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The longitudinal relationship between the use of long-term care and depressive symptoms in older adults
Author(s)Anne Margriet Pot, Dorly J H Deeg, Jos W R Twisk
Journal titleThe Gerontologist, vol 45, no 3, June 2005
Pagespp 359-369
Sourcehttp://www.geron.org
KeywordsHome care services ; Nursing homes ; Informal care ; Usage [services] ; Depression ; Symptoms ; Living in the community ; Correlation ; Longitudinal surveys ; Netherlands.
AnnotationThe longitudinal relationship between transitions in the use of long-term care and older people's depressive symptoms is examined, also whether this relationship could be explained by markers of older people's underlying health, or other variables, e.g. demographics, personality and partner status. Data were from the Longitudinal Ageing Study Amsterdam (LASA), a random community-based sample of 3107 Dutch older people aged 55-85, stratified by age and gender. The use of informal care, professional home care and institutional care was recorded, and respondents were screened on depressive symptoms. Follow-up measurement took place at 3 and 6 years. Longitudinal analyses showed significant association between the enduring use of professional long-term care and an increase in depressive symptoms. Transitions to professional home care were also associated with considerably more depressive symptoms after 3 years, whereas transitions from professional home care to institutional care to no care or informal care only were not associated with a change in depressive symptoms. Most of the associations remained significant after indicators of underlying health and other covariates were adjusted for, and also after data were re-analysed for respondents with and without functional limitations. The authors' analyses illuminate the concerns of older people regarding their use of professional long-term care, and may help in planning for more effective delivery of this type of care. (RH).
Accession NumberCPA-070904204 A
ClassmarkNH: LHB: P6: QLD: ENR: CT: K4: 49: 3J: 76H

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