Predictors of depressive symptoms in older people--a survey of two general practice populations.

Abstract:

BACKGROUND:Studies have shown strong associations between disability, social support and depressive symptoms in older people; but socio-economic effects are less clear and little is known about the role of health locus of control. OBJECTIVE:To examine the roles of physical health, disability, social support, socio-economic factors and health locus of control as predictors of depressive symptoms in older people. METHOD:A postal survey of patients aged >/= 65 years from two London practices. Outcome measure was a score of > 5 on the 15-item Geriatric Depression Scale. Associations with other factors were examined using logistic regression and expressed as odds ratios. RESULTS:70.4% (1602/2276) responded and provided Geriatric Depression Score 15 data, with 23.8% (381/1602) scoring > 5. After adjusting for age, sex and practice, high depression scores were associated with: (i) physical health and disability [e.g. severe versus no disability odds ratio 26.9 (15.7-46.2)]; (ii) social support [e.g. dissatisfaction with support odds ratio 4.2 (3.2-5.6)]; (iii) socio-economic [e.g. no occupational pension odds ratio 1.9 (1.5-2.4)]; (iv) health locus of control [e.g. internality 0.6 (0.6-0.7)]. After adjusting for disability, associations with general measures of physical health were reduced but still significant, while associations with social support, socio-economic factors, and health locus of control were unaffected. All four groups of factors were included in a final model for predicting depressive symptoms. CONCLUSIONS:Disability, physical health, social support, socio-economic factors, and health locus of control were all independent depression score predictors in this study. This has implications for measures to reduce depressive symptoms in older people.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Harris T,Cook DG,Victor C,Rink E,Mann AH,Shah S,DeWilde S,Beighton C

doi

10.1093/ageing/afg087

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

510-8

issue

5

eissn

0002-0729

issn

1468-2834

journal_volume

32

pub_type

杂志文章
  • Improving the recording of the clinical assessment of stroke patients using a clerking pro forma.

    abstract::In this study we examine whether the introduction of a clerking pro forma improves the completeness of the recording of the management of stroke patients and we review methodological issues important in this type of audit. We prospectively identified 244 consecutive stroke patients before and after the introduction of...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.1.43

    authors: Davenport RJ,Dennis MS,Warlow CP

    更新日期:1995-01-01 00:00:00

  • Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study.

    abstract:BACKGROUND AND OBJECTIVE:previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effect...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afv064

    authors: Karinkanta S,Kannus P,Uusi-Rasi K,Heinonen A,Sievänen H

    更新日期:2015-09-01 00:00:00

  • Review: xerostomia: a symptom which acts like a disease.

    abstract::This review considers the changes in salivary glands associated with ageing and concludes that there is no evidence to show that xerostomia is likely to result from the ageing process alone. The four main factors causing xerostomia are presented and it can be seen that the condition is a side-effect of diseases and th...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/25.5.409

    authors: Ettinger RL

    更新日期:1996-09-01 00:00:00

  • Upper gastro-intestinal endoscopy for Chinese elderly in an acute geriatric unit: a review.

    abstract::From December 1982 to August 1983, a total of 242 oesophago-gastro-duodenoscopies were performed for 208 elderly patients in the Geriatric Unit, Princess Margaret Hospital, Hong Kong. These were done as part of an investigatory procedure in the Geriatric Unit, the first of its kind in Hong Kong. In the 9-month survey,...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/13.5.285

    authors: Lee YC,Tam HC

    更新日期:1984-09-01 00:00:00

  • Low-molecular-weight heparin-associated fat necrosis of the breast.

    abstract::Fat necrosis of the breast is a well-recognised complication of unfractionated heparin. The following is a case of fat necrosis due to low-molecular-weight heparin in a 91-year-old woman admitted to hospital with unstable angina. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi032

    authors: Das AK

    更新日期:2005-03-01 00:00:00

  • Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE).

