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Depression in Older Adults

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1. Clinical utility of the 15-item geriatric depression scale (GDS-15) for use with young and middle-aged adults. (Abstract)

Clinical utility of the 15-item geriatric depression scale (GDS-15) for use with young and middle-aged adults. The Geriatric Depression Scale, Short Form (GDS-15) is a widely-used depression rating scale for elderly adults. It might be useful for persons across the adult lifespan, but more research is needed to support its clinical utility with young and middle-aged adults.We examined the classification accuracy of the GDS-15 in identifying depression cases and non-cases in adults aged 18-54 (...) (n = 199) compared to those aged 55-80 (n = 112), using the standard cutoff score of 5. Criterion-related validity of the GDS-15 was examined based on its chance-corrected agreement with a clinical diagnostic interview.Classification accuracy based on receiver operating characteristic (ROC) analysis was strong in younger (area under the curve; AUC = 0.92) and older adults (AUC = 0.94). Sensitivity and specificity of the GDS-15 for identifying depression were 72% and 97% for younger adults and 86

2018 Journal of Affective Disorders

2. Accuracy of the Geriatric Depression Scale-4 and Geriatric Depression Scale-5 for screening of depression among older adults: a systematic review and meta-analysis

Accuracy of the Geriatric Depression Scale-4 and Geriatric Depression Scale-5 for screening of depression among older adults: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability (...) will extract data from graphs using digital ruler software. In case data are not reported or unclear, we will attempt to contact authors by e-mail (max. 2 attempts). In case an outcome is measured at multiple time points, data from the time point where efficacy is highest will be included. ">Methods for data extraction Example: Experimental groups, control group(s) and number of animals per group. ">Data to be extracted: study design Example: Species, sex, weight, age, co‐morbidity, anaesthetic agent used

2020 PROSPERO

3. Work status, retirement, and depression in older adults: An analysis of six countries based on the Study on Global Ageing and Adult Health (SAGE) Full Text available with Trip Pro

Work status, retirement, and depression in older adults: An analysis of six countries based on the Study on Global Ageing and Adult Health (SAGE) The aim of the present study was to analyse the association between the occurrence of a major depressive episode among older adults and work status in low- and medium-income countries. A cross-sectional study was conducted with people 60 years of age and older from the six countries (Mexico, India, China, Russian Federation, Ghana and South Africa (...) ) included in the Study on Global Ageing and Adult Health (SAGE) and who participated in its first wave (2009-2010). The occurrence of a major depressive episode (MDE) over the previous 12 months was determined based on an adaptation of the ICD-10 diagnostic criteria. The association between current work status and the presence of an MDE was estimated using binary logistic regression models with country-level fixed effects, and interaction terms between the country and work status. Results showed

2018 SSM - population health

4. Screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings

by decreased participation in social, work or leisure activities, as well as difficulties in family relationships; symptoms of depression; injuries from accidents, including falls; or the loss of driving privileges. 6–9 Many people with impaired vision become aware of it and obtain help on their own. Self-reported data on vision care from the 2005 Canadian Community Health Survey 10 showed that 59% of adults aged 65 years and older had consulted an eye care pro- fessional in the previous year (...) Healthc 2015;8:321]. J Multidiscip Healthc 2015;8:11-20. 20. Dapp U, Anders JA, von Renteln-Kruse W, et al.; PRO-AGE Study Group. A ran- domized trial of effects of health risk appraisal combined with group sessions or home visits on preventive behaviors in older adults. J Gerontol A Biol Sci Med Sci 2011;66:591-8. 21. McEwan RT, Davison N, Forster DP, et al. Screening elderly people in primary care: a randomized controlled trial. Br J Gen Pract 1990;40:94-7. 22. Smeeth L, Fletcher AE, Hanciles S, et

2018 CPG Infobase

5. The validity of the hospital anxiety and depression scale and the geriatric depression scale-5 in home-dwelling old adults in Norway<sup>✰</sup>. (Abstract)

