Severity and correlates of depressive symptoms among recipients of meals on wheels: age, gender, and racial/ethnic difference

Aging & Mental Health
Namkee G ChoiDavid Thompson

Abstract

In this study, we briefly described a large urban Meals on Wheels program's adoption of the Patient Health Questionnaire-9 (PHQ-9) as its depression-screening tool. Then we reported the assessment outcomes with respect to the rates, severity, and correlates of depressive symptoms. The sample consisted of 736 MOW clients. Bivariate analysis, with chi(2) statistics, was performed to examine differences in the rates and severity of depressive symptoms by age group, gender, race/ethnicity, and cognitive status. Negative binomial regression analysis was used to determine the correlates of depression symptom severity. Of the sample, 17.5% had clinically significant depressive symptoms (PHQ-9 > or = 10), and 8.8% had probable major depressive disorder (MDD). A significantly higher proportion of those under age 60 years was found to have clinically significant depressive symptoms and probable MDD. The multivariate regression results show that age, gender, race/ethnicity, income, cognitive impairment, number of chronic medical conditions, and the nutritional risk score were significant predictors of the severity of depression symptoms. Implications of and recommendations for incorporating a valid depression-screening tool into social se...Continue Reading

Citations

May 21, 2011·Journal of Nutrition in Gerontology and Geriatrics·Cassandra M JohnsonWesley R Dean
May 13, 2014·Social Psychiatry and Psychiatric Epidemiology·Melissa TracySandro Galea
Mar 6, 2013·Current Translational Geriatrics and Experimental Gerontology Reports·Namkee G ChoiMartha L Bruce
Jun 25, 2015·Journal of Nutrition in Gerontology and Geriatrics·Anthony D CampbellJulie L Locher
Nov 24, 2011·Home Health Care Services Quarterly·Namkee G ChoiMichael Goldstein
Apr 16, 2013·Journal of Aging and Health·Namkee G ChoiNancy Wilson
Jan 28, 2017·Journal of Gerontological Social Work·Xiaoling Xiang, Jessica Brooks
Jul 12, 2019·Journal of Gerontological Social Work·Qingru ChenBorin Kim
Mar 26, 2021·Frontiers in Nutrition·Ségolène FleuryClaire Sulmont-Rossé

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