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Late-Life Depressive Symptoms Are Associated With Functional Impairment Cross-sectionally and Over Time: Results of the AgeMooDe Study
- Source :
- The journals of gerontology / B 75(4), 811-820 (2018). doi:10.1093/geronb/gby083
- Publication Year :
- 2018
-
Abstract
- OBJECTIVES This study examines the relationship between late-life depressive symptoms, cognitive and functional impairment in a cohort of very old community-based participants. METHODS A sample of 1,226 primary care patients was assessed at baseline (Mage = 80.6 years). Statistical analyses were conducted using baseline and 12-month follow-up data. RESULTS At baseline, depressed participants showed minor cognitive deficits compared with nondepressed participants, whereas functional deficits were pronounced. Depressive symptoms and global cognition were not associated longitudinally. In contrast, follow-up functional impairment was predicted by baseline level and increase of depressive symptoms between baseline and follow-up. Reversely, follow-up depressive symptoms were predicted by functional decline between baseline and follow-up, whereas baseline functional status was not predictive. DISCUSSION Depressive symptoms and global cognitive function were not associated longitudinally, but level and increase of depressive symptoms over time predicted functional impairment after 1 year. Interventions to reduce depressive symptoms, or to encourage coping strategies might be promising to reduce functional impairment. Elevated follow-up depressive symptoms were only predicted by functional decline, supposedly emphasizing that incident functional impairment might be associated with an acute increase of depressive symptoms. Psychological adjustment processes were not examined, but might be targeted in future.
- Subjects :
- Male
Aging
Functional impairment
Activities of daily living
Social Psychology
Psychological intervention
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Risk Factors
ddc:570
complications [Depression]
Activities of Daily Living
psychology [Aging]
Medicine
Humans
Cognitive Dysfunction
Longitudinal Studies
Geriatric Assessment
Depression (differential diagnoses)
Depressive symptoms
Aged
Aged, 80 and over
030214 geriatrics
business.industry
Depression
Age Factors
Cognition
Clinical Psychology
psychology [Depression]
psychology [Activities of Daily Living]
Cohort
Functional status
Female
psychology [Cognitive Dysfunction]
Geriatrics and Gerontology
complications [Cognitive Dysfunction]
business
Gerontology
030217 neurology & neurosurgery
Clinical psychology
Follow-Up Studies
Subjects
Details
- ISSN :
- 17585368
- Volume :
- 75
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The journals of gerontology. Series B, Psychological sciences and social sciences
- Accession number :
- edsair.doi.dedup.....b8cf54aabd84bdb189964b24472a7427