scholarly journals The Center for Epidemiologic Studies Depression Scale (CES-D): Is It Suitable for Use with Older Adults?

2015 ◽  
Vol 43 (1) ◽  
pp. 229-243 ◽  
Author(s):  
Maciej Górkiewicz ◽  
Izabela Chmiel
Keyword(s):  
Older Adults ◽  
Barthel Index ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Term Care ◽  
Psychometric Instruments ◽  
Patient Reported ◽  
Questionnaire Surveys ◽  
The One ◽  
Proper Values

Abstract With the aim of verifying the suitability of the CES-D scale for use in long-term care institutions for older adults, the CES-D questionnaire was used to collect patient-reported assessments, and two well-known psychometric instruments – the Hospital Anxiety and Depression Scale (HADS) and the Barthel Index of Abilities of Daily Living – were used to collect nurse-reported assessments, based on observations of patients’ behaviours. With regard to possible frequent cases of cognitive impairment and/or insufficient motivation to give sensible responses to CES-D questions, the patient-reported responses were collected from patients during one-on-one sessions with a nurse. The reliability, concurrent validity, and the trustworthiness of the obtained data were supported with proper values of the Cronbach’s alpha coefficient, 0.70 < alpha < 0.85, with significant correlation between CES-D and HADS-Depression, R = 0.50, p < 0.001, and with significant correlation between scores of particular CES-D items vs. final CES-D evaluations of depression, proved by significance p < 0.001 for 18 of 20 CES-D items. These findings supported the effectiveness of the one-on-one session methodology in questionnaire surveys for older adults. The postulation that cases of self-reported depression included somewhat different information about the patient than nurse-reported depression concerning the same patient was supported with the evidence that, in spite of the significant correlation between the Barthel Index and HADS-Depression, R = −0.17, p = 0.016, and in spite of the significant correlation between CES-D and HADS-Depression, the correlation between the Barthel Index and CES-D, equal to R = −0.08 was insignificant at p = 0.244. The findings of this study, considered jointly, support the valuableness of the CES-D scale for use in one-on-one surveys for older adults.

scholarly journals The Center for Epidemiologic Studies Depression scale (CES-D) in a mixed-mode repeated measurements design: sex and age effects in older adults

1999 ◽  
Vol 8 (2) ◽  
pp. 102-109 ◽  
Author(s):  
Sandra W. Geerlings ◽  
Aartjan T.F. Beekman ◽  
Dorly J.H. Deeg ◽  
Willem Van Tilburg ◽  
Jan H. Smit
Keyword(s):  
Older Adults ◽  
Mixed Mode ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Repeated Measurements ◽  
Age Effects

Assessing Longitudinal Invariance of the Center for Epidemiologic Studies-Depression Scale Among Middle-Aged and Older Adults

2015 ◽  
Vol 23 (2) ◽  
pp. 302-314 ◽  
Author(s):  
Mulubrhan F. Mogos ◽  
Jason W. Beckstead ◽  
Kevin E. Kip ◽  
Mary E. Evans ◽  
Roger A. Boothroyd ◽  
...  
Keyword(s):  
Older Adults ◽  
Structural Equation ◽  
Factor Model ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Equation Modeling ◽  
Middle Aged ◽  
Partial Invariance ◽  
Best Fitting

Background and Purpose: The longitudinal invariance of the Center for Epidemiologic Studies-Depression (CES-D) scale among middle-aged and older adults is unknown. This study examined the factorial invariance of the CES-D scale in a large cohort of community-based adults longitudinally. Methods: 1,204 participants completed the 20-item CES-D scale at 4 time points 1 year apart. Structural equation modeling was used to identify best fitting model using longitudinal data at baseline and at 1-, 2-, and 3-year follow-up. Results: The 4-factor model showed partial invariance over 3 years. Two of the 6 noninvariant items were consistently noninvariant at the 3 follow-up points. Conclusion: Special consideration should be given to these 2 items when using the CES-D scale in healthy adults (45–75 years old).

