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Coping and Depression in Old Age: A Literature Review
Abstract
Background/Aims: The interest in the relation between coping and depression in older persons is growing, but research on the concepts and instruments of coping in relation to depression among older persons is scarce and systematic reviews are lacking. With this background, we wanted to gain a systematic overview of this field by performing a systematic literature search. Methods: A computer-aided search in MEDLINE, CINAHL, PsycINFO, Embase, PubMed and www.salutogenesis.fi was conducted. We systematically searched for studies including coping and depression among persons 60 years of age and above. The included studies were evaluated according to predefined quality criteria. Results: Seventy-five studies, 38 clinical and 37 community settings, were included. Of these, 44 were evaluated to be of higher quality. Studies recruiting samples of older persons with a major depressive disorder, moderate or severe cognitive impairment or those who were dependent on care were scarce, thus the research is not representative of such samples. We found a huge variety of instruments assessing resources and strategies of coping (55 inventories). Although we found the relation between resources and strategies of coping and depression to be strong in the majority of studies, i.e. a higher sense of control and internal locus of control, more active strategies and positive religious coping were significantly associated with fewer symptoms of depression both in longitudinal and cross-sectional studies in clinical and community settings. Conclusion: Resources and strategies of coping are significantly associated with depressive symptoms in late life, but more research to systematize the field of coping and to validate the instruments of resources and strategies of coping in older populations is required, especially among older persons suffering from major depression and cognitive decline.
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“This finding may be explained by the association of late-life resources and strategies for coping with depressive symptoms (58).”
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“These results are consistent with the idea that DT is related to the use of an adaptive- and approach-oriented coping strategy and that this approach is related to less depression (Bjørkløf et al., 2013).”
ResultImpact of Religion and Spirituality in Older Persons
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“Due to older adults’ lack of communication or self-perception on depression, it is also common for caregivers to become concerned about older people [22], [26], [27].”
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“Studies have found that coping strategies play a key role in managing stressors among older adults (Bjørkløf et al., 2013; Kraaij et al., 2002).”
Davin, A., Monti, M. C., Polito, L., Vaccaro, R., Abbondanza, S., Gnesi, M., Villani, S., & Guaita, A. (2015) · PLoS ONE · doi:10.1371/journal.pone.0143395 · Cited by 5
“Since only a small proportion of individuals experiencing severe negative life events develop adverse health outcomes, such as depression, it is possible that an individual’s likelihood of developing depressive symptoms depends on other factors (personality [40], coping strategies [41], social support [42,43], genetic…”
BackgroundDiegelmann, M., Wahl, H., Schilling, O. K., Jansen, C.-P., Claßen, K., & Hauer, K. A. (2016) · International Psychogeriatrics · doi:10.1017/s1041610216001563 · Cited by 5
“Empirically, a review found that locus of control was associated with depression in old age (Bjørkløf et al., 2013).”
BackgroundCoping Patterns in Advanced Old Age: Findings from the Fordham Centenarian Study
Uittenhove, K. L., Jopp, D. S., Lampraki, C., & Boerner, K. (2023) · Gerontology · doi:10.1159/000529896 · Cited by 7
Fernández‐Pérez, D., Ros, L., Sánchez-Reolid, R., Ricarte, J. J., & Latorre, J. M. (2020) · Trials · doi:10.1186/s13063-020-04596-5 · Cited by 5
Chen, F., Zhou, Q., Wu, J., & Xu, X. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04160-z · Cited by 5
“Therefore, EA may be an important predictor of mental health problems among the older stroke survivors, and may function as both an etiological and maintaining factor of post-stroke depression [10].”
BackgroundCortisol Reactivity to a physical stressor in Patients with Depression and Alzheimer's disease
Beserra, A. H. N., Oliveira, B. R. R., Portugal, E. M. M., Dutra, P. M. L., Laks, J., Deslandes, A. C., & Moraes, H. (2022) · Dementia & Neuropsychologia · doi:10.1590/1980-5764-dn-2021-0066 · Cited by 4
Applicability of the locus of control of behaviour scale for people with dementia
Halse, I., Bjørkløf, G. H., Engedal, K., Rokstad, A. M. M., Persson, K., Eldholm, R. S., Selbæk, G., & Barca, M. L. (2019) · Aging & Mental Health · doi:10.1080/13607863.2019.1652244 · Cited by 4
“(Bjørkløf et al., 2013), and it is important not to take for”
BackgroundSelf-citationNeural Receptors Associated with Depression: A Systematic Review of the Past 10 Years
Câmara, A. B., & Brandão, I. A. (2020) · CNS & Neurological Disorders - Drug Targets · doi:10.2174/1871527319666200715102430 · Cited by 4
Scheffers-Barnhoorn, M. N., Sharma-Virk, M., van Balen, R., van Eijk, M., & Achterberg, W. P. (2021) · Aging & Mental Health · doi:10.1080/13607863.2021.1891199 · Cited by 4
Suicidal older people in clinical and community settings
Leo, D. D., Draper, B., & Krysinska, K. E. (2021) · doi:10.1093/med/9780198834441.003.0071 · Cited by 4
Richer, M., Grenier, S., & Plusquellec, P. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000098 · Cited by 3
Nabulsi, M., Ahmead, M., & Sharif, N. E. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1728734 · Cited by 4
Childhood trauma, coping, and depressive symptoms among older adults
Lee, K. H., Yoon, S., & Jun, J. S. (2024) · Social Work in Mental Health · doi:10.1080/15332985.2024.2432659 · Cited by 4
“By avoiding or denying these emotions, older adults may miss out on opportunities for emotional processing, validation, and seeking appropriate support (Bjørkløf et al., 2013).”
