Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States

Background. Poor self-esteem is a core element of depression. According to recent research, some racial groups may vary in the magnitude of the link between depression and poor self-esteem. Using a national sample, we compared Black and White older Americans for the effect of baseline depressive sym...

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Main Authors: Shervin Assari, Maryam Moghani Lankarani
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Brain Sciences
Subjects:
Online Access:http://www.mdpi.com/2076-3425/8/6/105
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author Shervin Assari
Maryam Moghani Lankarani
author_facet Shervin Assari
Maryam Moghani Lankarani
author_sort Shervin Assari
collection DOAJ
description Background. Poor self-esteem is a core element of depression. According to recent research, some racial groups may vary in the magnitude of the link between depression and poor self-esteem. Using a national sample, we compared Black and White older Americans for the effect of baseline depressive symptoms on decline in self-esteem over time. Methods. This longitudinal study used data from the Religion, Aging, and Health Survey, 2001–2004. The study followed 1493 older adults (734 Black and 759 White) 65 years or older for three years. Baseline depressive symptoms (CES-D), measured in 2001, was the independent variable. Self-esteem, measured at the end of the follow up, was the dependent variable. Covariates included baseline demographic characteristics (age and gender), socioeconomic factors (education, income, and marital status), health (self-rated health), and baseline self-esteem. Race/ethnicity was the moderator. Linear multi-variable regression models were used for data analyses. Results. In the pooled sample, higher depressive symptoms at baseline were predictive of a larger decline in self-esteem over time, net of covariates. We found a significant interaction between race/ethnicity and baseline depressive symptoms on self-esteem decline, suggesting a weaker effect for Blacks compared to Whites. In race/ethnicity-specific models, high depressive symptoms at baseline was predictive of a decline in self-esteem for Whites but not Blacks. Conclusion. Depressive symptoms may be a more salient contributor to self-esteem decline for White than Black older adults. This finding has implications for psychotherapy and cognitive behavioral therapy of depression of racially diverse populations.
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spelling doaj.art-788f262bbd8d45c1971bca25da54d6a42022-12-21T23:04:46ZengMDPI AGBrain Sciences2076-34252018-06-018610510.3390/brainsci8060105brainsci8060105Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United StatesShervin Assari0Maryam Moghani Lankarani1Department of Psychology, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USADepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48104, USABackground. Poor self-esteem is a core element of depression. According to recent research, some racial groups may vary in the magnitude of the link between depression and poor self-esteem. Using a national sample, we compared Black and White older Americans for the effect of baseline depressive symptoms on decline in self-esteem over time. Methods. This longitudinal study used data from the Religion, Aging, and Health Survey, 2001–2004. The study followed 1493 older adults (734 Black and 759 White) 65 years or older for three years. Baseline depressive symptoms (CES-D), measured in 2001, was the independent variable. Self-esteem, measured at the end of the follow up, was the dependent variable. Covariates included baseline demographic characteristics (age and gender), socioeconomic factors (education, income, and marital status), health (self-rated health), and baseline self-esteem. Race/ethnicity was the moderator. Linear multi-variable regression models were used for data analyses. Results. In the pooled sample, higher depressive symptoms at baseline were predictive of a larger decline in self-esteem over time, net of covariates. We found a significant interaction between race/ethnicity and baseline depressive symptoms on self-esteem decline, suggesting a weaker effect for Blacks compared to Whites. In race/ethnicity-specific models, high depressive symptoms at baseline was predictive of a decline in self-esteem for Whites but not Blacks. Conclusion. Depressive symptoms may be a more salient contributor to self-esteem decline for White than Black older adults. This finding has implications for psychotherapy and cognitive behavioral therapy of depression of racially diverse populations.http://www.mdpi.com/2076-3425/8/6/105race/ethnicityethnic groupsAfrican Americansevaluation of selfdepressive symptoms
spellingShingle Shervin Assari
Maryam Moghani Lankarani
Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States
Brain Sciences
race/ethnicity
ethnic groups
African Americans
evaluation of self
depressive symptoms
title Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States
title_full Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States
title_fullStr Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States
title_full_unstemmed Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States
title_short Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States
title_sort depressive symptoms and self esteem in white and black older adults in the united states
topic race/ethnicity
ethnic groups
African Americans
evaluation of self
depressive symptoms
url http://www.mdpi.com/2076-3425/8/6/105
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