scholarly journals Family Proximity as a Moderator of Spousal Associations of Depression among Mexican Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 755-756
Author(s):  
Katie Newkirk ◽  
Maria Aranda ◽  
Catalina Mourgues-Codern ◽  
Ana Quiñones ◽  
Rafael Samper-Ternent ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Protective Factor ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Rate Of Change ◽  
Public Health Issue ◽  
Moderation Effect ◽  
Rate Of Increase ◽  
Mitigating Factors

Abstract Depression among older adults is a public health issue, and a large literature highlights the importance of close relationships as both a risk and protective factor for depression. Research in U.S. samples suggests that one spouse’s depressive symptoms can increase their partner’s depressive symptoms, especially for women (Kouros & Cummings, 2010; Tower & Kasl, 1996). Little is known about interpersonal associations in depression, mitigating factors, and the role of gender among older couples in Mexico. This study examined (1) the effects of an individual’s depressive symptoms on their spouse’s symptoms and 2) whether living close to family buffered depression associations using data from the Mexican Health and Aging Study (n=4,071 dyads, age 50+ at initial interview). Depressive symptoms were measured in 2001, 2003, 2012, 2015, and 2018 using a modified 8-item version of the Center for Epidemiologic Studies-Depression Scale. Multilevel modeling was used to fit a dual-intercept growth model (centered at 2012) of husbands’ and wives’ depressive symptoms over time, controlling for age and education. Results showed a partner effect for husbands and wives, such that having a spouse with greater depressive symptoms in 2001 was associated with greater subsequent depressive symptoms, but not with rate of change in symptoms, in 2012. There was also a moderation effect such that the deleterious effect of husbands’ depressive symptoms on wives’ symptoms, as well as rate of increase in symptoms, was higher when family lived nearby, suggesting family may potentially exacerbate depression associations among spouses rather than a buffering them as hypothesized.

Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

2020 ◽  
Vol 28 (5) ◽  
pp. 686-691
Author(s):  
Fabianna R. de Jesus-Moraleida ◽  
Paulo H. Ferreira ◽  
Juscelio P. Silva ◽  
André G.P. Andrade ◽  
Rosangela C. Dias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Short Version ◽  
Low Back ◽  
Cross Sectional

Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

scholarly journals Evidence of Bidirectional Associations Between Depressive Symptoms and Body Mass Among Older Adults

2019 ◽  
Vol 75 (8) ◽  
pp. 1689-1698 ◽  
Author(s):  
Charles F Emery ◽  
Deborah Finkel ◽  
Margaret Gatz ◽  
Anna K Dahl Aslan
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Body Mass ◽  
Depression Scale ◽  
Change Score ◽  
Epidemiologic Studies ◽  
Reciprocal Relationship ◽  
Bidirectional Associations ◽  
Age Range ◽  
Relationship Of

Abstract Objectives Body fat, measured with body mass index (BMI), and obesity are associated with depressive symptoms. Among younger adults there is stronger evidence of obesity leading to depressive symptoms than of depressive symptoms leading to obesity, but the temporal relationship is unknown among older adults. This study utilized dual-change-score models (DCSMs) to determine the directional relationship between body mass and depressive symptoms among older adults. Method Participants (n = 1,743) from the Swedish Twin Registry (baseline age range 50–96 years) completed at least one assessment of BMI (nurse measurement of height and weight) and the Center for Epidemiologic Studies-Depression scale (CESD). More than half the sample completed 3 or more assessments, scheduled at intervals of 2–4 years. DCSMs modeled the relationship of BMI and CESD across age, both independently and as part of bivariate relationships. Results Depressive symptoms contributed to subsequent changes in BMI after age 70, while BMI contributed to subsequent changes in depressive symptoms after age 82. Thus, there is a reciprocal relationship that may change with age. The effect was more pronounced for women. Discussion The association of BMI and depressive symptoms is bidirectional among older adults, and it appears to be affected by both age and sex.