    abstract:BACKGROUND:Frailty was shown to be associated with psychosocial risk factors, but there are few longitudinal data. METHODS:We used data from waves 5 and 6 of the Survey of Health Aging Retirement in Europe (SHARE) to study the contribution of loneliness and social isolation to transitions towards frailty defined accor...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa168

    authors: Jarach CM,Tettamanti M,Nobili A,D'avanzo B

    更新日期:2021-01-08 00:00:00

  • Proximity to death is associated with frequency of GP contacts in the oldest old: the Leiden 85-plus study.

    abstract:BACKGROUND:the relationship between proximity to death and the amount of care provided by general practitioners (GPs) is largely unknown. OBJECTIVE:to examine the influence of the proximity to death on the frequency and length of GP contacts in the oldest old. STUDY DESIGN:this population-based follow-up study includ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs062

    authors: Blom JW,Lemmens SP,Assendelft WJ,Eekhof JA,Gussekloo J

    更新日期:2012-11-01 00:00:00

  • Institutionalization and the elderly: international comparisons.

    abstract::This paper is an exploratory attempt to examine international differences in the proportion of old people living in non-private households. The aim of the study was to provoke further discussion of the role which institutions play in the care of the elderly in various settings and to examine the effect of certain demo...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/13.3.129

    authors: Grundy E,Arie T

    更新日期:1984-05-01 00:00:00

  • Validity of direct assessment of functional status as a tool for measuring Alzheimer's disease severity.

    abstract:OBJECTIVE:to assess the validity of the Direct Assessment of Functional Status (DAFS) performance-based functional scale for the staging of dementia severity by comparing it with established clinical, functional and cognitive scales. PATIENTS AND METHODS:93 consecutive Alzheimer's disease patients underwent DAFS. Soci...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.5.615

    authors: Zanetti O,Frisoni GB,Rozzini L,Bianchetti A,Trabucchi M

    更新日期:1998-09-01 00:00:00

  • A preliminary study of dietary aluminium intake and risk of Alzheimer's disease.

    abstract:BACKGROUND:epidemiological studies of Alzheimer's disease and aluminium intake have focused on aluminium in drinking water. There have been no studies investigating the relation between the disease and the consumption of foods containing large amounts of aluminium additives. OBJECTIVES:to conduct a pilot study to dete...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/28.2.205

    authors: Rogers MA,Simon DG

    更新日期:1999-03-01 00:00:00

  • Plasma leptin levels are not predictive of dementia in patients with mild cognitive impairment.

    abstract:BACKGROUND:animal studies suggest a neuroprotective role for leptin, but human studies have shown mixed results. We examined whether plasma leptin levels in individuals with mild cognitive impairment (MCI) were related to cognitive function at baseline and whether higher leptin levels were associated with reduced risk ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu160

    authors: Oania R,McEvoy LK

    更新日期:2015-01-01 00:00:00

  • The association of visual field deficits and visuo-spatial neglect in acute right-hemisphere stroke patients.

    abstract:BACKGROUND:Visuo-spatial neglect (VSN) after stroke is associated with a poor prognosis for rehabilitation. The co-existence of a visual field deficit (VFD) with VSN may be associated with impaired visuo-spatial functioning and thereby poor functional outcome. OBJECTIVE:To determine whether the presence of a VFD (i) e...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/28.3.257

    authors: Cassidy TP,Bruce DW,Lewis S,Gray CS

    更新日期:1999-05-01 00:00:00

  • Estimating total Barthel scores from just three items: the European Stroke Database 'minimum dataset' for assessing functional status at discharge from hospital.

    abstract:BACKGROUND:The European Stroke Database (ESDB) Project aims to develop a 'common clinical language' for stroke care by agreeing on terminology, definitions and clinical assessments. Each area of stroke assessment has a 'minimum dataset', which can be collected routinely and more detailed information can be added for pa...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.2.115

    authors: Ellul J,Watkins C,Barer D

    更新日期:1998-03-01 00:00:00

  • The demise of the Liverpool Care Pathway: should we ban the highway code because of bad drivers?

    abstract::The Neuberger report failed to show that the Liverpool Care Pathway was the cause of poor end-of-life care and made it the scapegoat for poor communication and faulty decision-making. The report's discrediting of a quality assurance mechanism that had the potential for improvement is a disservice to dying patients. Se...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft195

    authors: Regnard C

    更新日期:2014-03-01 00:00:00

  • Analysis of the diminished skin perfusion in elderly people by laser Doppler flowmetry.

