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Impact of late-life self-reported emotional problems on disability-free life expectancy
 — results from the MRC Cognitive Function and Ageing Study
Author(s)Karine Pérès, Carol Jagger, Fiona E Matthews
Journal titleInternational Journal of Geriatric Psychiatry, vol 23, no 6, June 2008
Pagespp 643-649
Sourcehttp://www.interscience.wiley.com
KeywordsPhysical disabilities ; Depression ; Good Health ; Life expectancy tables ; Longitudinal surveys ; Cambridgeshire ; Gwynedd ; Newcastle upon Tyne ; Nottingham ; Oxford.
AnnotationDepression in old age is a major public health problem, though its relationship to onset of disability and death is not well understood. Longitudinal analysis of 11022 individuals from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS) in Cambridgeshire, Newcastle, Nottingham, Oxford, Gwynedd and Liverpool have been followed at intermittent times intervals over 10 years. Subjects reporting at baseline that they had consulted about emotional problems for the first time since the age of 60 were considered along with a subgroup where a general practitioner suggested depression. Disability was defined as an IADL or ADL disability that required help at lest once a week. Total Disability-Free Life Expectancy (TLE or DFLE) were calculated using multi-state models, separately by gender, and with presence of emotional problems of depression and multi-morbidity as covariates. Emotional problems after age 50 before first interview resulted in significantly reduced remaining years without disability. The effect of depression was most marked in the subgroup of older people with three or more other health conditions. (RH).
Accession NumberCPA-080717206 A
ClassmarkBN: ENR: CD: S7: 3J: 8C: 98: 86A: 8NTF: 8OC

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