Community reintegration: Therapeutic dining program for older adult following stroke

2009 ◽  
Vol 8 (3) ◽  
pp. 7-18
Author(s):  
Christina Harper
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Older Adult ◽  
Barthel Index ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Self Esteem ◽  
Depression Symptoms ◽  
Community Reintegration ◽  
Geriatric Depression

Therapeutic dining programs are part of the community reintegration process for clients recovering from a stroke. It is a supervised program performed in social settings that consists of a combination of techniques to improve the eating situation. Therapeutic dining programs are a beneficial form of therapy for many rehabilitative groups. This specific program has been tailored to older adults who are recovering from a stroke. Its main goals, aside from improving the eating situation, are to prevent another stroke from happening and decrease depression symptoms and increase self-esteem by reintegrating clients back into the community. I looked into several different community reintegration program and nutrition and eating after stroke studies in which positive outcomes were found for post-stroke clients. All studies and research used has provided a strong support for the specific proposed intervention program for my client Kelly, who is an older adult female recovering from a stroke. Assessments selected: The Barthel Index, Nutritional Status, and Geriatric Depression Scale (GDS). Plan: Small group therapeutic dining program with other older adults in the afternoon. Intervention: Therapeutic Dining Program three times a week for eight weeks to improve eating situation, promote healthy eating, decrease symptoms of depression, and increase self esteem and social activity. Evaluation: The Barthel Index, Nutritional Status, Geriatric Depression Scale plus a Stroke Recovery Scorecard. Clients Goals: 1) Client will lower the risks of having another stroke. 2) Client will increase their eating situation experience and self-esteem while decreasing their depression symptoms. 3) Client will get involved in one support group or leisure activity outside of recreational therapy (RT) dining program for community reintegrated leisure pursuits.

scholarly journals Prevalence of Psychological Frailty in Japan: NCGG-SGS as a Japanese National Cohort Study

2019 ◽  
Vol 8 (10) ◽  
pp. 1554 ◽  
Author(s):  
Hiroyuki Shimada ◽  
Sangyoon Lee ◽  
Takehiko Doi ◽  
Seongryu Bae ◽  
Kota Tsutsumimoto ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Depressive Mood ◽  
Cognitive Stimulation ◽  
Physical Frailty ◽  
Term Care ◽  
National Cohort ◽  
Using Data ◽  
Lifestyle Activities

There has been less research conducted on the psychological aspects of frailty than on the physical and cognitive characteristics of frailty. Thus, we aimed to define psychological frailty, clarify its prevalence, and investigate the relationship between psychological frailty and lifestyle activity or disability incidence in older adults in Japan. The participants in our study were 4126 older adults (average age 71.7 years) enrolled in the National Center for Geriatrics and Gerontology-i87uStudy of Geriatric Syndromes (NCGG-SGS). We characterized physical frailty of the following as ≥ 3: slow walking speed, muscle weakness, exhaustion, low physical activity, and weight loss. We used the Geriatric Depression Scale 15 items version (GDS-15) to screen for depressive mood, indicated by 5 points or more on the scale. The co-presence of physical frailty and depressive mood was defined as psychological frailty. The incidence of disability was determined using data from the Japanese long-term care insurance system over 49 months. We found that the prevalence of physical frailty, depressive mood, and psychological frailty were 6.9%, 20.3%, and 3.5%, respectively. Logistic regression indicated that the odds ratios for loss of lifestyle activities were significantly higher in participants with psychological frailty for going outdoors using the bus or train, driving a car, using maps to go to unfamiliar places, reading books or newspapers, cognitive stimulation, culture lessons, giving advice, attending community meetings, engaging in hobbies or sports, house cleaning, fieldwork or gardening, and taking care of grandchildren or pets. During the follow-up period, 385 participants (9.3%) developed a disability. The incidence of disability was associated with both physical and psychological frailty in the fully adjusted model. However, no significant association between disability and depressive mood was found. We conclude that individuals with psychological frailty had the highest risk of disability. Future policies should implement disability prevention strategies among older adults with psychological frailty.

scholarly journals Parenthood and depression: is childlessness similar to sonlessness among Chinese seniors?

