Exploring seasonal sensitivity: Perceived stress and physical performance among older people in high southern latitudes
Abstract
Introduction. Aging brings physiological, psychological, and social changes, such as stress-coping strategies and physical fitness. Seasonal sensitivity, which includes mood and behavioral shifts in response to seasonal changes, is particularly influential. This study examines the relationships between seasonal sensitivity, perceived stress, and physical performance in older adults living in high southern latitudes. Methodology. An analytical cross-sectional study was conducted with 77 older adults (60 females and 17 males, aged 60 to 89). Seasonal sensitivity was measured using the Seasonal Pattern Assessment Questionnaire, perceived stress with the Perceived Stress Scale, and physical performance with the Short Physical Performance Battery. Results. Increased seasonal sensitivity was associated with higher perceived stress, especially among individuals with "Winter Blues" (β = -0.67, 95% CI [-1.21, -0.13], p < .01) compared with those with typical sensitivity. In contrast, those diagnosed with Seasonal Affective Disorder reported lower stress levels and showed better adaptation to seasonal changes. Physical performance, notably in the sit-to-stand task, was more closely linked to typical sensitivity scores than to extremes of seasonal sensitivity. Discussion. These findings highlight the interplay between seasonal sensitivity, stress, and physical performance. Integrated psychosocial and physical interventions may optimize well-being among older adults in high-latitude settings. Conclusions. Seasonal sensitivity is significantly associated with perceived stress and physical performance among older adults in high southern latitudes. Individuals experiencing "Winter Blues" show elevated stress levels compared with those with typical sensitivity, whereas those with Seasonal Affective Disorder display better symptom management.
References
1. Rohan KJ, Sigmon ST, Dorhofer DM. Cognitive-behavioral factors in seasonal affective disorder. J Consult Clin Psychol [Internet]. 2003;71(1):22-30. doi: https://psycnet.apa.org/doi/10.1037/0022-006X.71.1.22
2. Rosen LN, Targum SD, Terman M, Bryant MJ, Hoffman H, Kasper SF, et al. Prevalence of seasonal affective disorder at four latitudes. Psychiatry Res [Internet]. 1990;31(2):131-144. doi: https://doi.org/10.1016/0165-1781(90)90116-m
3. Rosenthal NE. Winter blues : seasonal affective disorder : what it is and how to overcome it [Internet]. NewYork: Guilford Press; 1993. Available from: https://catalog.nlm.nih.gov/discovery/fulldisplay?docid=alma997406603406676&context=L&vid=01NLM_INST:01NLM_INST&lang=en&adaptor=Local%20Search%20Engine&tab=LibraryCatalog&query=lds56,contains,Mood%20Disorders%20--%20therapy,AND&mode=advanced&offset=20
4. Rumble ME, Dickson D, McCall WV, Krystal AD, Case D, Rosenquist PB, et al. The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review. J Affect Disord [Internet]. 2018;227:721-30. doi: https://doi.org/10.1016/j.jad.2017.11.078
5. Gaton-Moreno MA, Gonzalez-Torres MA, Gaviria M. Trastornos afectivos estacionales, "winter blues". Rev Asoc Esp Neuropsiq [Internet]. 2015;35(126):367-380. doi: https://dx.doi.org/10.4321/S0211-57352015000200010
6. Rosenthal N, Bradt G, Wehr T. Seasonal Pattern Assessment Questionnaire (SPAQ). In: Lam RW, Michalak EE, Swinson RP, editors. Assessment scales in depression, mania and anxiety [Internet]. London: Taylor & Francis; 2005. p. 51-53. Available from: https://med-fom-ubcsad.sites.olt.ubc.ca/files/2013/11/SPAQ-SAD.pdf
7. Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, et al. Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry [Internet]. 1984;41(1):72-80. doi: https://doi.org/10.1001/archpsyc.1984.01790120076010
8. Magnusson A. An overview of epidemiological studies on seasonal affective disorder. Acta Psychiatr Scand [Internet]. 2000;101(3):176–84. Available from: https://pubmed.ncbi.nlm.nih.gov/10721866/
9. Alvarado-Aravena C, Estrada-Goic C, Núñez-Espinosa C. Sintomatología depresiva y calidad de vida en estudiantes de medicina en alta latitud sur. Rev Méd Chil [Internet]. 2021;149(3):357-65. Available from: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300357
10. Alvarado-Aravena C, Arriaza K, Castillo-Aguilar M, Flores K, Dagnino-Subiabre A, Estrada-Goic C, et al. Effect of confinement on anxiety symptoms and sleep quality during the COVID-19 pandemic. Behav Sci (Basel) [Internet]. 2022;12(10):398. doi: https://doi.org/10.3390/bs12100398
11. Gómez-Bruton A, López-Torres O, Gómez-Cabello A, Rodríguez-Gomez I, Pérez-Gómez J, Pedrero-Chamizo R, et al. How important is current physical fitness for future quality of life? Results from an 8-year longitudinal study on older adults. Exp Gerontol [Internet]. 2021;149:111301. doi: https://doi.org/10.1016/j.exger.2021.111301
12. Steffl M, Bohannon RW, Sontakova L, Tufano JJ, Shiells K, Holmerova I. Relationship between sarcopenia and physical activity in older people: a systematic review and meta-analysis. Clin Interv Aging [Internet]. 2017;12:835-45. doi: https://doi.org/10.2147/cia.s132940
