms at old age. At the two and a half year follow-up study, a community sample of 99 people aged 67 years and older filled out a self-report questionnaire comprising the Geriatric Depression Scale, the Cognitive Emotion Regulation Questionnaire and a negative life events checklist. Cognitive coping strategies seemed to play an important role in relation to depressive symptoms in late life. Elderly persons with more depressive symptoms reported to use acceptance, rumination and catastrophizing to a significantly higher extent and positive reappraisal to a significantly lower extent than those with lower depression scores. After controlling for negative life events and prior depressive symptoms, acceptance and positive reappraisal retained their significant relationship with current depressive symptoms. It is suggested that intervention programs should pay attention to these aspects by challenging the 'maladaptive' strategies, and by supplying the more 'adaptive' strategies. This could be linked to the well-established cognitive therapies.
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“Psychometric properties of the Dutch CERQ are adequate [68, 70].”
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The Cognitive Emotion Regulation Questionnaire
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“Other research showed that positive expectations for the ability to manage negative emotion were associated with reduced depression and anxiety (Kassel et al., 2007; Kraaij et al., 2002).”
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“…2020; Everaert et al., 2017; Everaert & Joormann, 2019; Garnefski et al., 2002; Garnefski & Kraaij, 2006a; Gross & John, 2003; Juang et al., 2016; Kraaij et al., 2002; Krafft et al., 2019; LeBlanc et al., 2019; Lopez & Denny, 2019; Martin & Dahlen, 2005; McKee et al., 2019; Memedovic et al.,…”
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Der Cognitive Emotion Regulation Questionnaire (CERQ)
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Self-citationRumination and Age: Some Things Get Better
Sütterlin, S., Paap, M. C. S., Babic, S., Kübler, A., & Vögele, C. (2012) · Journal of Aging Research · doi:10.1155/2012/267327 · Cited by 136
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“…can also be argued that enhancing acceptance may reduce the motivation to work for change and may even cue feelings of hopelessness and resignation (Kraaij et al., 2002), the arguments for positive precursory effects of acceptance on CR appear less stringent than the arguments for positive effects…”
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Keefe, F. J., Porter, L. S., Somers, T. J., Shelby, R. A., & Wren, A. A. (2013) · British Journal of Anaesthesia · doi:10.1093/bja/aet129 · Cited by 110
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“In persons confronted with infertility or the hardships of aging, acceptance or reappraisal of the condition led to a decrease in negative affectivity [6,8], while a lack of reappraisal was related to increased emotional eating in women with eating disorders [9].”
BackgroundResultCognitive Emotion Regulation Strategies in Anxiety and Depression Understood as Types of Personality
Domaradzka, E., & Fajkowska, M. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00856 · Cited by 91
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“Preliminary studies among older adults indicate that coping strategies can have a significant impact on health and well-being with approach strategies helping the individual to deal with health problems effectively and avoidance strategies being more maladaptive, leading to long term mental health problems (Kraaij, Pr…”
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“Similar to some of the previous studies (e.g., Kraaij, Garnefski, and Vlietstra 2008; Kraaj et al. 2002; Martin and Dahlen 2005), acceptance subscale exhibited significant positive correlations with depressive and anxiety symptoms.”
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“in emotion regulation are associated with greater depressive symptom severity over time (Kraaij et al., 2002).”
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É possível superar ideações e tentativas de suicídio? Um estudo sobre idosos
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“Cognitive reappraisal is an effective emotion regulation strategy (Gross, 2002) that predicts depressive symptom severity (Kraaij et al., 2002; Gross and John, 2003; Joormann and Gotlib, 2010) and that may convey protection against the impact of stressful events (Sears et al.”
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“more depressive symptoms and might also reflect a passive ‘‘giving up’’ (Kraaij et al., 2002).”
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“Studies of coping styles have provided valuable information, but with few exceptions (Kraaij et al., 2002) most are cross-sectional in design and consider current symptoms but not future risk for psychiatric disorders, leaving temporal sequencing or cause–effect relationships unclear (Christensen and Kessing, 2005).”
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“7 , 8 , 13 , 17 , 18 , 19 , 20 Researchers have found conflicting research results with regard to other cognitive strategies such as acceptance, self-blame, planning, other-blame, and putting into perspective.”
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“Both the original version and Spanish CERQ have been found to have satisfactory internal consistencies and validity in numerous populations [23-37].”
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“Most studies of how older people cope focus on how they deal with illness (Kraaij et al. 2002; Lorenz 2010).”
