Disentangling between-person and within-person associations of physical symptoms of depression with self-perceived health and life satisfaction: A longitudinal study in Chilean adults
Restricted accessResearch articleFirst published online October, 2024
Disentangling between-person and within-person associations of physical symptoms of depression with self-perceived health and life satisfaction: A longitudinal study in Chilean adults
Depression is a major health problem in Chile. Evidence suggests that physical symptoms of depression (PSD) negatively impact self-perceived health and life satisfaction. The aim of this study was to determine the between-person and within-person associations of PSD with self-perceived health and life satisfaction in Chilean adults. The sample consisted of 1424 participants (64.54% female; Mage = 46.77, SD = 14.88) with data in five waves of the Social Longitudinal Study of Chile. Variables were measured through self-report questionnaires. Hypotheses were tested using multilevel analysis. At the within-person level, physical slowing, fatigue, and sleep problems were associated with poorer self-perceived health and lower life satisfaction. At the between-person level, physical slowing and fatigue were associated with poorer perceived health and lower life satisfaction. PSD are associated with self-perceived health and life satisfaction in Chilean adults longitudinally. The study highlights the importance of monitoring PSD changes in Chilean adults.
AbiddineFZEAljaberiMAGadelrabHF, et al. (2022) Mediated effects of insomnia in the association between problematic social media use and subjective well-being among university students during COVID-19 pandemic. Sleep Epidemiology2: 100030.
2.
AhorsuDKLinC-YPakpourAH (2020) The association between health status and insomnia, mental health, and preventive behaviors: The mediating role of fear of COVID-19. Gerontology and Geriatric Medicine6: 1–9.
3.
ArnbergFKLekanderMMoreyJN, et al. (2016) Self-rated health and interleukin-6: Longitudinal relationships in older adults. Brain, Behavior, and Immunity54: 226–232.
4.
AslaniEKattamisALyrakosG, et al. (2019) The effect of fatigue on self-perceived health in patients with hemoglobinopathies in a greek representative sample. Health Research Journal5(1): 10.
5.
BaaderM TMolinaF JLVenezianB S, et al. (2012) Validación y utilidad de la encuesta PHQ-9 (Patient Health Questionnaire) en el diagnóstico de depresión en pacientes usuarios de atención primaria en Chile. Revista Chilena de Neuro-Psiquiatria50(1): 10–22.
6.
BanksSDingesDF (2007) Behavioral and physiological consequences of sleep restriction. Journal of Clinical Sleep Medicine3(5): 519–528.
7.
BathgateCJEdingerJDWyattJK, et al. (2016) Objective but not subjective short sleep duration associated with increased risk for hypertension in individuals with insomnia. Sleep39(5): 1037–1045.
8.
BejaranoCMCushingCC (2018) Dietary motivation and hedonic hunger predict palatable food consumption: An intensive longitudinal study of adolescents. Annals of Behavioral Medicine52(9): 773–786.
9.
BucciarelliVCaterinoALBiancoF, et al. (2020) Depression and cardiovascular disease: The deep blue sea of women’s heart. Trends in Cardiovascular Medicine30(3): 170–176.
10.
CaramentiMCastiglioniI (2022) Determinants of Self-Perceived Health: The Importance of Physical Well-Being but Also of Mental Health and Cognitive Functioning. Behavioral Sciences (Basel, Switzerland)12(12): 498.
11.
Celis-MoralesCNazarG (2022) Cambios en la prevalencia de depresión en Chile y el mundo debido a la pandemia por COVID-19. Revista Médica de Chile150(5): 691–692.
12.
Centro de Estudios de Conflicto y Cohesión Social (2021) Manual de Usuario de Estudio Longitudinal Social de Chile. Santiago, Chile: Centro de Estudios de Conflicto y Cohesión Social (COES).
13.
Centro de Estudios de Conflicto y Cohesión Social (2022) Estudio Longitudinal Social de Chile, Versión Panel Combinada 2016-2019 (ELSOC_Wide_2016_2019_v1.00). [Archivo de datos]. Santiago, Chile: Centro de Estudios de Conflicto y Cohesión Social (COES).
14.
CurranPJBauerDJ (2011) The disaggregation of within-person and between-person effects in longitudinal models of change. Annual Review of Psychology62(1): 583–619.
15.
DoornenbalBMBakxR (2021) Self-rated health trajectories: A dynamic time warp analysis. Preventive Medicine Reports24: 101510. DOI: 10.1016/j.pmedr.2021.101510
16.
DraméMCantegritEGodaertL (2023) Self-rated health as a predictor of mortality in older adults: A systematic review. International Journal of Environmental Research and Public Health20(5): 3813. DOI: 10.3390/ijerph20053813
17.
Durán-AgüeroSSepulvedaRGuerrero-WyssM (2019) Sleep disorders and anthropometric measures in Chilean university students. Revista Española de Nutrición Humana y Dietética23(3): 153–161.
18.
