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Depression in relation to purpose in life among a very old population
 — a five-year followw-up study
Author(s)Pia Hedberg, Yngve Gustafson, Lena Alex
Journal titleAging & Mental Health, vol 14, no 6, August 2010
PublisherTaylor & Francis, August 2010
Pagespp 757-763
Sourcehttp://www.tandfonline.com
KeywordsOctogenarians ; Nonagenarians ; Centenarians ; Life satisfaction ; Attitude ; Spiritual characteristics [elderly] ; Cross sectional surveys ; Longitudinal surveys ; Sweden.
AnnotationA cross-sectional study of 189 participants (120 women and 69 men) aged 85-103 years living in a county in northern Sweden investigated the relationship between purpose in life and depression. In a five-year follow-up, the study also investigated whether purpose in life, adjusted for different background characteristics, can prevent very old men and women from developing depression. Those who had not been diagnosed as depressed at baseline (n = 78) were included in the five-year follow-up study. Depression was assessed using the Geriatric Depression Scale-15 (GDS-15), the Organic Brain Syndrome scale, the Montgomery-Aringsberg Depression Rating Scale (MADRS), and Diagnostic and Statistical Manual of Mental Disorders-IV criteria (DSM-IV). Purpose in life was assessed with the Purpose in Life (PIL) scale. In the cross-sectional study, 40 participants out of 189 (21.2%) were depressed, and those with depression had significantly lower PIL scores (mean score 107 vs. 99, p = 0.014). In the follow-up study, 78 persons were available for the assessment of depression. Of those, 21 (26.9%) were diagnosed as depressed and their mean PIL score at baseline was 106 (SD = 17.4) versus 108 (SD = 16.0, p = 0.750) among those not depressed. Using multivariate logistic regression analysis controlling for possible confounders, the authors found no association between purpose in life and the risk of developing depression after five years (OR = 1.0, 95% CI 0.97-1.03). The results show a significant inverse relationship between purpose in life and depression in the cross-sectional study; however, a high PIL score does not seem to serve very old people as a protection against the risk of developing depression. (KJ/RH).
Accession NumberCPA-101014213 A
ClassmarkBBM: BBR: BBT: F:5HH: DP: EX: 3KB: 3J: 76P

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