Literature DB >> 24986182

Functional Disability and Social Conflict Increase Risk of Depression in Older Adulthood Among Bolivian Forager-Farmers.

Jonathan Stieglitz1, Eric Schniter2, Christopher von Rueden3, Hillard Kaplan4, Michael Gurven5.   

Abstract

OBJECTIVES: To present an explanatory framework for depression in older adulthood in a small-scale society. We propose that depression is a consequence of functional disability, which can reduce subsistence productivity and resource transfers within and across generations. Social conflict can also disrupt resource flows and should be associated with depression.
METHOD: To evaluate depression among Tsimane forager-farmers of Bolivia, we developed a reliable interview based on focus groups and a review of validated depression scales. Older adults (mean ± SD age = 62 ± 9, n = 325) were recruited regardless of their health status. Demographic, economic, and medical data were collected during annual censuses and routine medical exams.
RESULTS: Depression is associated with reduced energetic status, greater physical limitations, and reduced subsistence involvement after controlling for potential confounds such as age, sex, number of reported unresolved conflicts, and market involvement. Depression is also associated with greater reported conflict, particularly with non-kin. DISCUSSION: Tsimane depression is associated with disability, reduced subsistence productivity, and interpersonal conflict, all of which can disrupt resource flows. Depression appears to be a response to conditions regularly experienced over human history, and not simply a by-product of modernity.
© The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  Conflict; Depression; Disability; Evolution; Tsimane; Well-being

Mesh:

Year:  2014        PMID: 24986182      PMCID: PMC4841159          DOI: 10.1093/geronb/gbu080

Source DB:  PubMed          Journal:  J Gerontol B Psychol Sci Soc Sci        ISSN: 1079-5014            Impact factor:   4.077


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