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Impairment, disability and handicap as risk factors for depression in old age
 — the Gospel Oak Project V
Author(s)M J Prince, R H Harwood, R A Blizard
Journal titlePsychological Medicine, vol 27, no 2, 1997
Pagespp 311-321
KeywordsDepression ; Physical disabilities ; Evaluation ; Correlation ; Camden.
AnnotationAn association between disablement and late-life depression is often reported in cross-sectional studies. However, results of such studies must be interpreted cautiously because of likely bias and non-causal explanations for observed associations. This article reports on the longitudinal association between disablement and the onset and maintenance of depression in a survey of 654 out of 889 over 65s in Gospel Oak, London Borough of Camden. Depression was measured using SHORT-CARE, and the consequences of disease classified according to the WHO International Classification of Impairments, Disabilities and Handicaps. The prevalence of SHORT-CARE pervasive depression was 17%. Impairment, disability and particularly handicap were strongly associated with depression. Handicap explained most of the depression associated with individual impairments and disabilities. Adjusting for handicap abolished or weakened associations between depression and social support, income, older age, female gender and living alone. It seems likely that handicap is of central significance to late-life depression. Handicap may be more amenable to intervention than either impairment or disability. (RH).
Accession NumberCPA-971031203 A
ClassmarkENR: BN: 4C: 49: 82L8 *

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