    abstract::Clinical observations suggest an age-associated decline in skin perfusion but there are few quantitative in vivo data on skin perfusion at various ages. We studied skin perfusion of the dorsum of the foot by determining the capillary blood flow velocity (CBFV) expressed in millivolts (mV), using laser Doppler flowmetr...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/21.4.237

    authors: Weiss M,Milman B,Rosen B,Eisenstein Z,Zimlichman R

    更新日期:1992-07-01 00:00:00

  • The effects of discontinuing long-term diuretic therapy in the elderly.

    abstract::The effects of discontinuing long-term diuretic therapy were investigated by means of a double-blind randomized controlled trial. A total of 141 elderly patients in the long-stay wards of six hospitals were found to be taking maintenance diuretics, and for 33 of these the drugs were judged to be mandatory. Of the rema...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/6.1.38

    authors: Burr ML,King S,Davies HE,Pathy MS

    更新日期:1977-02-01 00:00:00

  • Fixing the broken image of care homes, could a 'care home innovation centre' be the answer?

    abstract::The UK has many excellent care homes that provide high-quality care for their residents; however, across the care home sector, there is a significant need for improvement. Even though the majority of care homes receive a rating of 'good' from regulators, still significant numbers are identified as requiring 'improveme...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw154

    authors: Hockley J,Harrison JK,Watson J,Randall M,Murray S

    更新日期:2017-03-01 00:00:00

  • Lesson of the week: perils of pessaries.

    abstract::Vaginal pessaries are widely considered to be a safe alternative to surgery in older women. We report a case of near fatal septicaemia in a 75-year-old woman associated with a shelf pessary, the presence of which was identified during an exploratory laparotomy. This case highlights the importance of the gynaecological...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh170

    authors: Wheeler LD,Lazarus R,Torkington J,O'Mahony MS,Woodhouse KW

    更新日期:2004-09-01 00:00:00

  • Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial.

    abstract:BACKGROUND:nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement. OBJECTIVE:the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia. METHODS:this was a randomised controlled trial of 104 patients with acute...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/ageing/afq088

    authors: Beavan J,Conroy SP,Harwood R,Gladman JR,Leonardi-Bee J,Sach T,Bowling T,Sunman W,Gaynor C

    更新日期:2010-09-01 00:00:00

  • Impact of lifestyle factors on fracture risk in older patients with cardiovascular disease: a prospective cohort study of 26,335 individuals from 40 countries.

    abstract:BACKGROUND:fractures are a major health concern among the elderly. People at risk for cardiovascular disease (CVD) are at an increased risk for fractures. The aim of this study was to assess the individual and combined effect of the CVD risk factors of smoking, alcohol consumption and physical activity on fracture risk...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afu009

    authors: Khatib R,Yusuf S,Barzilay JI,Papaioannou A,Thabane L,Gao P,Joseph PG,Teo K,Mente A

    更新日期:2014-09-01 00:00:00

  • Four-year clinical results of transcatheter self-expanding Medtronic CoreValve implantation in high-risk patients with severe aortic stenosis.

    abstract:BACKGROUND:transcatheter aortic valve implantation (TAVI) has emerged as an alternative to surgical aortic valve replacement for patients with severe aortic stenosis considered inoperable or at high operative risk, but the long-term outcome remains unknown. HYPOTHESIS:we assessed the 4-year clinical and echocardiograp...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw038

    authors: Thomopoulou S,Vavuranakis M,Karyofyllis P,Kariori M,Karavolias G,Balanika M,Smyrli A,Stefopoulos C,Sbarouni E,Moldovan C,Khoury M,Stefanadis C,Voudris V

    更新日期:2016-05-01 00:00:00

  • An unusual cause of bruising in an 80-year-old woman.

    abstract:PRESENTATION:a previously fit 80-year-old woman presented with a 2-week history of spontaneous and extensive bruising affecting all four limbs. The severity was such that she required a transfusion of 8 units of blood. RESULTS OF INVESTIGATIONS:a markedly prolonged activated partial thromboplastin time which was only ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/29.3.261

    authors: Kelly J,Gattens M,Geraghty R

    更新日期:2000-05-01 00:00:00

  • Acute appendicitis in the elderly: a 5-year retrospective study.