2017 ◽  
Vol 38 (10) ◽  
pp. 2097-2121 ◽  
Author(s):  
MAJA DJUNDEVA ◽  
TOM EMERY ◽  
PEARL A. DYKSTRA
Keyword(s):  
Older Adults ◽  
Urban Areas ◽  
Panel Study ◽  
Depression Scale ◽  
Ordinary Least Squares ◽  
Epidemiologic Studies ◽  
Parental Status ◽  
Least Squares Regression ◽  
Gender Preferences ◽  
The Relationship

ABSTRACTWe investigate how the mental health of older adults (60–85) is associated with childlessness and sonlessness in China, where gender-biased filial expectations and strong son preference exist. The China Family Panel Study (2012, N = 6,021) and ordinary least squares regression models are used to investigate the relationship between depression (Center for Epidemiologic Studies – Depression scale) and parental status, distinguishing between childless, parents of both sons and daughters, parents of only sons and parents of only daughters. Arguing that modernisation shapes gender preferences for children as well as formal care and pension provisions for older adults, we find a sharp rural–urban divide in the relationship between parental status and depression. Just having a son is not what matters as the best faring groups are parents who have both sons and daughters, regardless of the number of children. Rural childless and sonless are similar, whereas in urban areas parental status is not so salient, supporting modernisation theory.

Validation of the Eight-Item Center for Epidemiologic Studies Depression Scale (CES-D) Among Older Adults

2014 ◽  
Vol 34 (4) ◽  
pp. 681-692 ◽  
Author(s):  
Jahanvash Karim ◽  
Robert Weisz ◽  
Zainab Bibi ◽  
Shafiq ur Rehman
Keyword(s):  
Older Adults ◽  
Depression Scale ◽  
Epidemiologic Studies

scholarly journals Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study

2021 ◽  
Vol 18 (20) ◽  
pp. 10776
Author(s):  
Akemi Endo ◽  
Yutaka Watanabe ◽  
Takae Matsushita ◽  
Kazutaka Okada ◽  
Yuki Ohara ◽  
...  
Keyword(s):  
Older Adults ◽  
Weight Loss ◽  
Barthel Index ◽  
Long Term Care ◽  
Weight Maintenance ◽  
Multivariate Logistic Regression Analysis ◽  
Term Care ◽  
Regular Diet ◽  
Care Facilities

Changing the food form for older adults requiring nursing care from a regular to dysphagia diet is thought to impact their nutritional status. We assessed the association between changes in food form and weight loss over 1 year in older adults. Older adults residing in long-term care facilities in Japan (n = 455) who participated in the baseline (2018) and follow-up (2019) surveys were divided into two groups (regular diet, n = 284; dysphagia diet, n = 171). The regular diet group was further divided into the weight loss (n = 80; weight loss ≥5% over 1 year) and weight maintenance (n = 204; weight loss <5%) groups. After 1 year, the Barthel Index significantly decreased, and the proportion of participants who switched from a regular diet to a dysphagia diet significantly increased in the weight loss group than in the weight maintenance group. Multivariate logistic regression analysis found that Barthel index variation (odds ratio (OR): 0.97, 95% confidence interval (CI): 0.94‒0.99), change from a regular diet to a dysphagia diet (OR: 4.41, 95% CI: 1.87‒10.41), and body weight at baseline (OR = 1.06, 95% CI: 1.01‒1.11) were significantly associated with weight loss. Our results suggest that maintaining the food form inhibits weight loss and improves health outcomes in older adults.

Sign in / Sign up

Export Citation Format

Share Document