Seven-Year Trajectories of Depressive Symptoms and Their Predictors Among Older Americans.

Abstract:

:Objective: This study examined the trajectories of depressive symptoms and associated factors in older adults using an enhanced group-based trajectory modeling. Method: The study sample consisted of 7,573 adults aged ≥65 years from the National Health and Aging Trends Study (Rounds 1-7). Depressive trajectories were estimated using a group-based trajectory modeling accounting for nonrandom attrition. Results: A four-trajectory model including "persistently low" (77.7%), "increasing" (7.9%), "declining," (5.5%), and "persistently high" (8.9%) was the best fit using methods accounting for nonrandom attrition. In comparison, methods not accounting for attrition estimated that only 3.2% of older adults were on the "persistently high" trajectory. There were significant differences in depressive trajectories by age, race/ethnicity, sex, physical, and cognitive functioning, and social connections. Discussion: Persistently high depressive symptoms affected a larger proportion of older adults than previously estimated. Depression had a more long-term and increasing course in the oldest-old.

journal_name

J Aging Health

authors

Xiang X

doi

10.1177/0898264319852835

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

795-806

issue

7-8

eissn

0898-2643

issn

1552-6887

journal_volume

32

pub_type

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