The validity of the hospital anxiety and depression scale and the geriatric depression scale-5 in home-dwelling old adults in Norway. Little is known about the validity of the Norwegian versions of the Geriatric Depression Scale-5 (GDS-5) and the Hospital Anxiety and Depression Scale-D (HADS-D). The aim of this study was therefor to validate the two assessment tools in a population of home-dwelling persons of 60 years of age and above.A sample of 194 home-dwelling old adults (...) criteria of ICD-10 for depression as gold standard was performed. For GDS-5 the Areal under the Curve was 0.81 and for HAD-D 0.75. The cut-off points of the measures that produced the highest accuracies were ≥2 for GDS-5 with a sensitivity of 73.2% and a specificity of 73.2% and ≥4 for HADS-D with a sensitivity of 70.3% and a specificity of 69.6%.A larger sample would have given the opportunity for analyzing home dwelling old adults with and without home health care separately. The participants were

2019 Journal of Affective Disorders

6. Gender differences in the impact of retirement on depressive symptoms among middle-aged and older adults: A propensity score matching approach. Full Text available with Trip Pro

Gender differences in the impact of retirement on depressive symptoms among middle-aged and older adults: A propensity score matching approach. Retirement is one of the most important later-life status transitions related to changes in workforce participation, lifestyle, and social roles among older adults. The purpose of this study was to investigate the impact of retirement on depressive symptoms by gender in middle-aged and older adult Koreans, using a large, nationally representative (...) sample.Using year 2010 and 2012 data from the Korea Longitudinal Study of Aging, we investigated the relationship between adults' retirement status and depressive symptoms measured by the 10-item Center for Epidemiological Studies-Depression (CES-D10) scale. A series of propensity score matching models were calculated to test the potential retirement effect on adults' depressive symptoms.Overall, the level of depressive symptoms of the retired group was not different from that of the employed counterpart

2019 PLoS ONE

7. Depressive Symptoms and their Relation to Age and Chronic diseases among middle-aged and Older Adults in rural South Africa. Full Text available with Trip Pro

Depressive Symptoms and their Relation to Age and Chronic diseases among middle-aged and Older Adults in rural South Africa. Understanding how depression is associated with chronic conditions and socio-demographic characteristics can inform the design and effective targeting of depression screening and care interventions. In this study, we present some of the first evidence from sub-Saharan Africa on the association between depressive symptoms and a range of chronic conditions (diabetes, HIV (...) , hypertension, and obesity) as well as socio-demographic characteristics.A questionnaire was administered to a population-based simple random sample of 5,059 adults aged 40 years in Agincourt, South Africa. Depressive symptoms were measured using a modified version of the eight-item Center for Epidemiological Studies Depression screening tool. Diabetes was assessed using a capillary blood glucose measurement and HIV using a dried blood spot.17.0% (95% CI: 15.9% - 18.1%) of participants had at least three

2018 Biological Sciences and Medical Sciences

8. Cancer and Aging: Reflections for Elders (CARE): A pilot randomized controlled trial of a psychotherapy intervention for older adults with cancer. Full Text available with Trip Pro

Cancer and Aging: Reflections for Elders (CARE): A pilot randomized controlled trial of a psychotherapy intervention for older adults with cancer. Cancer and Aging: Reflections for Elders (CARE) is a novel, telephone-delivered intervention designed to alleviate distress in older cancer patients. This pilot randomized controlled trial tested the feasibility and initial efficacy of CARE, drawing from age-appropriate developmental themes and well-established coping theory.Eligible patients were (...) ≥70 years old; ≥6 months post-diagnosis of lung, prostate, breast, lymphoma, or gynecological cancer; on active cancer treatment or within 6 months of ending cancer treatment; and had elevated scores on the Distress Thermometer (≥4) or Hospital Anxiety and Depression Scale (≥6). Participants completed five sessions of psychotherapy over 7 weeks with assessments at study entry, post-intervention, and 2 months post-intervention. Primary outcomes were feasibility and initial efficacy on anxiety

