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Instituto Nacional de Salud Pública

2007, Number 5

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salud publica mex 2007; 49 (5)

Depressive symptoms as a risk factor for dependence in elderly people.

Ávila-Funes JA, Melano-Carranza E, Payette H, Amieva H

Language: Spanish
References: 39
Page: 367-375
PDF size: 182.27 Kb.


ABSTRACT

Objetive. To determine the relationship between depressive symptoms and dependence in activities of daily living. Material and Methods. Participants, aged 70 to 104 (n= 1 880), were evaluated twice (2001 and 2003). Depressive symptoms were established by a modified version of Center for Epidemiologic Studies Depression scale, whereas functional dependence was assessed with Lawton & Brody and Katz scales. Dependence implies the attendance and assistance of another person to accomplish the activity. Multivariate regression analyses were used to determine the effect of depressive symptoms on incident dependence. Results. At baseline, 37.9% had depressive symptoms. After two years, 6.1 and 12.7% developed functional dependence for one or more ADL and IADL, respectively. Multivariate analyses showed that depressive symptoms were a risk factor to the development of functional dependence only for the instrumental activities for daily living. Conclusions. Depressive symptoms are a risk factor for functional dependence. Systematic screening it seems necessary in the evaluation of geriatric patients.


REFERENCES

  1. Blazer DG. Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci 2003;58:249-265.

  2. Blazer D, Williams CD. Epidemiology of dysphoria and depression in an elderly population. Am J Psychiatry 1980;137:439-444.

  3. Forsell Y, Winblad B. Incidence of major depression in a very elderly population. Int J Geriatr Psychiatry 1999;14:368-372.

  4. Bello M, Puentes-Rosas E, Medina-Mora ME, Lozano R. Prevalence and diagnosis of depression in Mexico. Salud Publica Mex 2005;47(suppl 1): S4-S11.

  5. Penninx BW, Guralnik JM, Ferrucci L, Simonsick EM, Deeg DJ, Wallace RB. Depressive symptoms and physical decline in community-dwelling older persons. JAMA 1998;279:1720-1726.

  6. Ávila-Funes JA, Garant MP, Aguilar-Navarro S. Relationship between determining factors for depressive symptoms and for dietary habits in older adults in Mexico. Rev Panam Salud Publica 2006;19:321-330.

  7. Mintz J, Mintz LI, Arruda MJ, Hwang SS. Treatments of depression and the functional capacity to work. Arch Gen Psychiatry 1992;49:761-768.

  8. Wells KB, Burnam MA, Rogers W, Hays R, Camp P. The course of depression in adult outpatients. Results from the Medical Outcomes Study. Arch Gen Psychiatry 1992;49:788-794.

  9. Von Korff M, Ormel J, Katon W, Lin EH. Disability and depression among high utilizers of health care. A longitudinal analysis. Arch Gen Psychiatry 1992;49:91-100.

  10. Ormel J, Von Korff M, Van den Brink W, Katon W, Brilman E, Oldehinkel T. Depression, anxiety, and social disability show synchrony of change in primary care patients. Am J Public Health 1993;83:385-390.

  11. Bruce ML, Leaf PJ, Rozal GP, Florio L, Hoff RA. Psychiatric status and 9-year mortality data in the New Haven Epidemiologic Catchment Area Study. Am J Psychiatry 1994;151:716-721.

  12. Broadhead WE, Blazer DG, George LK, Tse CK. Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA 1990;264:2524-2528.

  13. Gallo JJ, Rabins PV, Lyketsos CG, Tien AY, Anthony JC. Depression without sadness: functional outcomes of nondysphoric depression in later life. J Am Geriatr Soc 1997;45:570-578.

  14. World Health Organization. La Classification Internationale du Fonctionnement, du Handicap et de la Santé. [Consultado 14 febrero 2007]. Disponible en: http://www.who.int/fr/index.html.

  15. Gallego-Monje C. Vejez y protección social a la dependencia en Europa (recensión). Revista del Ministerio de Trabajo y Asuntos Sociales (revista electrónica) 2001;30. [Consultado12 febrero 2007]. Disponible en: http://premium.vlex.com/doctrina/Revista-Ministerio- Trabajo-Asuntos-Sociales/Vejez-proteccion-social-dependencia-Europarecension/ 2100-117478,01.html.

