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Prevalence and Risk Factors for Depression in a Longitudinal, Population-Based Study Including Individuals in the Community and Residential Care.

Von Sanden, Chwee Chwee; Sargent-Cox, Kerry; Luszcz, Mary A; Anstey, Kaarin

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OBJECTIVE: The authors report the population prevalence of depression in older adults living in the community and in residential care. Demographic, medical, health behavior, functional and cognitive measures, and transition to residential care are evaluated as risk factors for depression over eight years. METHODS: Depression prevalence estimates were obtained from the initial electoral role sample of the Australian Longitudinal Study of Ageing that included persons living in residential care. A...[Show more]

dc.contributor.authorVon Sanden, Chwee Chwee
dc.contributor.authorSargent-Cox, Kerry
dc.contributor.authorLuszcz, Mary A
dc.contributor.authorAnstey, Kaarin
dc.date.accessioned2015-12-08T22:20:00Z
dc.identifier.issn1545-7214
dc.identifier.urihttp://hdl.handle.net/1885/31801
dc.description.abstractOBJECTIVE: The authors report the population prevalence of depression in older adults living in the community and in residential care. Demographic, medical, health behavior, functional and cognitive measures, and transition to residential care are evaluated as risk factors for depression over eight years. METHODS: Depression prevalence estimates were obtained from the initial electoral role sample of the Australian Longitudinal Study of Ageing that included persons living in residential care. A subsample (N ≤ 1,116) based on follow-up data were included in longitudinal multilevel analyses that evaluated between-person and within-person predictors associated with scores from the Center for Epidemiology-Depression Scale. RESULTS: At wave 1, 14.4% of community-dwelling and 32.0% of residential care-dwelling participants were depressed (15.2% of total cases). Increase in depression was associated with antidepressant status, sex, education, and marital status, but not history of hypertension, stroke, diabetes, heart disease, or smoking. Time-varying predictors, including residential care, activities of daily living, instrumental activities of daily living, self-rated health, and Mini-Mental State Examination, predicted depressive symptoms both between and within persons. CONCLUSIONS: Depression is strongly linked with factors indicating increased dependency. Risk assessment and targeting of intervention strategies to prevent depression in late life should incorporate changes in functional capacity, mental status, and need for residential care. 00019442-200706000-00006.
dc.publisherLippincott Williams & Wilkins
dc.sourceAmerican Journal of Geriatric Psychiatry
dc.subjectKeywords: aged; article; Australia; community care; daily life activity; female; follow up; hospitalization; human; institutionalization; major depression; male; prevalence; residential care; residential home; statistics; aging; Center for Epidemiological Studies D Activities of daily living; Depression; Epidemiology; Institutionalization; Longitudinal study; Prevalence
dc.titlePrevalence and Risk Factors for Depression in a Longitudinal, Population-Based Study Including Individuals in the Community and Residential Care.
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume15
dc.date.issued2007
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationU4146231xPUB86
local.type.statusPublished Version
local.contributor.affiliationAnstey, Kaarin, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationVon Sanden, Chwee Chwee, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationSargent-Cox, Kerry, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationLuszcz, Mary A, Flinders University
local.description.embargo2037-12-31
local.bibliographicCitation.issue6
local.bibliographicCitation.startpage497
local.bibliographicCitation.lastpage505
local.identifier.doi10.1097/JGP.0b013e31802e21d8
local.identifier.absseo920410 - Mental Health
dc.date.updated2015-12-08T08:27:23Z
local.identifier.scopusID2-s2.0-34547670806
CollectionsANU Research Publications

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