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Cited by 65Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesHealth and Well-being StudiesAging, Health, and Disability

Rumination and loneliness independently predict six-month later depression symptoms among Chinese elderly in nursing homes

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Gan, Pei, Xie, Yan, Duan, Wenjie, Deng, Qing, Yu, Xiuli·2015·PLOS ONE
DOI 10.1371/journal.pone.0137176PMC PMC4559426
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Abstract

BACKGROUND: Previous studies conducted in Western countries independently demonstrated that loneliness and rumination are remarkable risk factors of depression among the elderly in both community and nursing homes. However, knowledge on the relationship between these three constructs among the elderly in Eastern countries is scarce. The current study aims to determine the relationship between loneliness, rumination, and depression among Chinese elderly in nursing homes. METHODS: A total of 71 elderly participants with an average age of 82.49 years completed this six-month longitudinal study. Physical reports indicated that none of the participants were clinically depressed before the study. At Time 1, their loneliness and rumination were measured using UCLA-8 Loneliness Scale and Ruminative Responses Scale. Six months later, the participants completed the Center for Epidemiologic Studies Depression Scale to assess depressive symptoms (Time 2). RESULTS: Multiple regression analysis revealed that both loneliness and rumination at Time 1 were the predictors of depression symptoms at Time 2 among the Chinese elderly in nursing homes. However, in the mediation analysis using PROCESS, the indirect effect between loneliness at Time 1 and depression symptoms at Time 2 was insignificant. CONCLUSIONS: Results suggest that previous loneliness and rumination thinking are predictors of future depression symptoms among the Chinese elderly in nursing homes. However, the insignificant mediation further suggests that the differences between loneliness and rumination should be explored in future studies. Findings have important implications for mental health professionals in nursing homes in China.

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  • The subjective experience of depressed persons is different from 'normal forms of negative mood such as despair or sadness.'

    “This line of thought argues that the subjective experience of depressed persons is different from 'normal forms of negative mood such as despair or sadness.' 76”

    From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [76]

  • A concern voiced by both mental health and social science researchers is that the recent translation of the concept of depression into operational terms may have involved a psychopathological 'oversimplification.'

    “A concern voiced by both mental health and social science researchers 75,76 is that the recent translation of the concept of depression into operational terms may have involved a psychopathological 'oversimplification.'”

    From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [76]

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  1. [38]Gupta R, Yick A. Validation of CES-D scale for older Chinese immigrants. Journal of Mental Health and Aging. 2001; 7(2): 257– 72.

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Related

Authors
Gan, P., Xie, Y., Duan, W., Deng, Q., & Yu, X.
Affiliations
  • The Affiliated Yongchuan Hospital of Chongqing Medical University (CN)
  • City University of Hong Kong (HK)
Corresponding author
  • Xie, Yan
  • Duan, Wenjie
ORCID
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2015-09-03
Volume
10
Issue
9
Pages
e0137176
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0137176
PMC
PMC4559426
OpenAlex
W2171661265
Cited by
65
References
43
Citations by year
2026: 4 · 2025: 10 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 8 · 2020: 9 · 2019: 10 · 2018: 3 · 2017: 4 · 2016: 2
FWCI
4.53
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • CityU Scholars (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
rumination, loneliness, depressive symptoms, older adults, nursing homes, Chinese older adults, mediation, risk factors for depression, longitudinal prediction
MeSH terms
Aged, Aged, 80 and over, China, Chronic Disease, Depression, Female, Follow-Up Studies, Humans, Institutionalization, Loneliness, Male, Nursing Homes, Prognosis, Psychiatric Status Rating Scales, Risk Factors, Social Isolation, Thinking, Asian People

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