Depression, disability and functional status among community‐dwelling older adults in South Africa: evidence from the first South African National Income Dynamics Study
Andrew Tomita,Jonathan K. Burns +1 more
TLDR
This study examined the relationship between depression and functional status among a community‐dwelling older population of 65 years and older in South Africa.Abstract:
Objectives
This study examined the relationship between depression and functional status among a community-dwelling older population of 65 years and older in South Africa.
Method
Data from the first wave of the South African National Income Dynamics Study were used, this being the first longitudinal panel survey of a nationally representative sample of households. The study focused on the data for resident adults 65 years and older (n = 1,429). Depression was assessed using the 10-item version of the Center for Epidemiologic Studies Depression Scale. Functional status, pertaining to both difficulty and dependence in activities of daily living (ADL), instrumental activities of daily living (IADL), and physical functioning and mobility (PFM), were assessed using 11 items.
Results
Functional challenges were generally higher in the older age group. There was a significant association between depression and functional dependence in ADL (adjusted OR = 2.57 [CI: 1.03–6.41]), IADL (adjusted OR = 2.76 [CI: 1.89–4.04]), and PFM (adjusted OR = 1.66 [CI: 1.18–2.33]), but the relationship between depression and functional status, particularly PFM, appeared weaker in older age.
Conclusion
The relationship between depression symptoms and function is complex. Functional characteristics between older and younger old populations are diverse, and caution is indicated against overgeneralizing the challenges related to depression and function among this target population. Copyright © 2013 John Wiley & Sons, Ltd.read more
Citations
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Validation of the 10-item Centre for Epidemiological Studies Depression Scale (CES-D-10) in Zulu, Xhosa and Afrikaans populations in South Africa.
TL;DR: The CES-D-10 is a valid, reliable screening tool for depression in Zulu, Xhosa and coloured Afrikaans populations, and adequate concurrent validity, when compared to the PHQ-9 and WHODAS.
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Effects of a Large-Scale Unconditional Cash Transfer Program on Mental Health Outcomes of Young People in Kenya
TL;DR: Evidence is provided that poverty-targeted unconditional cash transfer programs, can improve the mental health of young people in low-income countries.
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Depression, functional disability and quality of life among Nigerian older adults: Prevalences and relationships.
Christopher Olusanjo Akosile,Christopher Olusanjo Akosile,Ukamaka Gloria Mgbeojedo,Fatai Adesina Maruf,Emmanuel Chiebuka Okoye,Ifeanyi Chuka Umeonwuka,Adesola Ogunniyi +6 more
TL;DR: Depression and functional disability were quite prevalent among sampled older adults but their QOL was not too severely affected, and it seems interventions targeted at depression and functional status may invariably enhance the quality of life of the older adults.
Journal ArticleDOI
Specific cognitive functions and depressive symptoms as predictors of activities of daily living in older adults with heterogeneous cognitive backgrounds
Jonas Jardim de Paula,Breno S. Diniz,Maria Aparecida Camargos Bicalho,Maicon Rodrigues Albuquerque,Maicon Rodrigues Albuquerque,Rodrigo Nicolato,Edgar Nunes de Moraes,Marco Aurélio Romano-Silva,Leandro Fernandes Malloy-Diniz +8 more
TL;DR: Different instrumental ADL had specific cognitive predictors and depressive symptoms were predictive of ADL involving social contact, suggesting a specific pattern of influence depending on the specific instrumental daily living activity.
Understanding Depression among Older Adults in Six Low-Middle Income Countries using WHO-SAGE Survey
TL;DR: It is important to find out that low socio-economic conditions do play an important role in influencing mental health of older adults in low-middle income countries, and future development of health services for older people in these countries should be adaptable to different socio- economic context prevalent.
References
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Journal ArticleDOI
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Journal ArticleDOI
Screening for depression in well older adults: Evaluation of a short form of the CES-D
TL;DR: A short form of the Center for Epidemiologic Studies Depression Scale (CES-D), derived and tested for reliability and validity among a sample of well older adults in a large Health Maintenance Organization, showed good predictive accuracy when compared to the full-length 20-item version.
Journal ArticleDOI
On Chi-Squared Tests for Multiway Contingency Tables with Cell Proportions Estimated from Survey Data
J. N. K. Rao,Alastair Scott +1 more
TL;DR: In this paper, the impact of survey design on standard multinomial-based methods for a multiway contingency table is studied, under nested loglinear models, and the asymptotic null distribution of the Pearson chi-squared test statistic, $X^2$, is obtained as a weighted sum of independent $\chi^2_1$ random variables, and weights are then related to the familiar design effects (deffs) used by survey samplers.
Journal ArticleDOI
Personality, coping, and coping effectiveness in an adult sample
Robert R. McCrae,Paul T. Costa +1 more
TL;DR: Two studies of coping among community-dwelling adults (N= 255,151) were used to examine the influence of personality on coping responses, the perceived effectiveness of coping mechanisms, and the effects of coping and personality on well-being as mentioned in this paper.
Journal ArticleDOI
Clinical and health services relationships between major depression, depressive symptoms, and general medical illness
TL;DR: Patients with chronic medical illness have a high prevalence of major depressive illness, and increasing evidence suggests that both depressive symptoms and major depression may be associated with increased morbidity and mortality from such illnesses as diabetes and heart disease.
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