The longitudinal association between depressive symptoms and functional abilities in older patients

2020 ◽  
Vol 137 ◽  
pp. 110195
Author(s):  
Lucienne A. Reichardt ◽  
Floor E. Nederveen ◽  
Rosanne van Seben ◽  
Jesse J. Aarden ◽  
Marike van der Schaaf ◽  
...  
2020 ◽  
Vol 8 (2) ◽  
pp. e001789
Author(s):  
Teresa Alvarez-Cisneros ◽  
Paloma Roa-Rojas ◽  
Carmen Garcia-Peña

IntroductionSeveral studies have argued a causal relationship between diabetes and depression, while others have highlighted that their association is a result of common risk factors. Because Mexico is a country with a high prevalence of diabetes, and diabetes and depression are a frequent comorbidity, we chose this country to investigate the longitudinal relationship of these two conditions, focusing on the influence of demographic, health, and socioeconomic factors which could act as common risk factors for both conditions.Research design and methodsUsing the harmonized Mexican Health and Aging Study, a nationally representative sample of adults older than 50 with a response rate of 93%, we analyzed the longitudinal relationship of diabetes and depressive symptoms using ‘between-within’ random-effects models, focusing on the effect of demographic, socioeconomic and health factors.ResultsWhile older adults with diabetes reported a higher prevalence of depressive symptoms in the four waves of the study, there was no causal longitudinal association between them once controlling for demographic, socioeconomic and health factors (between-effect OR=0.88, 95% CI 0.77 to 1.01; within-effect OR=0.87, 95% CI 0.69 to 1.11).ConclusionsThere is no causal longitudinal association between diabetes and depression; the higher prevalence of depression among older adults with diabetes seems a result of socioeconomic and health factors that are not exclusive to respondents with diabetes but are more frequent in this group. Our results highlight the importance of prevention and control of chronic conditions as well as the role of socioeconomic inequalities in mental health.


Author(s):  
Ricardo López-Bernués ◽  
Yolanda Marcén ◽  
Ana I. Sieso

Psychiatric disorders are present in dementia (Cognitive damage) and they are part of the psychological and behavioral dementias (SPCD), which are present in almost every patient and a very important cause for psychogeriatric patients´admission. Methodology: Cognitive damage was analysed (MEC de Lobo, Pfeiffer test and semantic and verbal fluency) and functional abilities in elderly inpatients, who were older than 65 years old, were also analysed (Barthel test) for 3 months. Relating these to the different sociodemographic variables. Results: Half of the 18 patients who were analyzed and studied, had any type of depressive symptoms and between 22-44% showed some signs of cognitive damage according to the test used to sieve. Discussion/Conclusions: Psychiatric disorders measured with NPI are directly related to the disability degree for AVD´s and at the same time, this is related to the admission span. The different percentages which affect cognitive damage according to the test used, shows the importance of the correct test´s choice depending on the studied population and the type of analysis accomplished.


2018 ◽  
Vol 32 (6) ◽  
pp. 653-671 ◽  
Author(s):  
M. Masselink ◽  
E. Van Roekel ◽  
B.L. Hankin ◽  
L. Keijsers ◽  
G.M.A. Lodder ◽  
...  

Many longitudinal studies have investigated whether self–esteem predicts depressive symptoms (vulnerability model) or the other way around (scar model) in adolescents. The most common method of analysis has been the cross–lagged panel model (CLPM). The CLPM does not separate between–person effects from within–person effects, making it unclear whether the results from previous studies actually reflect the within–person effects or whether they reflect differences between people. We investigated the associations between self–esteem and depressive symptoms at the within–person level, using random intercept cross–lagged panel models (RI–CLPMs). To get an impression of the magnitude of possible differences between the RI–CLPM and the CLPM, we compared the results of both models. We used data from three longitudinal adolescent samples (age range: 7–18 years; study 1: N = 1948; study 2: N = 1455; study 3: N = 316). Intervals between the measurements were 1–1.5 years. Single–paper meta–analyses showed support for small within–person associations from self–esteem to depressive symptoms, but not the other way around, thus only providing some support for the vulnerability model. The cross–lagged associations in the aggregated RI–CLPM and CLPM showed similar effect sizes. Overall, our results show that over 1– to 1.5–year time intervals, low self–esteem may negatively influence depressive symptoms over time within adolescents, but only weakly so. © 2018 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology


2010 ◽  
Vol 18 (9) ◽  
pp. 853-857 ◽  
Author(s):  
John Kasckow ◽  
Ian Fellows ◽  
Shahrokh Golshan ◽  
Ellen Solorzano ◽  
Thomas Meeks ◽  
...  

Assessment ◽  
2018 ◽  
Vol 27 (7) ◽  
pp. 1383-1398 ◽  
Author(s):  
Rebecca M. Saracino ◽  
Heining Cham ◽  
Barry Rosenfeld ◽  
Christian J. Nelson

The aging of America will include a significant increase in the number of older patients with cancer, many of whom will experience significant depressive symptoms. Although geriatric depression is a well-studied construct, its symptom presentation in the context of cancer is less clear. Latent profile analysis was conducted on depressive symptoms in younger (40-64 years) and older (≥65 years) patients with cancer ( N = 636). The sample was clinically heterogeneous (i.e., included all stages, dominated by advanced stage disease). Participants completed questionnaires including the Center for Epidemiological Studies Depression Scale, which was used for the latent profile analysis. A four-class pattern was supported for each age group. However, the four-class pattern was significantly different between the younger and older groups in terms of the item means within each corresponding latent class; differences were primarily driven by severity such that across classes, older adults endorsed milder symptoms. An unexpected measurement issue was uncovered regarding reverse-coded items, suggesting that they may generate unreliable scores on the Center for Epidemiological Studies Depression Scale for a significant subset of patients. The results indicate that cancer clinicians can expect to see depressive symptoms along a continuum of severity for patients of any age, with less severe symptoms among older patients.


2012 ◽  
Vol 40 (8) ◽  
pp. 2335-2341 ◽  
Author(s):  
Dimitry S. Davydow ◽  
Catherine L. Hough ◽  
Kenneth M. Langa ◽  
Theodore J. Iwashyna

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