The complex relationship between depressive symptoms and functional limitations in community-dwelling older adults: the impact of subthreshold depression.

Abstract:

BACKGROUND:Depressive symptoms above screening thresholds have been shown to predict functional decline in older adults. Less is known about the impact of subthreshold depression, and whether more symptoms confer significantly greater risk compared to fewer symptoms. METHOD:Using data from the Duke Established Populations for Epidemiologic Studies of the Elderly (EPESE) collected over 10 years, we used repeated-measures mixed models to predict functional change by depression status at the prior (index) in-person interview. Depressive symptoms were measured using a modified version of the Center for Epidemiologic Studies Depression Scale (CES-D). Subthreshold depression was operationalized as 6-8 symptoms and CES-D-defined depression as 9-20 symptoms in the previous week. Three domains of functional status were assessed at the subsequent in-person interview: limitations in basic activities of daily living (ADL), instrumental ADL (IADL) and mobility. RESULTS:Controlling for race, sex, age, education, marital status, cognitive status, health status, self-perceived health, perceived social support and functional status at the index interview, having 6 depressive symptoms predicted an increase of 0.12 IADL limitations 3-4 years later (p=0.03). The incremental effect of CES-D-defined depression (9 symptoms compared to 6-8 symptoms) was not significant, suggesting that the effect of more symptomatic depression did not add to that of subthreshold depression. CES-D score modeled as a continuous variable predicted functional change for all domains, but the relationship was not linear, supporting a possible threshold effect. CONCLUSIONS:The relationship between depressive symptoms and functional change is complex, not necessarily linear, and may vary by tasks assessed.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Hybels CF,Pieper CF,Blazer DG

doi

10.1017/S0033291709005650

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1677-88

issue

10

eissn

0033-2917

issn

1469-8978

pii

S0033291709005650

journal_volume

39

pub_type

杂志文章
  • Cognitive function and dementia in six areas of England and Wales: the distribution of MMSE and prevalence of GMS organicity level in the MRC CFA Study. The Medical Research Council Cognitive Function and Ageing Study (MRC CFAS).

    abstract:BACKGROUND:This two-stage prevalence survey involved geographically delimited areas, four urban (Liverpool, Newcastle, Nottingham and Oxford) and two rural (Cambridgeshire and Gwynedd), including institutions. METHODS:Stratified random population samples of people in their 65th year and above, from Family Health Servi...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291797006272

    authors:

    更新日期:1998-03-01 00:00:00

  • Health problems, impairment and illnesses associated with bulimia nervosa and binge eating disorder among primary care and obstetric gynaecology patients.

    abstract:BACKGROUND:Although psychiatric patients with eating disorders are known to be at risk for a variety of health problems, relatively little is known about eating disorders and associated health problems in other populations. An epidemiological study was conducted to investigate health problems and impairment associated ...

    journal_title:Psychological medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1017/s0033291701004640

    authors: Johnson JG,Spitzer RL,Williams JB

    更新日期:2001-11-01 00:00:00

  • Time, memory and the heritability of major depression.

    abstract:OBJECTIVE:Although family, twin and adoption studies have suggested that lifetime major depression (MD) is a heritable condition, nearly all these studies have relied for the diagnosis on long-term human memory, which is fallible and potentially biased. Could the estimates of heritability of MD be biased by the well-de...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291701003695

    authors: Kendler KS,Aggen SH

    更新日期:2001-07-01 00:00:00

  • Course and outcome of depressive disorders in primary care: a prospective 18-month study.

    abstract:BACKGROUND:Depressive disorders are known to often be chronic and recurrent both in the general population and in psychiatric settings. However, despite its importance for public health and services, the outcome of depression in primary care is not well known. METHOD:In The Vantaa Primary Care Depression Study (PC-VDS...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291709005182

    authors: Vuorilehto MS,Melartin TK,Isometsä ET

    更新日期:2009-10-01 00:00:00

  • A simple test of copying ability and sex define survival in patients with early Alzheimer's disease.

    abstract:BACKGROUND:We studied whether heterogeneous profiles of cognitive function are relevant to survival in patients with early Alzheimer's disease. METHODS:CAMCOG subscales of cognitive function were used as predictors of survival, together with gender in 157 consecutively referred patients with early Alzheimer's disease....