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“Moreover, some of the subcomponents of the scales have also been linked frequently to positive (mental) health outcomes (Garnefski et al., 2001; Kraaij et al., 2002; Garnefski and Kraaij, 2006b; Raut et al., 2014; Nowlan et al., 2015) and have been shown to be modifiable (Garland et al., 2009;…”
BackgroundThe role of intrusion, avoidance, and cognitive coping strategies more than 50 years after war
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“In general, cognitive coping styles such as self-blame, catastrophizing, and rumination have been found to have a positive association with maladjustment, while positive reappraisal (thoughts of attaching a positive meaning to the event in terms of personal growth) has been found to have a negative association with ma…”
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“In short, elderly persons with more depressive symptoms reported to use acceptance, rumination and catastrophizing to a significantly higher extent and positive reappraisal to a significantly lower extent than those with lower depression scores (Kraaij et al., 2002).”
BackgroundEmotion regulation strategies and difficulties in older adults: A systematic review
Sardella, A., Lenzo, V., Basile, G., Martino, G., & Quattropani, M. C. A. (2022) · Clinical Gerontologist · doi:10.1080/07317115.2022.2128706 · Cited by 42
The peripartum human brain: Current understanding and future perspectives
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“This cognitive strategy has been found to be related to lower levels of depressive symptoms, in general population samples as well as in people with a chronic disease [11,14,19,20,22–24].”
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Emotion dysregulation as a cross-cutting target for inpatient psychiatric intervention
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“In contrast, maladaptive emotional reactivity and impaired emotion regulation are related to psychopathologies such as anxiety, depression, worry, and rumination throughout the lifespan 5,6 , including in aging 7 .”
Increasing Positive Emotion in Negative Contexts
McRae, K., & Mauss, I. B. (2016) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199977925.003.0011 · Cited by 41
Vivan, A. D. S., & Argimon, I. I. D. L. (2009) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2009000200022 · Cited by 28
Carvajal, B. P., Molina, M. Á., Fernández-Fernández, V., Paniagua-Granados, T., Lasa-Aristu, A., & Luque-Reca, O. (2021) · Aging & Mental Health · doi:10.1080/13607863.2020.1870207 · Cited by 34
“On the other hand, the acceptance subscale did not positively correlate with depression as previously found among older adults (Kraaij et al., 2002) and general Spanish population (Dom ınguez-S anchez et al., 2013).”
BackgroundResultDutt, A. J., Wahl, H., & Rupprecht, F. S. (2018) · Psychology and Aging · doi:10.1037/pag0000245 · Cited by 30
Opdebeeck, C., Nelis, S. M., Quinn, C., & Clare, L. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.962005 · Cited by 33
Niu, X., Taylor, M. M., Wicks, J. J., Fassett-Carman, A. N., Moser, A. D., Neilson, C., Peterson, E. C., Kaiser, R. H., & Snyder, H. R. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10366-9 · Cited by 36
“The average effect sizes calculated from this prior research (Cheung & Ng, 2019; Garnefski et al., 2002, 2003, 2004; Kraaij et al., 2002; Kraaij, Garnefski, de Wilde, et al., 2003; Martin & Dahlen, 2005; Min et al., 2013; Orgeta & Orrell, 2014, 2014; Siu & Shek, 2010; Vollrath et al., 1996; Wang et al., 2014; Xu et al…”
BackgroundMethodResultInfluentialAge differences in emotion regulation strategy use and flexibility in daily life
Whitmoyer, P. R., Fisher, M. E., Duraney, E., Manzler, C. A., Isaacowitz, D., Andridge, R. R., & Prakash, R. (2023) · Aging & Mental Health · doi:10.1080/13607863.2023.2256245 · Cited by 23
“…appears to be a more effective strategy to regulate negative emotions than suppression or attention deployment (Lohani & Isaacowitz, 2014) and is associated with wide-ranging benefits, including enhanced mental health and overall well-being (Kraaij et al., 2002; nowlan et al., 2015, 2016).”