2019 Psycho-oncology Controlled trial quality: uncertain

9. Incidence and risk factors of depressive symptoms in 4 years of follow-up among mid-aged and elderly community-dwelling Chinese adults: findings from the China Health and Retirement Longitudinal Study. Full Text available with Trip Pro

Incidence and risk factors of depressive symptoms in 4 years of follow-up among mid-aged and elderly community-dwelling Chinese adults: findings from the China Health and Retirement Longitudinal Study. The purpose of this study was to examine the incidence of depressive symptoms, and determine if baseline risk factors conferred a risk for incident depressive symptoms in nationally representative sample of mid-aged and elderly Chinese adults.This study was a secondary analysis of a prospective (...) cohort from a nationally representative sample.Community samples were recruited from the baseline survey of the China Health and Retirement Longitudinal Study. A four-stage, stratified, cluster probability sampling strategy was used, which included 10 257 households with members aged 45 years or older and their spouse.A total of 11 533 participants free of depressive symptoms at baseline were identified, and 10 288 were re-examined in either the first and/or the second follow-up surveys. The current

2019 BMJ open

10. Trajectories of major depression in middle-aged and older adults: A population-based study. (Abstract)

Trajectories of major depression in middle-aged and older adults: A population-based study. This study aimed to examine depression trajectories and correlates in a nationally representative sample of middle-aged and older adults in the United States.The study sample consisted of 15 661 participants aged over 50 years from the US Health and Retirement Study. Major depression was assessed using the Composite International Diagnostic Interview (CIDI-SF). Depression trajectories were identified (...) with a lower risk of the three trajectories with small to high depression burden, whereas chronic disease count was associated with a higher risk of these trajectories. The risk of being on the increasing trajectory increased with mobility difficulties. Difficulties in household activities predicted membership in the persistently moderate/high group.A small but nonignorable proportion of middle-aged and older adults have chronic major depression. Initial symptom severity and chronic disease burden

2019 International Journal of Geriatric Psychiatry

11. Inequalities in elevated depressive symptoms in middle-aged and older adults by rural childhood residence: The important role of education. Full Text available with Trip Pro

Inequalities in elevated depressive symptoms in middle-aged and older adults by rural childhood residence: The important role of education. To quantify inequalities in the prevalence of elevated depressive symptoms by rural childhood residence and the extent to which childhood socioeconomic conditions and educational attainment contribute to this disparity.We identified the prevalence of depressive symptoms among US-born adults ages 50 years and older in the 1998 to 2014 waves of the Health (...) % for nonrural).Rural childhood residence was associated with elevated depressive symptoms in middle-aged and older adults; birth region, parental education, and own education appear to contribute to this disparity.© 2019 John Wiley & Sons, Ltd.

2019 International Journal of Geriatric Psychiatry

12. B-vitamins in Relation to Depression in Older Adults Over 60 Years of Age: The Trinity Ulster Department of Agriculture (TUDA) Cohort Study. (Abstract)

B-vitamins in Relation to Depression in Older Adults Over 60 Years of Age: The Trinity Ulster Department of Agriculture (TUDA) Cohort Study. Mental health disorders are major contributors to disease burden in older people. Deficient status of folate and the metabolically related B vitamins may be implicated in these conditions. This study aimed to investigate folate, vitamin B12, vitamin B6, and riboflavin in relation to depression and anxiety in aging and also considered the role of fortified (...) foods as a means of optimizing B-vitamin status and potentially reducing the risk of these mental health disorders.The Trinity Ulster Department of Agriculture (TUDA) aging study was a cross-sectional cohort study.Community-dwelling adults (n = 5186; ≥60 years) recruited from 2 jurisdictions within the island of Ireland from 2008 to 2012.Depression and anxiety were assessed using the Centre for Epidemiological Studies Depression (CES-D) and the Hospital Anxiety and Depression (HAD) scales

2019 Journal of the American Medical Directors Association

13. Hypertension, socioeconomic status and depressive symptoms in Chinese middle-aged and older adults: Findings from the China health and retirement longitudinal study. (Abstract)

