Longitudinal causal relationship between depression and self-esteem in Korean older adults

This study aimed to examine the longitudinal causal relationship between depression and self-esteem (SE) in older Koreans and analyze gender differences in this correlation. Participants were 4742 older adults aged ≥65 years in baseline 2018 from the Korea Welfare Panel Study. Depression and SE were measured every year from 2018 to 2021. This study estimated causal relationships using the autoregressive cross-lagged model and analyzed gender differences using a multigroup approach. The findings indicate that depression and SE in older adults support the reciprocal causal model, but there are no gender differences. The study recommends that both depression and SE should be considered in the design of social work intervention programs for older adults but can disregard gender differences.