FanJLiWLinM, et al. (2023) Effects of mindfulness and fatigue on emotional processing: An event-related potentials study. Frontiers in Behavioral Neuroscience17: 1175067. DOI: 10.3389/fnbeh.2023.1175067
19.
FanJSmithAP (2018) The mediating effect of fatigue on work-life balance and positive well-being in railway staff. Open Journal of Social Sciences6(6): 1–10.
20.
GoriATopinoEDi FabioA (2020) The protective role of life satisfaction, coping strategies and defense mechanisms on perceived stress due to COVID-19 emergency: A chained mediation model. PLoS One15(11): e0242402.
21.
HaggerMSOrbellS (2022) The common sense model of illness self-regulation: A conceptual review and proposed extended model. Health Psychology Review16(3): 347–377.
22.
HamiltonJLTsypesAZelaznyJ, et al. (2023) Sleep influences daily suicidal ideation through affective reactivity to interpersonal events among high-risk adolescents and young adults. Journal of Child Psychology and Psychiatry64(1): 27–38.
23.
HastaogluFMollaogluM (2022) The effects of activities of daily living education on the independence and life satisfaction of elders. Perspectives in Psychiatric Care58(4): 2978–2985.
24.
HerreraMSElguetaRFernándezMB, et al. (2021) A longitudinal study monitoring the quality of life in a national cohort of older adults in Chile before and during the COVID-19 outbreak. BMC Geriatrics21(1): 1–12. DOI: 10.1186/s12877-021-02110-3
25.
HirschSStephensARCranePB (2022) Fatigue, depression, cardiovascular risk, and self-rated health: Comparing a community sample of adults to those with a history of myocardial infarction. Clinical Nursing Research31(2): 174–182.
HouBJiLChenZ, et al. (2020) Role of rs454214 in personality mediated depression and subjective well-being. Scientific Reports10(1), 5702. DOI: 10.1038/s41598-020-62486-x
28.
HowardAL (2015) Leveraging time-varying covariates to test within- and between-person effects and interactions in the multilevel linear model. Emerging Adulthood3(6): 400–412.
29.
HoxJMoerbeekMvan de SchootR (eds) (2017) Multilevel Analysis: Techniques and Applications, 3rd edn.New York: Routledge.
30.
IobEKirschbaumCSteptoeA (2020) Persistent depressive symptoms, HPA-axis hyperactivity, and inflammation: The role of cognitive-affective and somatic symptoms. Molecular Psychiatry25(5): 1130–1140.
31.
Jiménez-Molina ReyesPRojasG (2021) Determinantes socioeconómicos y brechas de género de la sintomatología depresiva en Chile Socioeconomic determinants and gender gaps in depressive symptoms in Chile. Rev Med Chile. Available at: https://coes.cl/encuesta-panel/
32.
KimSChoeKLeeK (2020) Depression, loneliness, social support, activities of daily living, and life satisfaction in older adults at high-risk of dementia. International Journal of Environmental Research and Public Health17(24): 9448.
33.
KnowlesKAOlatunjiBO (2020) Specificity of trait anxiety in anxiety and depression: Meta-analysis of the state-Trait Anxiety Inventory. Clinical Psychology Review82: 101928.
34.
KroenkeKSpitzerRLWilliamsJB (2001) The PHQ-9 validity of a brief depression severity measure. Journal of General Internal Medicine16(9): 606–613.
35.
LaraRVázquezMLOgallarA, et al. (2020) Psychosocial resources for hedonic balance, life satisfaction and happiness in the elderly: A path analysis. International Journal of Environmental Research and Public Health17(16), 5684. DOI: 10.3390/ijerph17165684
36.
LaukkaEJDykiertDAllerhandM, et al. (2018) Effects of between-person differences and within-person changes in symptoms of anxiety and depression on older age cognitive performance. Psychological Medicine48(8): 1350–1358.
37.
LeeSEVincentCFinneganL (2017) An analysis and evaluation of the theory of unpleasant symptoms. ANS. Advances in Nursing Science40(1): E16–E39.
38.
LenzERSuppeFGiftAG, et al. (1995) Collaborative development of middle-range nursing theories: toward a theory of unpleasant symptoms. ANS. Advances in Nursing Science17(3): 1–13.
39.
Lynch-MilderMKMcQuillanMEHonakerSM, et al. (2023) Concurrent and longitudinal associations among insomnia symptoms, internalizing problems, and chronic pain in youth. Health Psychology42(1): 15–23.
40.
LysbergFBjerregaard BertelsenTLysbergC, et al. (2021) Change and stability: Within-person life satisfaction over a 20-year period using data from the HUNT survey. Scandinavian Journal of Public Health49(8): 851–856.
41.
MarkkulaNZitkoPPeñaS, et al. (2017) Prevalence, trends, correlates and treatment of depression in Chile in 2003 to 2010. Social Psychiatry and Psychiatric Epidemiology52(4): 399–409.
42.
