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

Harris, Tess, Cook, Derek G., Victor, Christina, Rink, Elizabeth, Mann, Anthony H., Shah, Sunil, DeWilde, Stephen and Beighton, Carole (2003) Predictors of depressive symptoms in older people - a survey of two general practice populations. Age and Ageing, 32(5), pp. 510-518. ISSN (print) 0002-0729

Full text not available from this archive.

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

Item Type: Article
Research Area: Primary care and other community based clinical subjects
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences (until 2013)
Related URLs:
Depositing User: Carole Beighton
Date Deposited: 29 Sep 2014 10:00
Last Modified: 29 Sep 2014 10:00
URI: http://eprints.kingston.ac.uk/id/eprint/29179

Actions (Repository Editors)

Item Control Page Item Control Page