BackgroundWitlox, M., Kraaij, V., Garnefski, N., de Waal, M. W. M., Smit, F., Hoencamp, E., Gussekloo, J., Bohlmeijer, E. T., & Spinhoven, P. (2018) · Trials · doi:10.1186/s13063-018-2731-3 · Cited by 23
Self-citationBahremand, M., Alikhani, M., Zakiei, A., Janjani, P., & Aghaei, A. (2015) · Global Journal of Health Science · doi:10.5539/gjhs.v8n1p173 · Cited by 23
Nowlan, J. S., Wuthrich, V. M., Rapee, R. M., Kinsella, J. M., & Barker, G. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9737-x · Cited by 23
“Similarly, positive reappraisal has been significantly related to reductions in anxiety and depression (e.g. Garnefski and Kraaij 2006; Kraaij et al. 2002) and was one of the most important variables, along with catastrophising and self-blame, for distinguishing between adults (aged 18–68) with and…”
BackgroundOptimism and Coping Strategies Among Caucasian, Korean, and African American Older Women
Lee, H., & Mason, D. T. (2013) · Health Care For Women International · doi:10.1080/07399332.2013.798327 · Cited by 22
Salimi, M., Mahdavi, A., Yeghaneh, S. S., Abedin, M., & Hajhosseini, M. (2019) · MAEDICA – a Journal of Clinical Medicine · doi:10.26574/maedica.2019.14.3.240 · Cited by 21
A Pilot Study of Metacognitive Training (D-MCT) for Older Adults with Depression
Schneider, B. C., Bücker, L., Riker, S., Karamatskos, E., & Jelinek, L. (2018) · Zeitschrift für Neuropsychologie · doi:10.1024/1016-264x/a000210 · Cited by 21
Rivard, V., & Cappeliez, P. (2007) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.3138/cja.26.3.241 · Cited by 22
Bjørkløf, G. H., Engedal, K., Selbæk, G., Maia, D. B., Borza, T., Benth, J. Š., & Helvik, A. (2017) · Aging & Mental Health · doi:10.1080/13607863.2016.1262817 · Cited by 19
Stress-management methods of the community-dwelling elderly in Hong Kong
Kwong, E. W. Y., & Kwan, A. Y. (2004) · Geriatric Nursing · doi:10.1016/j.gerinurse.2004.02.007 · Cited by 19
Emotion regulation and the late positive potential (LPP) in older adults
Meynadasy, M. A., Brush, C. J., Sheffler, J., Mach, R. J., Carr, D. C., Kiosses, D. N., Hajcak, G., & Sachs‐Ericsson, N. (2022) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2022.05.013 · Cited by 18
Garnefski, N., & Kraaji, V. (2010) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3181d298ca · Cited by 18
Self-citationDistinguishing worry from rumination in older people: A preliminary investigation
Rewston, C., Clarke, C., Moniz-Cook, E. D., & Waddington, R. (2007) · Aging & Mental Health · doi:10.1080/13607860701529619 · Cited by 17
“There is an emerging literature suggesting a link between rumination and late–life depression (Kraaij et al., 2002; Thomsen et al., 2005) but the specific features of rumination in later life have yet to be properly understood.”
BackgroundBaghjari, F., سعادتی, ه., & Esmaeilinasab, M. (2017) · International Journal of Cancer Management · doi:10.5812/ijcm.7443 · Cited by 17
Gregory, M. A., Legg, N. K., Senay, Z., Barden, J.-L., Phiri, P., Rathod, S., Turner, B. J., & Paterson, T. S. E. (2021) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980821000477 · Cited by 20
“Disparities in efficiency of active coping across the lifespan (e.g., Blanchard-Fields, 2007; Kraaij, Pruymboom, & Garnefski, 2002; Phillips, Henry, Hosie, & Milne, 2008) may help explain why older adults are experiencing less loneliness and resultant negative mental health consequences relative to…”
Coping Styles for Anxiety and Depressive Symptoms in Community-Dwelling Older Adults
Orgeta, V., & Orrell, M. W. (2014) · Clinical Gerontologist · doi:10.1080/07317115.2014.907590 · Cited by 15
Metadata
- Authors
- Kraaij, V., Pruymboom, E., & Garnefski, N.
- Affiliations
- Leiden University (NL)
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2002-08
- Volume
- 6
- Issue
- 3
- Pages
- 275-281
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2072440894
- Cited by
- 180
- References
- 38
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 13 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 12 · 2015: 15 · 2014: 16 · 2013: 13 · 2012: 8
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- cognitive coping, depressive symptoms, older adults, geriatric depression, acceptance, rumination, catastrophizing, positive reappraisal, negative life events, cognitive emotion regulation, maladaptive coping, cognitive therapy
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Aged, Aged, 80 and over, Aging, Defense Mechanisms, Depression, Female, Humans, Life Change Events, Male, Problem Solving, Social Environment, Cognitive Behavioral Therapy
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