High incidence of clinically relevant depressive symptoms in vulnerable persons of 75 years or older living in the community

Aging & Mental Health
Els DozemanHein P van Hout

Abstract

Clinically relevant depressive symptoms are highly prevalent in people who are 75 years of age or older. However, very old people with a vulnerable health status are under-represented in studies focussing on incidence and risk factors, while the risk of developing depressive symptoms is expected to be very high in this group. The incidence rates of clinically relevant depressive symptoms and their predictors were investigated in a vulnerable elderly population. In a community-based cohort, 651 vulnerable elderly (75+) people were identified by means of the COOP-WONCA charts (Dartmouth Coop Functional Health Assessment Charts/World Organisation of Family Doctors). To study the incidence of clinically relevant symptoms of depression and their predictors, 266 people with no symptoms (Centre for Epidemiologic Studies Depression Scale, CES-D score <16 at baseline) were selected and measured again at six and 18 months. The incidence of clinically relevant symptoms of depression was defined as a CES-D score > or =16, in combination with at least a five-point change between measurements. Logistic regression analyses were applied to determine risk indicators. After 18 months, the incidence rate of all clinically relevant symptoms of dep...Continue Reading

Citations

Jan 17, 2012·International Psychogeriatrics·Julie E BylesEmily Banks
Jul 27, 2012·Translational Psychiatry·S E ArnoldL M Shaw
Jul 3, 2013·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Lien QuachLewis A Lipsitz
Aug 6, 2013·Journal of the American Medical Directors Association·Yakir RottenbergJochanan Stessman
Jun 5, 2013·Journal of the American Medical Directors Association·Theodore K Malmstrom, John E Morley
Jul 26, 2012·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Marijke BoorsmaHein van Hout
Oct 13, 2011·International Journal of Geriatric Psychiatry·Ricardo Barcelos-FerreiraCássio M C Bottino
Oct 19, 2014·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Julie A WilliamsDenise K Houston

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