Título
Late-life depressive symptoms: Prediciton models of change
Autor
María del Carmen García Peña
FERNANDO WAGNER
SERGIO SANCHEZ GARCIA
María Claudia Espinel Bermúdez
TERESA JUAREZ CEDILLO
MARIO ULISES PEREZ ZEPEDA
VICTORIA EUGENIA ARANGO LOPERA
FRANCISCO FRANCO MARINA
RICARDO RAMIREZ ALDANA
Joseph Gallo
Nivel de Acceso
Acceso Abierto
Materias
HUMANIDADES Y CIENCIAS DE LA CONDUCTA - (CTI) Psicología - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Psicogeriatría - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Depresión - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Depresión de la vida tardía - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Síntomas depresivos - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Síndromes geriátricos - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Escala de depresión geriátrica - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Psychology - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Psychogeriatric - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Depression - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Late-life depression - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Depressive symptoms - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Geriatric syndromes - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)]) Geriatric depression scale - ([Journal of Affective Disorders (0165-0327) Vol. 150 (2013)])
Resumen o descripción
Background: Depression is a well-recognised problem in the elderly. The aim of this study was to determine the factors associated with predictors of change in depressive symptoms, both in subjects with and without baseline significant depressive symptoms.
Methods: Longitudinal study of community-dwelling elderly people (>60 years or older), baseline evaluations, and two additional evaluations were reported. Depressive symptoms were measured using a 30-item geriatric depression scale, and a score of 11 was used as cut-off point for significant depressive symptoms in order to stratify the analyses in two groups: with significant depressive symptoms and without significant depressive symptoms. Sociodemographic data, social support, anxiety, cognition, positive affect, control locus, activities of daily living, recent traumatic life events, physical activity, comorbidities, and quality of life were evaluated. Multi-level generalised estimating equation model was used to assess the impact on the trajectory of depressive symptoms.
Results: A number of 7882 subjects were assessed, with 29.42% attrition. At baseline assessment, mean age was 70.96 years, 61.15% were women. Trajectories of depressive symptoms had a decreasing trend. Stronger associations in those with significant depressive symptoms, were social support (OR.971, p<.001), chronic pain (OR 2.277, p<.001) and higher locus of control (OR.581, p<.001). In contrast for those without baseline significant depressive symptoms anxiety and a higher locus of control were the strongest associations.
Conclusions: New insights into late-life depression are provided, with special emphasis in differentiated factors influencing the trajectory when stratifying regarding basal status of significant depressive symptoms.
Editor
Elsevier
&
International Society for Affective Disorders
Fecha de publicación
2013
Tipo de publicación
Artículo
Recurso de información
Formato
Adobe PDF
application/pdf
Fuente
Journal of Affective Disorders (0165-0327) Vol. 150 (2013)
Idioma
Inglés
Relación
https://www.sciencedirect.com/science/article/abs/pii/S0165032713003650?via%3Dihub#!
Repositorio Orígen
INSTITUTO NACIONAL DE GERIATRIA
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