Can online communication prevent depression among older people? A longitudinal analysis
Abstract
Evidence on the association between internet usage and incidence of depression remains mixed. We examined the associations between different categories of internet usage and developing clinical depression. We used data from the 2013 and 2016 waves of the Japan Gerontological Evaluation Study (JAGES) comprising 12,333 physically and cognitively independent adults aged ≥65 years. Participants were engaged in seven categories of internet usage: communication with friends/family, social media, information collection about health/medicine, searching for medical facilities, purchase of drugs and vitamins, shopping, and banking. We found that internet use for communication had a protective influence on the probability of developing clinical depression defined as the Geriatric Depression Scale scores ≥5 or self-reported diagnosed depression. Our findings support the role of online communication with friends/family in preventing clinical depression among older people. Online communication could be particularly useful in the COVID-19 crisis because many families are geographically dispersed and/or socially distanced.
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Longitudinal studies on depression were mixed: two reported that social media use predicted fewer depressive symptoms over time, and two showed no association between social media use over time and depressive symptoms.
“However, the results from the longitudinal studies were mixed, with two of the studies reporting that social media use predicted fewer depressive symptoms over time (Nakagomi et al., 2022;Teo et al., 2019) and two studies showing no association between social media use over time and depressive symptoms (Ang et al., 2019;Schwaba et al., 2021).”
From The relationship between social media use and psychosocial outcomes in older adults: A systematic review (2024) · cites this paper as Nakagomi et al., 2022
Social media interventions that encouraged communication with family and friends specifically, as opposed to people in general, were associated with positive mental health outcomes.
“Notably, social media interventions that encouraged communication with family and friends specifically, as opposed to people in general, were associated with positive mental health outcomes (Nakagomi et al., 2022;Szabo et al., 2019).”
From The relationship between social media use and psychosocial outcomes in older adults: A systematic review (2024) · cites this paper as Nakagomi et al., 2022
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BackgroundLoneliness: A signature mental health concern in the era of COVID-19
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Lei, X., Matovic, D., Leung, W.-Y., Viju, A., & Wuthrich, V. M. (2024) · International Psychogeriatrics · doi:10.1017/s1041610223004519 · Cited by 48 · see citing works
- Authors
- Nakagomi, A., Shiba, K., Kondo, K., & Kawachi, I.
- Affiliations
- Harvard University (US)
- Chiba University (JP)
- Corresponding author
- Nakagomi, Atsushi
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2020-12-24
- Volume
- 41
- Issue
- 1
- Pages
- 167-175
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- OpenAlex
- W3116154831
- Cited by
- 114
- References
- 6
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 15 · 2023: 20 · 2022: 51 · 2021: 7
- FWCI
- 29.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (JP15H01972, JP15H04781, JP15H05059, JP15K03417, JP)
- Japan Agency for Medical Research and Development (16dk0110017h0002, 16ls0110002h0001, JP20dk0110034)
- National Center for Geriatrics and Gerontology (24-17, 24-23, 30-22, 20-19)
- Japan Science and Technology Agency (JPMJOP1831)
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- online communication, depression prevention, older adults, internet use, social media, social isolation, Geriatric Depression Scale, COVID-19 pandemic, family communication, Japan Gerontological Evaluation Study
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, Communication, Depression, Humans, Internet, Friends
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