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What symptoms of depression predict mortality in community-dwelling elders?
Author(s)Dan G Blazer, Celia F Hybels
Journal titleJournal of the American Geriatrics Society, vol 52, no 12, December 2004
Pagespp 2052-2056
Sourcehttp://www.americangeriatrics.org http://www.blackwellpublishing.com
KeywordsBlack people ; Depression ; Symptoms ; Living in the community ; Death ; Longitudinal surveys ; United States of America.
AnnotationData are from the Duke Established Populations for Epidemiologic Studies of the Elderly, EPESE (North Carolina), a 10-year study, the sample comprising 4,1612 African-Americans and Whites aged 65 to 105 at baseline (mean age 73). Sociodemographic and health factors and four sub-scales of the Center for Epidemiologic Studies Depression scale (CES-D) - negative affect, positive affect, somatic symptoms, and interpersonal function - were determined at baseline (1986-87). Mortality was assessed over 10 years of follow-up to 1996. 51% of the sample died over the 10-year follow-up. By controlled Cox proportional hazards modelling, those who scored lower on the positive affect scale were significantly more likely to die over the 10-year follow-up. For those who scored higher on the other three scales, there was no increased risk for mortality in controlled analyses. These findings suggest that subjective views may be more important predictors of mortality in older people than the classic symptoms of depression, such as negative affect and somatic symptoms. (RH).
Accession NumberCPA-050215209 A
ClassmarkTKE: ENR: CT: K4: CW: 3J: 7T

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