  16. Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med 1999;48:445-469.

  17. University of Pennsylvania. The Mexican Health and Aging Study. [Consultado 6 marzo 2007]. Disponible en: http://www.ssc.upenn.edu/mhas/.

  18. Katz S, Akpom CA. 12. Index of ADL. Med Care 1976;14:116-118.

  19. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179-186.

  20. Aguilar-Navarro SG, Fuentes-Cantú A, Ávila-Funes JA, García-Mayo E. Validez y confiabilidad del cuestionario para la depresión en adultos mayores de la Encuesta Nacional sobre Salud y Envejecimiento en México. Salud Publica Mex 2007;49:256-262.

  21. Brink TL, Yesavage JA, Lum O, Heersema PH, Adey M, Rose TL. Screening tests for geriatric depression. Clin Gerontol 1982;1:37-43.

  22. Glosser G, Wolfe N, Albert ML, Lavine L, Steele JC, Calne DB, et al. Cross-cultural cognitive examination: validation of a dementia screening instrument for neuroepidemiological research. J Am Geriatr Soc 1993;41:931-939.

  23. Luber MP, Meyers BS, Williams-Russo PG, Hollenberg JP, DiDomenico TN, Charlson ME, et al. Depression and service utilization in elderly primary care patients. Am J Geriatr Psychiatry 2001;9:169-176.

  24. Cronin-Stubbs D, de Leon CF, Beckett LA, Field TS, Glynn RJ, Evans DA. Six-year effect of depressive symptoms on the course of physical disability in community-living older adults. Arch Intern Med 2000;160:3074-3080.

  25. Barberger-Gateau P, Chaslerie A, Dartigues JF, Commenges D, Gagnon M, Salamon R. Health measures correlates in a French elderly community population: the PAQUID study. J Gerontol 1992;47:S88-S95.

  26. Davis KL, Davis BM, Mathe AA, Mohs RC, Rothpearl AB, Levy MI, et al. Age and the dexamethasone suppression test in depression. Am J Psychiatry 1984;141:872-874.

  27. Kronfol Z, House JD. Depression, cortisol, and immune function. Lancet 1984;1:1026-1027.

  28. Stein M, Miller AH, Trestman RL. Depression, the immune system, and health and illness. Findings in search of meaning. Arch Gen Psychiatry 1991;48:171-177.

  29. Miller AH, Spencer RL, McEwen BS, Stein M. Depression, adrenal steroids, and the immune system. Ann Med 1993;25:481-487.

  30. Ader R, Cohen N, Felten D. Psychoneuroimmunology: interactions between the nervous system and the immune system. Lancet 1995;345:99-103.

  31. Arborelius L, Owens MJ, Plotsky PM, Nemeroff CB. The role of corticotropin-releasing factor in depression and anxiety disorders. J Endocrinol 1999;160:1-12.

  32. Onyike CU, Crum RM, Lee HB, Lyketsos CG, Eaton WW. Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol 2003;158:1139-1147.

  33. Mussolino ME, Jonas BS, Looker AC. Depression and bone mineral density in young adults: results from NHANES III. Psychosom Med 2004;66:533-537.

  34. Fried LP, Hadley EC, Walston JD, Newman A, Guralnik JM, Studenski S, et al. From bedside to bench: research agenda for frailty. Sci Aging Knowledge Environ 2005;24.

  35. Katz IR. Depression and frailty: the need for multidisciplinary research. Am J Geriatr Psychiatry 2004;12:1-6.

  36. Dunlop DD, Hughes SL, Manheim LM. Disability in activities of daily living: patterns of change and a hierarchy of disability. Am J Public Health 1997;87:378-383.

  37. Barberger-Gateau P, Rainville C, Letenneur L, Dartigues JF. A hierarchical model of domains of disablement in the elderly: a longitudinal approach. Disabil Rehabil 2000;22:308-317.

  38. Gill TM, Allore H, Holford TR, Guo Z. The development of insidious disability in activities of daily living among community-living older persons. Am J Med 2004;117:484-491.

  39. Penninx BW, Leveille S, Ferrucci L, van Eijk JT, Guralnik JM. Exploring the effect of depression on physical disability: longitudinal evidence from the established populations for epidemiologic studies of the elderly. Am J Public Health 1999;89:1346-1352.




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