Depression, disability and functional status among community dwelling older adults in South Africa: Evidence from the first South African National Income Dynamics Study
Identifieur interne : 001D67 ( Pmc/Corpus ); précédent : 001D66; suivant : 001D68Depression, disability and functional status among community dwelling older adults in South Africa: Evidence from the first South African National Income Dynamics Study
Auteurs : Andrew Tomita ; Jonathan K. BurnsSource :
- International journal of geriatric psychiatry [ 0885-6230 ] ; 2013.
Abstract
This study examined the relationship between depression and functional status among a community-dwelling elderly population of 65 years and older in South Africa.
Data from the first wave of the South African National Income Dynamics Study (SA-NIDS) was 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 (CES-D). Functional status, pertaining to both difficulty and dependency in activities of daily living (ADL), instrumental activities of daily living (IADL), and physical functioning and mobility (PFM), were assessed using 11 items.
Functional challenges were generally higher in the older age group. There was a significant association between depression and functional dependency 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.
The relationship between depression symptoms and function is complex. Functional characteristics between older and younger older populations are diverse, and caution is indicated against overgeneralizing the challenges related to depression and function among this target population.
Url:
DOI: 10.1002/gps.3954
PubMed: 23512338
PubMed Central: 3751982
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PMC:3751982Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Depression, disability and functional status among community dwelling older adults in
South Africa: Evidence from the first South African National Income Dynamics Study</title><author><name sortKey="Tomita, Andrew" sort="Tomita, Andrew" uniqKey="Tomita A" first="Andrew" last="Tomita">Andrew Tomita</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, U.S.A.</nlm:aff></affiliation></author><author><name sortKey="Burns, Jonathan K" sort="Burns, Jonathan K" uniqKey="Burns J" first="Jonathan K" last="Burns">Jonathan K. Burns</name><affiliation><nlm:aff id="A2">Department of Psychiatry, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23512338</idno><idno type="pmc">3751982</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751982</idno><idno type="RBID">PMC:3751982</idno><idno type="doi">10.1002/gps.3954</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001D67</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D67</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Depression, disability and functional status among community dwelling older adults in
South Africa: Evidence from the first South African National Income Dynamics Study</title><author><name sortKey="Tomita, Andrew" sort="Tomita, Andrew" uniqKey="Tomita A" first="Andrew" last="Tomita">Andrew Tomita</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, U.S.A.</nlm:aff></affiliation></author><author><name sortKey="Burns, Jonathan K" sort="Burns, Jonathan K" uniqKey="Burns J" first="Jonathan K" last="Burns">Jonathan K. Burns</name><affiliation><nlm:aff id="A2">Department of Psychiatry, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.</nlm:aff></affiliation></author></analytic><series><title level="j">International journal of geriatric psychiatry</title><idno type="ISSN">0885-6230</idno><idno type="eISSN">1099-1166</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">This study examined the relationship between depression and functional status among a
community-dwelling elderly population of 65 years and older in South Africa.</p></sec><sec id="S2"><title>Method</title><p id="P2">Data from the first wave of the South African National Income Dynamics Study (SA-NIDS)
was 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 (CES-D). Functional status, pertaining to both difficulty and dependency in activities of
daily living (ADL), instrumental activities of daily living (IADL), and physical functioning and
mobility (PFM), were assessed using 11 items.</p></sec><sec id="S3"><title>Results</title><p id="P3">Functional challenges were generally higher in the older age group. There was a
significant association between depression and functional dependency 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.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The relationship between depression symptoms and function is complex. Functional
characteristics between older and younger older populations are diverse, and caution is indicated
against overgeneralizing the challenges related to depression and function among this target
population.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8710629</journal-id><journal-id journal-id-type="pubmed-jr-id">20512</journal-id><journal-id journal-id-type="nlm-ta">Int J Geriatr Psychiatry</journal-id><journal-id journal-id-type="iso-abbrev">Int J Geriatr Psychiatry</journal-id><journal-title-group><journal-title>International journal of geriatric psychiatry</journal-title></journal-title-group><issn pub-type="ppub">0885-6230</issn><issn pub-type="epub">1099-1166</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23512338</article-id><article-id pub-id-type="pmc">3751982</article-id><article-id pub-id-type="doi">10.1002/gps.3954</article-id><article-id pub-id-type="manuscript">NIHMS459157</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Depression, disability and functional status among community dwelling older adults in
South Africa: Evidence from the first South African National Income Dynamics Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tomita</surname><given-names>Andrew</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Burns</surname><given-names>Jonathan K</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, U.S.A.</aff><aff id="A2"><label>2</label>Department of Psychiatry, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.</aff><author-notes><corresp id="CR1"><bold>Corresponding author</bold> Andrew Tomita, Department of Epidemiology,
Mailman School of Public Health, Columbia University, New York, NY, United States. 722 West
168<sup>th</sup> Street, New York, NY, United States 10032. <email>mat2122@columbia.edu</email> Tel:
+27(0)31 260 4703 (South Africa) Fax: +27 (0)31 260 4322 (South Africa)</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>4</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>20</day><month>3</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>12</month><year>2014</year></pub-date><volume>28</volume><issue>12</issue><elocation-id>10.1002/gps.3954</elocation-id><abstract><sec id="S1"><title>Objectives</title><p id="P1">This study examined the relationship between depression and functional status among a
community-dwelling elderly population of 65 years and older in South Africa.</p></sec><sec id="S2"><title>Method</title><p id="P2">Data from the first wave of the South African National Income Dynamics Study (SA-NIDS)
was 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 (CES-D). Functional status, pertaining to both difficulty and dependency in activities of
daily living (ADL), instrumental activities of daily living (IADL), and physical functioning and
mobility (PFM), were assessed using 11 items.</p></sec><sec id="S3"><title>Results</title><p id="P3">Functional challenges were generally higher in the older age group. There was a
significant association between depression and functional dependency 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.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The relationship between depression symptoms and function is complex. Functional
characteristics between older and younger older populations are diverse, and caution is indicated
against overgeneralizing the challenges related to depression and function among this target
population.</p></sec></abstract><kwd-group><kwd>Depression</kwd><kwd>disability</kwd><kwd>South Africa</kwd><kwd>activities of daily living</kwd><kwd>older</kwd></kwd-group><funding-group><award-group><funding-source country="United States">Fogarty International Center : FIC</funding-source><award-id>R24 TW007988 || TW</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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