Richer, M., Grenier, S., & Plusquellec, P. (2025) · Behavioral Sciences · doi:10.3390/bs15050631 · Cited by 3
“Studies generally associate avoidance coping with heightened physiological stress and distress (Birditt et al., 2015; Bjorklof et al., 2013; Moos et al., 2006).”
Disease, Disability, and Frailty with Increasing Age
Shah, K. N. (2019) · Springer eBooks · doi:10.1007/978-3-030-06200-2_2 · Cited by 3
Dependent Personality in Depressed Older Adults: A Case Report and Systematic Review
Heintz, H., Freedberg, A. L., & Harper, D. G. (2020) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988720933361 · Cited by 3
“Consistent with both dependent personality and depression is an external locus of control, resulting in a lack of autonomy and attribution of outcomes to external rather than internal factors.(1,21) It is not surprising, therefore, that in many cases there is considerable diagnostic ambiguity between depression and DP…”
BackgroundCulture and ethnicity in the mental health of older adults
Torres, L., Bird, C. M., & Mata-Greve, F. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-800136-3.00003-x · Cited by 3
Analysis of hearing impairment related to general health conditions in elderly people
Moraes-Crispim, G., Ferreira, A. P., Lima-Silva, T., & Esteves-Ribeiro, E. (2013) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 3
One-Year Change in Locus of Control among People with Dementia
Halse, I., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Barca, M. L. (2021) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000520248 · Cited by 3
Self-citationDaştan, B., & Kulakaç, N. (2024) · Geriatric Nursing · doi:10.1016/j.gerinurse.2024.07.042 · Cited by 2
Lampraki, C., Jopp, D. S., Roquet, A., Hoffman, A., & Uittenhove, K. L. (2025) · BMC Psychology · doi:10.1186/s40359-025-02406-8 · Cited by 2
“Similarly, we expected in line with prior findings [31] that (H3) increasing the use of support seeking and self-dis-tracting and decreasing the use of positive reappraisal and acceptance would relate to increasing depressive symptoms.”
Park, J.-H., Bergeron, C. D., Ness, M., Sherman, L. D., Merianos, A. L., Yoo‐Jeong, M., Franco, C. L. C., Tomar, A., Boolani, A., Kew, C. L., et al. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1600818 · Cited by 2
Zhao, X., Wang, A., Chen, J., Zhang, J., & Li, Z. (2022) · PsyCh Journal · doi:10.1002/pchj.587 · Cited by 2
Crispim, K. G. M., & Ferreira, A. P. (2013) · Health care · doi:10.12966/hc.5.3.2013 · Cited by 2
Breaz, A. M. (2019) · Revista de Cercetare si Interventie Sociala · doi:10.33788/rcis.65.3 · Cited by 2
“Bjørkløf et al .”
Molander, P., Andersson, G., & Hesser, H. (2022) · Ear and Hearing · doi:10.1097/aud.0000000000001245 · Cited by 2
Selbæk, G., & Borza, T. (2017) · Springer eBooks · doi:10.1007/978-981-287-082-7_94 · Cited by 2
Self-citationParental locus of control and the failure to obtain a child diagnosis: a longitudinal cohort study
Nowicki, S., Rai, D., Gregory, S., Iles‐Caven, Y., Ellis, G. L., & Golding, J. (2020) · Wellcome Open Research · doi:10.12688/wellcomeopenres.15923.1 · Cited by 1
“, Duke & Nowicki, 1973; Wheeler & White, 1991), depression (Benassi et al., 1988; Bjørkløf et al., 2013; Christensen et al., 1991), anxiety (Carden et al.”
Metadata
- Authors
- Bjørkløf, G. H., Engedal, K., Selbæk, G., Kouwenhoven, S. E., & Helvik, A.-S.
- Affiliations
- Vestre Viken Hospital Trust (NO)
- Oslo University Hospital (NO)
- Innlandet Hospital Trust (NO)
- Buskerud University College (NO)
- Norwegian University of Science and Technology (NO)
- Venue
- Dementia and Geriatric Cognitive Disorders
- Publisher
- S. Karger AG
- Published
- 2013
- Volume
- 35
- Issue
- 3-4
- Pages
- 121-154
- ISSN
- 1420-8008 (ISSN-L)
- 1421-9824
- OpenAlex
- W2022849270
- Cited by
- 130
- References
- 167
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 11 · 2023: 6 · 2022: 14 · 2021: 11 · 2020: 14 · 2019: 12 · 2018: 10 · 2017: 11 · 2016: 8 · 2015: 10 · 2014: 5 · 2013: 5
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dementia and Geriatric Cognitive Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- coping, depression, older adults, old age, coping resources, coping strategies, perceived control, locus of control, religious coping, cognitive impairment, major depressive disorder
- MeSH terms
- Adaptation, Psychological, Aged, Aging, Depression, Depressive Disorder, Female, Humans, Male
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