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Depression, disability and functional status among community-dwelling older adults in South Africa
 — evidence from the first South African National Income Dynamics Study
Author(s)Andrew Tomita, Jonathan K Burns
Journal titleInternational Journal of Geriatric Psychiatry, vol 28, no 12, December 2013
PublisherWiley Blackwell, December 2013
Pagespp 1270-1279
Sourcewww.orangejournal.org
KeywordsDepression ; Living in the community ; Chronic illness ; Physical disabilities ; Mobility ; Longitudinal surveys ; South Africa.
AnnotationThis study examined the relationship between depression and functional status among a community-dwelling population of 65 years and older in South Africa. Data from the first wave of the South African National Income Dynamics Study were used, this being the first longitudinal panel survey of a nationally representative sample of households. The study focused on the data for resident adults aged 65 years and older. Depression was assessed using the 10-item version of the Center for Epidemiologic Studies Depression Scale. Functional status, pertaining to both difficulty and dependence in activities of daily living (ADL), instrumental activities of daily living (IADL), and physical functioning and mobility (PFM), were assessed using 11 items. Functional challenges were generally higher in the older age group. There was a significant association between depression and functional dependence in ADL, IADL and PFM, but the relationship between depression and functional status, particularly PFM, appeared weaker in older age. These findings demonstrate that the relationship between depression symptoms and function is complex. Functional characteristics between older and younger old populations are diverse, and caution is indicated against overgeneralising the challenges related to depression and function among this target population. (JL).
Accession NumberCPA-131115212 A
ClassmarkENR: K4: CI: BN: C4: 3J: 7PM

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