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291798007375

    authors: Claus JJ,Walstra GJ,Bossuyt PM,Teunisse S,Van Gool WA

    更新日期:1999-03-01 00:00:00

  • Proton magnetic resonance spectroscopy: an in vivo method of estimating hippocampal neuronal depletion in schizophrenia.

    abstract::Diffuse loss of cortical volume and ventricular enlargement have been demonstrated in schizophrenia using imaging. In addition, histological studies have provided evidence that the number of neurons in the medial temporal lobe structures is reduced and that the cytoarchitecture is abnormal. In an attempt to correlate ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700033171

    authors: Maier M,Ron MA,Barker GJ,Tofts PS

    更新日期:1995-11-01 00:00:00

  • The association of psychological factors and healthcare use with the discrepancy between subjective and objective respiratory-health complaints in the general population.

    abstract:BACKGROUND:We examined the prevalence of self-perceived respiratory symptoms (SRS) in the absence of any objective findings of respiratory pathology, and the association of such prevalence with psychological factors and healthcare use in the general population. METHODS:The study was conducted among a nationally repres...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291718000582

    authors: Selinheimo S,Vasankari T,Jokela M,Kanervisto M,Pirkola S,Suvisaari J,Paunio T

    更新日期:2019-01-01 00:00:00

  • Typology of clinical course in bipolar disorder based on 18-month naturalistic follow-up.

    abstract:BACKGROUND:Individual variation in the clinical course of bipolar disorder may have prognostic and therapeutic implications but is poorly reflected in current classifications. We aimed to establish a typology of the individual clinical trajectories based on detailed prospective medium-term follow-up. Method Latent clas...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291712001523

    authors: Uher R,Mantere O,Suominen K,Isometsä E

    更新日期:2013-04-01 00:00:00

  • Adolescents and adults at clinical high-risk for psychosis: age-related differences in attenuated positive symptoms syndrome prevalence and entanglement with basic symptoms.

    abstract:BACKGROUND:The attenuated positive symptoms syndrome (APSS) is considered an at-risk indicator for psychosis. However, the characteristics and developmental aspects of the combined or enriched risk criteria of APSS and basic symptom (BS) criteria, including self-experienced cognitive disturbances (COGDIS) remain under-...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715002627

    authors: Gerstenberg M,Theodoridou A,Traber-Walker N,Franscini M,Wotruba D,Metzler S,Müller M,Dvorsky D,Correll CU,Walitza S,Rössler W,Heekeren K

    更新日期:2016-04-01 00:00:00

  • Investigating whether adverse prenatal and perinatal events are associated with non-clinical psychotic symptoms at age 12 years in the ALSPAC birth cohort.

    abstract:BACKGROUND:Non-clinical psychosis-like symptoms (PLIKS) occur in about 15% of the population. It is not clear whether adverse events during early development alter the risk of developing PLIKS. We aimed to examine whether maternal infection, diabetes or pre-eclampsia during pregnancy, gestational age, perinatal cardiop...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291708005126

    authors: Zammit S,Odd D,Horwood J,Thompson A,Thomas K,Menezes P,Gunnell D,Hollis C,Wolke D,Lewis G,Harrison G

    更新日期:2009-09-01 00:00:00

  • Impulsivity in disorders of food and drug misuse.

    abstract:BACKGROUND:Evidence suggests some overlap between the pathological use of food and drugs, yet how impulsivity compares across these different clinical disorders remains unclear. Substance use disorders are commonly characterized by elevated impulsivity, and impulsivity subtypes may show commonalities and differences in...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291714001834

    authors: Mole TB,Irvine MA,Worbe Y,Collins P,Mitchell SP,Bolton S,Harrison NA,Robbins TW,Voon V

    更新日期:2015-03-01 00:00:00

  • Antidepressant use and work-related injuries.

    abstract:BACKGROUND:Adverse effects of antidepressants are most common at the beginning of the treatment, but possible also later. We examined the association between antidepressant use and work-related injuries taking into account the duration of antidepressant use. METHOD:Antidepressant use and work-related injuries between ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715002925

    authors: Kouvonen A,Vahtera J,Pentti J,Korhonen MJ,Oksanen T,Salo P,Virtanen M,Kivimäki M

    更新日期:2016-05-01 00:00:00

  • Adjunctive memantine in clozapine-treated refractory schizophrenia: an open-label 1-year extension study.

    abstract:BACKGROUND:In a recent placebo-controlled, double-blind crossover trial (n = 52), significant beneficial effects on memory (d = 0.30) and negative symptoms (d = 0.29) were found after 12 weeks of memantine augmentation in patients with clozapine-refractory schizophrenia. In this open-label 1-year extension study we rep...

    journal_title:Psychological medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S0033291716002476

    authors: Veerman SR,Schulte PF,Deijen JB,de Haan L

    更新日期:2017-01-01 00:00:00

  • Abnormal response to metabolic stress in schizophrenia: marker of vulnerability or acquired sensitization?

