title: Health stresses and depressive symptomatology in the elderly: the importance of health engagement control strategies.
abstract: The study presents cross-sectional (N = 127) and longitudinal (n = 111) analyses examining relations between health engagement control strategies (HECSs), depressive symptoms, and health stresses in elderly individuals. HECS was measured as people's behavioral and cognitive investments toward attaining health goals. HECS was related to low levels of depressive symptoms, particularly among people experiencing acute physical symptoms. Moreover, HECS predicted reduction of depressive symptoms over time, and depressive symptomatology predicted negative change in HECS. The findings show that active investments of HECSs significantly moderate the negative affective consequences of health threats. Individuals who are characterized by low levels of HECS and high levels of depressive symptoms may be at increased risk of accelerated decline in their physical and mental health.
authors.affiliation: Department of Psychology and Centre for Research in Human Development, Concordia University, Montreal, Quebec, Canada. wrosch@vax2.concordia.ca
authors.forename: Carsten
authors.initials: C
authors.lastname: Wrosch
authors.forename: Richard
authors.initials: R
authors.lastname: Schulz
authors.forename: Jutta
authors.initials: J
authors.lastname: Heckhausen
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006801:Humans; D007389:Internal-External Control; D008137:Longitudinal Studies; D008297:Male; D009042:Motivation; D010555:Personality Inventory / Q000706:statistics & numerical data; D012803:Sick Role