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Centre for Policy on Ageing | |
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| Depressive symptoms and frailty | | Author(s) | Philip D St John, Suzanne L Tyas, Patrick R Montgomery |
| Journal title | International Journal of Geriatric Psychiatry, vol 28, no 6, June 2013 |
| Publisher | Wiley, June 2013 |
| Pages | pp 607-614 |
| Source | www.orangejournal.org |
| Keywords | Ill health ; Chronic illness ; Depression ; Measurement. |
| Annotation | Frailty and depressive symptoms are common issues facing older adults and may be associated. The purpose of the present study was to determine whether: (i) depressive symptoms are associated with frailty; (ii) there is a gradient in this effect across the range of depressive symptoms; and (iii) the association between depressive symptoms and frailty is specific to particular types of depressive symptoms (positive affect, negative affect, somatic complaints and interpersonal relations). A secondary analysis of a population-based study originally carried out in 1991 was conducted in which 1,751 community-living adults aged 65+ years were interviewed. Depressive symptoms were measured using the Center for Epidemiologic Studies-Depression (CES-D) scale. Frailty was graded from 0 (no frailty) to 3 (moderate/severe frailty). Age, gender, education, marital status, self-rated health and the number of comorbid conditions were self-reported. Logistic regression models were constructed with the outcome of no frailty/urinary incontinence only versus frailty. Overall results show that depressive symptoms were strongly associated with frailty, and there was a gradient effect across the entire range of the CES-D scale. The odds ratio and 95% confidence interval was 1.08 (1.06, 1.09) per point of the CES-D in unadjusted models. After potential confounding factors were adjusted, the adjusted odds ratio (95% confidence interval) was 1.03 (1.01, 1.05). Positive affect, negative affect and somatic complaints were all associated with frailty, whereas interpersonal relations were not. (JL). |
| Accession Number | CPA-130531210 A |
| Classmark | CH: CI: ENR: 3R |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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