    abstract:BACKGROUND:Previous work suggests that individuals with schizophrenia display an altered homovanillic acid (HVA) response to metabolic stress. The present study replicated and extended this paradigm, including individuals with elevated genetic risk for schizophrenia. METHOD:Patients with psychosis (n = 50), non-psycho...

    journal_title:Psychological medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0033291703001715

    authors: Marcelis M,Cavalier E,Gielen J,Delespaul P,Van Os J

    更新日期:2004-08-01 00:00:00

  • Administrative incidence of psychosis assessed in an early intervention service in England: first epidemiological evidence from a diverse, rural and urban setting.

    abstract:BACKGROUND:Early Intervention in Psychosis Services (EIS) for young people in England experiencing first-episode psychosis (FEP) were commissioned in 2002, based on an expected incidence of 15 cases per 100 000 person-years, as reported by schizophrenia epidemiology in highly urban settings. Unconfirmed reports from EI...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291710002461

    authors: Cheng F,Kirkbride JB,Lennox BR,Perez J,Masson K,Lawrence K,Hill K,Feeley L,Painter M,Murray GK,Gallagher O,Bullmore ET,Jones PB

    更新日期:2011-05-01 00:00:00

  • Treatment of depression in diagnosed diabetes: common cause or detection bias?

    abstract:BACKGROUND:This study examined two competing hypotheses concerning the association between diabetes and treatment for depression: (1) the detection/ascertainment bias hypothesis suggesting that those with diabetes are more likely to be diagnosed with and treated for depression because of increased medical attention and...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291713001566

    authors: Manderbacka K,Jokela M,Sund R,Elovainio M

    更新日期:2014-04-01 00:00:00

  • A comparative psychiatric assessment of patients with chronic fatigue syndrome and muscle disease.

    abstract::The psychiatric status of patients with chronic fatigue syndrome (N = 34) and muscle disease (N = 24) attending a general medical clinic was studied. Among fatigue patients 14 (41.2%) were cases and a further 9 (26.5%) were subcases of psychiatric disorder as defined by CATEGO. A variety of diagnoses was found. Signif...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s003329170002225x

    authors: Wood GC,Bentall RP,Göpfert M,Edwards RH

    更新日期:1991-08-01 00:00:00

  • Significance of androgen levels in the aetiology and treatment of homosexuality.

    abstract::Serum total androgens were estimated by radioimmunoassay on blood samples of treatment-seeking homosexuals and heterosexual controls. There was no significant difference in androgen levels between the homosexual and control group, nor was there any relationship between androgen levels and response to treatment. These ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700004396

    authors: James S,Carter RA,Orwin A

    更新日期:1977-08-01 00:00:00

  • Biased attention to threat in paediatric anxiety disorders (generalized anxiety disorder, social phobia, specific phobia, separation anxiety disorder) as a function of 'distress' versus 'fear' diagnostic categorization.

    abstract:BACKGROUND:Structural models of emotional disorders propose that anxiety disorders can be classified into fear and distress disorders. Sources of evidence for this distinction come from genetic, self-report and neurophysiological data from adults. The present study examined whether this distinction relates to cognitive...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291713000779

    authors: Waters AM,Bradley BP,Mogg K

    更新日期:2014-02-01 00:00:00

  • Psychological distress from early adulthood to early old age: evidence from the 1946, 1958 and 1970 British birth cohorts.

    abstract:BACKGROUND:Existing evidence on profiles of psychological distress across adulthood uses cross-sectional or longitudinal studies with short observation periods. The objective of this research was to study the profile of psychological distress within the same individuals from early adulthood to early old age across thre...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S003329172000327X

    authors: Gondek D,Bann D,Patalay P,Goodman A,McElroy E,Richards M,Ploubidis GB

    更新日期:2021-01-21 00:00:00

  • The views and outcomes of consenting and non-consenting patients receiving ECT.

    abstract:BACKGROUND:Current mental health legislation in the UK makes provision for the use of certain treatments in severely ill patients who are unable, or unwilling, to give informed consent. Under the terms of this legislation, electroconvulsive therapy (ECT) may be used, usually to treat severely depressed patients. A numb...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291798007193

    authors: Wheeldon TJ,Robertson C,Eagles JM,Reid IC

    更新日期:1999-01-01 00:00:00

  • Comparison of non-directive counselling and cognitive behaviour therapy for patients presenting in general practice with an ICD-10 depressive episode: a randomized control trial.

