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A longitudinal study of chronic disease and depressive symptoms in a community sample of older people
Author(s)O F Dent, L M Waite, H P Bennett
Journal titleAging & Mental Health, vol 3, no 4, November 1999
Pagespp 351-358
Sourcehttp://www.tandfonline.com
KeywordsChronic illness ; Depression ; Symptoms ; Living in the community ; Longitudinal surveys ; Australia.
AnnotationPrevious research on the association between illness and depression in older people has relied on self-reported diagnoses with their inherent limitations in scope and reliability. This Australian longitudinal study examined the association between depressive symptoms and medically diagnosed chronic physical and neurodegenerative diseases and disability in community-living older people. Some 300 over-75s underwent a clinical interview and medical examination with a doctor experienced in geriatric medicine in 1992 and again in 1995. Examination included diagnoses of chronic acute medical illness, a standardised neurological examination, as assessment of functional disability and an abbreviated neuropsychological assessment. Depressive symptoms were assessed by the Center for Epidemiological Studies - Depression (CES-D) scale. Analyses of concurrent and longitudinal associations and the impact of incident disease showed very few independent connections between individual diseases or the total burden of disease and depressive symptoms. However, in every circumstance, disability had a marked independent impact on depressive symptoms. (RH).
Accession NumberCPA-001018210 A
ClassmarkCI: ENR: CT: K4: 3J: 7YA

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