    abstract::Acute appendicitis in elderly patients has not been studied extensively in the United Kingdom. Studies were performed prior to the regular use of broad spectrum antibiotics and tended to include younger patients. We studied retrospectively all elderly patients (n = 30, mean age = 72 years) who presented in the years 1...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.4.256

    authors: McCallion J,Canning GP,Knight PV,McCallion JS

    更新日期:1987-07-01 00:00:00

  • Metabolic effects of digitalis.

    abstract::In a study of two representative population samples of 70-year-olds, one of which was followed up at 75 years of age, digitalis treatment was associated with oestrogen-like metabolic effects, indicated by changes in the composition of the plasma phospholipid fraction. Digitalis treatment, at least at these ages, is re...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/11.4.261

    authors: Persson G,Landahl S,Svanborg A

    更新日期:1982-11-01 00:00:00

  • Drug compliance amongst psychiatric day hospital attenders.

    abstract::Drug compliance was assessed amongst all 91 patients attending a psychogeriatric day hospital during July 1988. Of the 86 patients taking medication, the 57 functionally and 29 organically ill patients were interviewed at home, the latter with their carers. A disparity in results was shown when compliance was measured...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.3.191

    authors: Rosenvinge HP,Groarke EP,Bradshaw JW

    更新日期:1990-05-01 00:00:00

  • Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey.

    abstract:BACKGROUND:Eating by oneself may be a risk factor for mental illness among older adults, but may be influenced by cohabitation status. We examined the association between eating alone and depression in the context of cohabitation status in older adults in Japan. DESIGN:A longitudinal, population-based study. SETTING:...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afv145

    authors: Tani Y,Sasaki Y,Haseda M,Kondo K,Kondo N

    更新日期:2015-11-01 00:00:00

  • Alcohol consumption by elderly people: a general practice survey.

    abstract::A random sample of 241 patients from General Practice registers in London were interviewed to assess alcohol consumption, cognitive impairment, depression and other factors. Fifty-one per cent of men and 22% of women reported use of alcohol in the previous 3 months. No significant association was found between reporte...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.2.120

    authors: Iliffe S,Haines A,Booroff A,Goldenberg E,Morgan P,Gallivan S

    更新日期:1991-03-01 00:00:00

  • Urodynamic studies in the management of urinary incontinence in the elderly.

    abstract::An outline is given of simple urodynamic investigations applicable to elderly subjects. The type of patient presenting primarily to geriatric departments with urinary incontinence, whose management is aided by such studies, is described under various clinical groupings. The requirement for urodynamic studies and the b...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/8.1.41

    authors: Eastwood HD

    更新日期:1979-02-01 00:00:00

  • New horizons in the pathogenesis, assessment and management of delirium.

    abstract:UNLABELLED:Delirium is one of the foremost unmet medical needs in healthcare. It affects one in eight hospitalised patients and is associated with multiple adverse outcomes including increased length of stay, new institutionalisation, and considerable patient distress. Recent studies also show that delirium strongly pr...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/aft148

    authors: Maclullich AM,Anand A,Davis DH,Jackson T,Barugh AJ,Hall RJ,Ferguson KJ,Meagher DJ,Cunningham C

    更新日期:2013-11-01 00:00:00

  • Associations of fat and muscle tissue with cognitive status in older adults: the AGES-Reykjavik Study.

    abstract:Background/Objective:studies on the association of dementia with specific body composition (BC) components are scarce. Our aim was to investigate associations of BC measures with different levels of cognitive function in late-life. Methods:we studied 5,169 participants (mean age 76 years, 42.9% men) in the AGES-Reykja...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw219

    authors: Spauwen PJ,Murphy RA,Jónsson PV,Sigurdsson S,Garcia ME,Eiriksdottir G,van Boxtel MP,Lopez OL,Gudnason V,Harris TB,Launer LJ

    更新日期:2017-03-01 00:00:00