13. Grande GD, Oliveira CB, Morelhão PK, Sherrington C, Tiedemann A, Pinto RZ, et al. Interventions Promoting Physical Activity Among Older Adults: A Systematic Review and Meta-Analysis. Gerontologist [Internet]. 2020;60(8):583-99. doi: https://doi.org/10.1093/geront/gnz167
14. Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA [Internet]. 2007;298(14):1685-7. doi: https://doi.org/10.1001/jama.298.14.1685
15. Tsolaki M, Kounti F, Karamavrou S. Severe psychological stress in elderly individuals: a proposed model of neurodegeneration and its implications. Am J Alzheimers Dis Other Demen [Internet]. 2009;24(2):85-94. doi: https://doi.org/10.1177/1533317508329813
16. Feng Q, Bešević J, Conroy M, Omiyale W, Lacey B, Allen N. Comparison of body composition measures assessed by bioelectrical impedance analysis versus dual-energy X-ray absorptiometry in the United Kingdom Biobank. Clin Nutr ESPEN [Internet]. 2024;63:214-225. doi: https://doi.org/10.1016/j.clnesp.2024.06.040
17. Mersch PPA, Vastenburg NC, Meesters Y, Bouhuys AL, Beersma DGM, Van Den Hoofdakker RH, et al. The reliability and validity of the Seasonal Pattern Assessment Questionnaire: a comparison between patient groups. J Affect Disord [Internet]. 2004;80(2-3):209-219. doi: https://doi.org/10.1016/S0165-0327(03)00114-9
18. Bulbena-Vilarrasa A, Miralles G, Vieta-Pascual E, Goikolea-Alberdi JM, Bulbena-Cabré A. Adaptación espanola del Cuestionario de Evaluacion de Perfil Estacional (Seasonal Pattern Assessment Questionnaire, SPAQ) en las versiones de adultos e infanto-juvenil. Actas Esp Psiquiatri [Internet]. 2003;31(4):192-198. Available from: https://actaspsiquiatria.es/index.php/actas/article/view/1160/1875
19. Remor E, Carrobles JA. Versión española de la escala de estrés percibido (PSS-14): Estudio psicométrico en una muestra VIH+. Ansiedad y Estrés [Internet]. 2001;7(2-3):195-201. Available from: https://psycnet.apa.org/record/2002-15104-002
20. Reyna C, Mola DJ, Correa PS. Escala de Estrés Percibido: análisis psicométrico desde la TCT y la TRI. Ansiedad y Estrés [Internet]. 2019;25(2-3):138-147. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=7287712
21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav [Internet]. 1983;24(4):385–396. Available from: https://pubmed.ncbi.nlm.nih.gov/6668417/
22. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol [Internet]. 1994;49(2):M85-94. doi: https://doi.org/10.1093/geronj/49.2.m85
23. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform [Internet]. 2009;42(2):377-381. doi: https://doi.org/10.1016/j.jbi.2008.08.010
24. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O'Neal L, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform [Internet]. 2019;95:103208. doi: https://doi.org/10.1016/j.jbi.2019.103208
25. Heck DW. A caveat on the Savage-Dickey density ratio: the case of computing Bayes factors for regression parameters. Br J Math Stat Psychol. 2019;72(2):316-333. doi: https://doi.org/10.1111/bmsp.12150
26. Makowski D, Ben-Shachar MS, Chen SHA, Lüdecke D. Indices of effect existence and significance in the Bayesian framework. Front Psychol. 2019;10:2767. doi: https://doi.org/10.3389/fpsyg.2019.02767
27. Jeffreys, Harold. The theory of probability. OuP Oxford, 1998. ISBN: 0-19-850368-7.
28. Vehtari A, Gelman A, Simpson D, Carpenter B, Bürkner PC. Rank-normalization, folding, and localization: An improved Ȓ for assessing convergence of MCMC. Bayesian Anal . 2020;16(2):667-718. doi: https://doi.org/10.48550/arXiv.1903.08008
29. Burkner PC. brms: an R package for Bayesian multilevel models using Stan. J Stat Softw 2017;80(1):1-28. doi: http://dx.doi.org/10.18637/jss.v080.i01
30. O'Neill D, Forman DE. The importance of physical function as a clinical outcome: assessment and enhancement. Clin Cardiol [Internet]. 2020;43(2):108-117. doi: https://doi.org/10.1002/clc.23311
31. Dunn AL, Trivedi MH, O'Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sports Exerc [Internet]. 2001;33(6 Suppl):S587-97. doi: https://doi.org/10.1097/00005768-200106001-00027
32. Khalsa SS, Adolphs R, Cameron OG, Critchley HD, Davenport PW, Feinstein JS, et al. Interoception and mental health: a roadmap. Biol Psychiatry Cogn Neurosci Neuroimaging [Internet]. 2018;3(6):501-513. doi: https://doi.org/10.1016/j.bpsc.2017.12.004
33. Cattan M, White M, Bond J, Learmouth A. Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing Soc [Internet]. 2005;25(1):41-67. doi: https://psycnet.apa.org/doi/10.1017/S0144686X04002594
34. Agbangla NF, Seba MP, Bunlon F, Toulotte C, Fraser SA. Effects of physical activity on physical and mental health of older adults living in care settings: a systematic review of meta-analyses. Int J Environ Res Public Health [Internet]. 2023;20(13):6226. doi: https://doi.org/10.3390/ijerph20136226
35. Marquez DX, Aguinaga S, Vasquez PM, Conroy DE, Erickson KI, Hillman C, et al. A systematic review of physical activity and quality of life and well-being. Transl Behav Med [Internet]. 2020;10(5):1098-1109. doi: https://doi.org/10.1093/tbm/ibz198
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