The complex interplay between depression and multimorbidity in late life: risks and pathways.

Abstract:

:Multimorbidity and depression are complex multifactorial conditions with major implications for older individuals, their families, and healthcare providers. In this scoping review, we aimed to 1) review findings from longitudinal epidemiological studies investigating the association between multimorbidity and depression; 2) identify potential mechanisms linking multimorbidity and depression; 3) discuss challenges to advance the research field. Overall, evidence emerging from longitudinal studies supports a bidirectional association between the two conditions, although studies are methodologically heterogeneous in terms of design, inclusion criteria, measurement of multimorbidity and depression, and length of follow-up. A variety of biological, psychosocial, and care-related drivers may regulate the transition from multimorbidity to depression, and the other way around, although these mechanisms are yet to be explicitly verified. Further research is required to unravel the intricate interplay between multimorbidity, depression, their common drivers, and precipitating factors underlying the relationship between the two conditions. Understanding these processes will inform strategies aimed at promoting mental and physical health during aging.

journal_name

Mech Ageing Dev

authors

Triolo F,Harber-Aschan L,Belvederi Murri M,Calderón-Larrañaga A,Vetrano DL,Sjöberg L,Marengoni A,Dekhtyar S

doi

10.1016/j.mad.2020.111383

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

111383

eissn

0047-6374

issn

1872-6216

pii

S0047-6374(20)30179-2

journal_volume

192

pub_type

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