Abstract:
OBJECTIVES:Depression is common in older adults and is linked to morbidity and mortality. The aim of this study was to investigate whether specific symptoms of depression (dysphoria, anhedonia and anergia) predicted mortality in older Australian Aged Care residents. METHODS:Eighty older adults (M = 83.16 ± 7.14) without cognitive impairment residing in 14 Residential Aged Care facilities located in Melbourne, Australia, completed the 15-item Geriatric Depression Scale-Short Form (GDS-15) and the Standardized Mini Mental State Examination. Residential Aged Care facilities provided the primary end-point of all-cause mortality at follow-up (M = 5.4 years ± 0.1). RESULTS:Univariate Kaplan-Meier survival curves and Cox Proportional Hazards regression analyses were used to evaluate whether symptoms of depression predicted all-cause mortality, with known prognostic factors controlled. The results indicated that anhedonia (Hazard Ratio = 2.931 [95% CI 1.278-6.722], p = .011) and anergia (Hazard Ratio = 2.783 [95% CI 1.065-7.276], p = .037) were associated with almost a threefold increased risk of mortality in older adults living in RAC in adjusted analyses. Dysphoria did not predict mortality. CONCLUSIONS:These findings advance understanding of the mortality risks of anhedonia and anergia in an understudied population. Symptoms of anhedonia and anergia should be targeted for screening in older adults living in Aged Care to increase the detection and potential for referral to treatment for depressive presentation.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Greenfield L,Mathews S,Toukhsati SRdoi
10.1080/13607863.2021.1872491subject
Has Abstractpub_date
2021-01-18 00:00:00pages
1-9eissn
1360-7863issn
1364-6915pub_type
杂志文章abstract::Objective: The aim of this study is to identify and appraise existing instruments to evaluate mental well-being in old age.Method: Systematic literature searches in PubMed, PsycINFO, ProQuest Research Library, AgeLine and CINAHL databases were performed. The COnsensus-based Standards for the selection of health Measur...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1774742
更新日期:2020-06-04 00:00:00
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journal_title:Aging & mental health
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doi:10.1080/13607863.2018.1525608
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journal_title:Aging & mental health
pub_type: 杂志文章
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journal_title:Aging & mental health
pub_type: 杂志文章
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更新日期:2005-11-01 00:00:00
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journal_title:Aging & mental health
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journal_title:Aging & mental health
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doi:10.1080/13607863.2015.1033680
更新日期:2016-01-01 00:00:00
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journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860903046479
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journal_title:Aging & mental health
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journal_title:Aging & mental health
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journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
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journal_title:Aging & mental health
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journal_title:Aging & mental health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2018-01-01 00:00:00
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