MarrieR AGraffLAFiskJD, et al. (2021). The relationship between symptoms of depression and anxiety and disease activity in IBD over time. Inflammatory Bowel Diseases, 27(8), 1285–1293.
43.
Ministerio de Salud (2018) Primeros y segundos resultados de la Encuesta Nacional de Salud 2016-2017. Ministerio de salud de Chile. http://epi.minsal.cl/resultados-encuestas/
44.
OhtsukiMWakasugiYNarukawaT, et al. (2021) Are lifestyle factors significantly associated with self-rated health among Japanese female healthcare students?BMC Public Health21(1): 505. DOI: 10.1186/s12889-021-10435-2
45.
Organización Panamericana de la Salud. (2023). Una nueva agenda para la salud mental en las Américas. Informe de la Comisión de Alto Nivel sobre Salud Mental y COVID-19 de la Organización Panamericana de la Salud. Washington, D.C.: OPS.
46.
Oyarzún-GonzálezXFerreccioCAbnerEL, et al. (2020). Polypharmacy in a semirural community in Chile: Results from Maule Cohort. Pharmacoepidemiology and Drug Safety29(3): 306–315.
47.
PaolilloEWPasipanodyaECMooreRC, et al. (2020) Cumulative burden of depression and neurocognitive decline among persons with HIV: A longitudinal study. Journal of Acquired Immune Deficiency Syndromes84(3): 304–312.
48.
PowellDJHLiossiCSchlotzW, et al. (2017) Tracking daily fatigue fluctuations in multiple sclerosis: Ecological momentary assessment provides unique insights. Journal of Behavioral Medicine40(5): 772–783.
49.
R Core Team (2023) R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing.
50.
RibeiroOTeixeiraLAraújoL, et al. (2020) Anxiety, depression and quality of life in older adults: Trajectories of influence across age. International Journal of Environmental Research and Public Health17(23), 9039. DOI: 10.3390/ijerph17239039
51.
RohrerJMMurayamaK (2023) These are not the effects you are looking for: Causality and the within-/between-persons distinction in longitudinal data analysis. Advances in Methods and Practices in Psychological Science6(1), 25152459221140842.
52.
SaldíasFBrockmannPSantínJ, et al. (2020) Estudio de prevalencia de síndrome de apneas obstructivas del sueño en la población adulta chilena. Subestudio de la Encuesta Nacional de Salud, 2016/17. Revista Médica de Chile148(7): 895–905.
53.
SantomauroDFMantilla HerreraAMShadidJ, et al. (2021) Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet398(10312): 1700–1712.
54.
SavelievaKKomulainenKElovainioM, et al. (2021). Longitudinal associations between specific symptoms of depression: Network analysis in a prospective cohort study. Journal of Affective Disorders, 278, 99–106.
55.
SmithCKonikJ (2022) Who is satisfied with life? Personality, cognitive flexibility, and life satisfaction. Current Psychology41: 9019–9026.
56.
StadtbaeumerNMüllerHGoergenH, et al. (2020) The interplay between cancer-related fatigue and functional health in Hodgkin lymphoma survivors. Health Psychology39(10): 905–911.
57.
SzcześniakMMazurPRodzeńW, et al. (2021) Influence of life satisfaction on self-esteem among young adults: The mediating role of self-presentation. Psychology Research and Behavior Management14: 1473–1482.
58.
van de WeijerMPde VriesLPPeltDHM, et al. (2022) Self-rated health when population health is challenged by the COVID-19 pandemic; a longitudinal study. Social Science & Medicine306, 115156.
59.
van EedenWAvan HemertAMCarlierIVE, et al. (2019) Severity, course trajectory, and within-person variability of individual symptoms in patients with major depressive disorder. Acta Psychiatrica Scandinavica139(2): 194–205.
60.
VosTLimSAbbafatiC, et al. (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet396(10258): 1204–1222.
61.
WangXZhangMWangZ, et al. (2020) [Correlation between hypertension label and self-rated health in adult residents in China]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi41(3): 379–384.
WuTTZouYLXuKD, et al. (2023) Insomnia and multiple health outcomes: Umbrella review of meta-analyses of prospective cohort studies. Public Health215: 66–74.
64.
YimSJLuiLMWLeeY, et al. (2020) The utility of smartphone-based, ecological momentary assessment for depressive symptoms. Journal of Affective Disorders274: 602–609.
65.
ZainalNHNewmanMG (2021). Depression and executive functioning bidirectionally impair one another across 9 years: Evidence from within-person latent change and cross-lagged models. European Psychiatry: The Journal of the Association of European Psychiatrists, 64(1), e43.
66.
ZajacovaADowdJB (2011) Reliability of self-rated health in US Adults. American Journal of Epidemiology174(8): 977–983.
67.
ZuraikatFMMakaremNLiaoM, et al. (2020) Measures of poor sleep quality are associated with higher energy intake and poor diet quality in a diverse sample of women from the Go red for women strategically focused research network. Journal of the American Heart Association9(4), e014587.
