Cognitive beliefs are associated with different symptom profiles of depression in younger versus older adults, highlighting the importance of adaptive cognitions in mitigating distress among the elderly.
The present study explored age differences in the expression of depression. Such differences were quite apparent. Among 118 young adults and 107 community-residing elderly individuals, it was found that in the young adult groups, cognitive belief factors labeled "externality/control" and "dependency/emotionality" were associated with both affective and cognitive aspects of depression, but not somatic depressive symptoms over and above the influence of sociodemographic factors. In contrast, among older adults, a cognitive belief factor labeled "cognitive-emotional rigidity/dependency" was uniquely associated with both affective and somatic depressive symptoms. Additionally, a second cognitive factor, labeled "adaptation/internal control" defined in terms of the absence of irrational thinking about adaptation and control, was negatively related to somatic depressive symptoms. For each sample, poorer health was associated with greater depressive symptomatology. While these findings generally tend to support a cognitive view of depression in adulthood, they also underscore the importance of cognitions that may be adaptive which mitigate distress among older persons.
Hayslip et al. (Wed,) studied this question.