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    Six-year effect of depressive symptoms on the course of physical disability in community-living older adults.

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    Authors
    Cronin-Stubbs, Diane
    de Leon, Carlos F. Mendes
    Beckett, Laurel A.
    Field, Terry S.
    Glynn, Robert J.
    Evans, Denis A.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Document Type
    Journal Article
    Publication Date
    2000-11-13
    Keywords
    Aged
    Aged, 80 and over
    Depression
    Disabled Persons
    Female
    Follow-Up Studies
    Humans
    Longitudinal Studies
    Male
    Time Factors
    Health Services Research
    Medicine and Health Sciences
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    Link to Full Text
    http://archinte.ama-assn.org/cgi/reprint/160/20/3074
    Abstract
    BACKGROUND: Late-life depression affects physical health and impedes recovery from physical disability. But whether milder symptoms that occur frequently in the general population increase the risk of developing a disability or decrease the likelihood of recovery remains unclear. OBJECTIVE: To examine the effect of mild symptoms of depression, assessed by a reduced version (10 items, ranging from 0-10) of the Center for Epidemiological Studies-Depression Scale, on the course of physical disability, assessed by items from the Katz Activities of Daily Living Scale, the Rosow-Breslau Functional Health Scale, and the Nagi Index. METHODS: A population-based longitudinal study was conducted, with 6 follow-up interviews of 3434 community-dwelling persons aged 65 years and older in East Boston, Mass. RESULTS: The likelihood of becoming disabled increased with each additional symptom of depression (for the Katz measure: odds ratio, 1.16 per symptom; 95% confidence interval, 1.13-1.19; for the Rosow-Breslau measure: odds ratio, 1.14; 95% confidence interval, 1.11-1.16; and for the Nagi measure: odds ratio, 1.17; 95% confidence interval, 1.14-1.19). As the number of depressive symptoms increased, the likelihood of recovering from a physical disability decreased (for the Katz measure: odds ratio, 0.96; 95% confidence interval, 0.93-0.99; for the Rosow-Breslau measure: odds ratio, 0.86; 95% confidence interval, 0.84-0.89; and for the Nagi measure: odds ratio, 0.89; 95% confidence interval, 0.87-0.91). This effect was not accounted for by age, sex, level of educational attainment, body mass index, or chronic health conditions. CONCLUSION: Mild depressive symptoms in older persons (those aged > or =65 years) are associated with an increased likelihood of becoming disabled and a decreased chance of recovery, regardless of age, sex, and other factors that contribute to physical disability.
    Source
    Arch Intern Med. 2000 Nov 13;160(20):3074-80.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/36836
    PubMed ID
    11074736; 11074736
    Related Resources
    Link to article in PubMed
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