Changes over time in emotional status among older adults new to receiving long-term services and supports

September 1, 2016


  • Katherine M. Abbott

This article examines the natural history of changes in emotional status as measured through emotional well-being and depressive symptoms over a two-year period among older adults new to long-term services and supports (LTSS). In-person interviews were conducted with 470 older adults within sixty days of entry into LTSS and then quarterly through twenty-four months. Multivariate generalized estimating equation models indicate improvements in emotional status, with depressive symptoms decreasing and overall emotional wellbeing improving. Independent predictors of depressive symptoms and emotional well-being are described. Older adults who have transitioned to LTSS experience changes in emotional status over time. Significant contributors to emotional status are identified that can be addressed and supported through LTSS programs.

Best Practices in Mental Health, 12 (2), 63-80.


  • Long-Term Care - Other
  • Psychology of Aging