    abstract:BACKGROUND:Most evidence in the UK on the effectiveness of brief therapy for depression concerns cognitive behaviour therapy (CBT). In a trial published in 2000, we showed that non-directive counselling and CBT were equally effective in general practice for patients with depression and mixed anxiety and depression. Our...

    journal_title:Psychological medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S0033291713002377

    authors: King M,Marston L,Bower P

    更新日期:2014-07-01 00:00:00

  • Group transdiagnostic cognitive-behavior therapy for anxiety disorders: a pragmatic randomized clinical trial.

    abstract:BACKGROUND:Transdiagnostic group cognitive-behavioral therapy (tCBT) is a delivery model that could help overcome barriers to large-scale implementation of evidence-based psychotherapy for anxiety disorders. The aim of this study was to assess the effectiveness of combining group tCBT with treatment-as-usual (TAU), com...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720004316

    authors: Roberge P,Provencher MD,Gaboury I,Gosselin P,Vasiliadis HM,Benoît A,Carrier N,Antony MM,Chaillet N,Houle J,Hudon C,Norton PJ

    更新日期:2020-12-02 00:00:00

  • Cognition as a treatment target in depression.

    abstract::Cognitive dysfunction in depression is associated with poorer clinical outcomes and impaired psychosocial functioning. However, most treatments for depression do not specifically target cognition. Neurocognitive deficits such as memory and concentration problems tend to persist after mood symptoms recover. Improving c...

    journal_title:Psychological medicine

    pub_type: 社论

    doi:10.1017/S0033291716003123

    authors: Kaser M,Zaman R,Sahakian BJ

    更新日期:2017-04-01 00:00:00

  • Optical coherence tomography indices of structural retinal pathology in schizophrenia.

    abstract:BACKGROUND:Prior optical coherence tomography (OCT) studies of schizophrenia have identified thinning of retinal layers. However, findings have varied across reports, and most studies have had serious methodological limitations. To address unresolved issues, we determined whether: (1) retinal thinning in schizophrenia ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291717003555

    authors: Silverstein SM,Paterno D,Cherneski L,Green S

    更新日期:2018-09-01 00:00:00

  • Disorder-specific automatic self-associations in depression and anxiety: results of The Netherlands Study of Depression and Anxiety.

    abstract:BACKGROUND:Cognitive theory points to the importance of negative self-schemas in the onset and maintenance of depression and anxiety disorders. Hereby, it is important to distinguish between automatic and explicit self-schemas, reflecting different cognitive-motivational systems. This study tested whether patients with...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291709991371

    authors: Glashouwer KA,de Jong PJ

    更新日期:2010-07-01 00:00:00

  • Factors associated with attempted suicide among hospitalized depressed patients.

    abstract::An attempt was made to identify background, sociodemographic and clinical variables which are associated with attempted suicide in depression. Within a sample of 308 depressed psychiatric inpatients, suicide attempters were younger than non-attempters and were identified by a pattern of chronic interpersonal maladjust...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700057007

    authors: Crook T,Raskin A,Davis D

    更新日期:1975-11-01 00:00:00

  • Subliminal and supraliminal processing of reward-related stimuli in anorexia nervosa.

    abstract:BACKGROUND:Previous studies have highlighted the role of the brain reward and cognitive control systems in the etiology of anorexia nervosa (AN). In an attempt to disentangle the relative contribution of these systems to the disorder, we used functional magnetic resonance imaging (fMRI) to investigate hemodynamic respo...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291717002161

    authors: Boehm I,King JA,Bernardoni F,Geisler D,Seidel M,Ritschel F,Goschke T,Haynes JD,Roessner V,Ehrlich S

    更新日期:2018-04-01 00:00:00

  • Interaction between a history of depression and rumination on neural response to emotional faces.

    abstract:BACKGROUND:Both past depressive episodes and the personality trait of depressive rumination are strong risk factors for future depression. Depression is associated with abnormal emotional processing, which may be a neurobiological marker for vulnerability to depression. A consistent picture has yet to emerge as to how ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291711000043

    authors: Thomas EJ,Elliott R,McKie S,Arnone D,Downey D,Juhasz G,Deakin JF,Anderson IM

    更新日期:2011-09-01 00:00:00

  • Mortality in offspring of mothers with psychotic disorder.

    abstract:BACKGROUND:Previous studies suggest that offspring of mothers with psychotic disorders have an almost two-fold higher mortality risk from birth until early adulthood. We investigated predictors of mortality from late adolescence until middle age in offspring of mothers with psychotic disorders. METHOD:The Helsinki Hig...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291707002383

    authors: Suvisaari J,Häkkinen L,Haukka J,Lönnqvist J

    更新日期:2008-08-01 00:00:00