Hypertension, socioeconomic status and depressive symptoms in Chinese middle-aged and older adults: Findings from the China health and retirement longitudinal study. This study aimed to examine the effect of diagnosed hypertension on depressive symptoms and socioeconomic status (SES) as moderator in the effect in middle-aged and older adults in China.We used data from the nationally representative survey of China Health and Retirement Longitudinal Study, including 6273 participants free from (...) , and the responses to this stressor merely occurred among the low socioeconomic individuals. Our findings underscored the importance of examining the connection between mental and physical health in the context of aging and shed lights on the action to developing strategies for detection and management of hypertension that could cause psychological stress, which may contribute to fighting against depressive symptoms, especially in the low SES population.Copyright © 2019. Published by Elsevier B.V.

2019 Journal of Affective Disorders

14. Associations of depressive symptoms and history with three a priori diet quality indices in middle-aged and older adults. (Abstract)

Associations of depressive symptoms and history with three a priori diet quality indices in middle-aged and older adults. Evidence for the diet-depression link is growing but longitudinal studies on the reverse association are scarce. We investigated associations of (1) current depressive symptoms, (2) short-term changes in and (3) long-term history of depressive symptoms with three a priori diet quality indices.Data were from participants (≥ 55 years) of the Longitudinal Aging Study Amsterdam (...) CES-D ≥ 16 from 2001-2003 to 2011-2013; n = 687) was associated with lower MDS (B = -1.87, 95%CI = -3.47, -0.27) and AHEI (B = -4.33, 95%CI = -7.54, -1.13) scores in men only. No associations were found with the DASH score.Single dietary data collection impeded investigation of prospective depression-diet associations.Our study in middle-aged and older adults suggests that current and past depressive symptoms are associated with poorer diet quality, particularly in men.Copyright © 2019 Elsevier

2019 Journal of Affective Disorders

15. Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow Full Text available with Trip Pro

Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow Geriatric syndromes (GSs) are common in older adults and have a significant effect on their quality of life, disability, and use of health care resources. Few studies have assessed the prevalence of GSs in Russia. The aim of this study is to assess the prevalence of GSs among older adults living in the community in Moscow.A cross-sectional study was conducted in four community clinics (...) ±8.3 kg in men), but poor balance (only 39.4% were able to maintain their balance on one leg for 10 s or more).The results of this study demonstrate a high prevalence of GSs among community-dwelling people aged 65 years and older in Moscow. The results provide a better understanding of the needs of older adults in Russia and can facilitate planning for medical and social assistance for this population.

2018 Clinical interventions in aging

16. Religiosity and depressive symptoms in older adults compared to younger adults: Moderation by age. (Abstract)

Religiosity and depressive symptoms in older adults compared to younger adults: Moderation by age. Previous research has suggested that individuals tend to become more religious with age. Research has also shown that as individuals become more religious, they report decreases in depressive symptoms, suggesting that increased levels of religiosity might help to improve one's mental health. The following study aimed to examine the effect of age on the relation between religiosity and depressive (...) symptoms.Data was gathered using a religiosity questionnaire and depression questionnaire. The sample consisted of 201 adults, ranging from 21-67 years of age, recruited through the Amazon Mechanical Turk (MTURK) marketplace.Hays' PROCESS model for SPSS (Hayes, 2013) was used to test age as a moderator between depressive symptoms and religiosity. Correlations showed that religiosity was positively correlated with age and negatively correlated with depressive symptoms. Further analysis of the data suggested

2018 Journal of Affective Disorders

17. The association of insomnia and depressive symptoms with all-cause mortality among middle-aged and old adults. Full Text available with Trip Pro

The association of insomnia and depressive symptoms with all-cause mortality among middle-aged and old adults. Insomnia and depressive symptoms are commonly reported by adults and have independently been found to be associated with mortality, though contrasting findings are reported. Given the high comorbidity and interrelatedness between these symptoms, we tested whether insomnia symptoms explain risk of death independent of depressive symptoms. We examined insomnia symptoms and depressive (...) symptoms, in addition to other health and demographic covariates, as predictors of all-cause mortality.The sample included 15 418 adults aged 51 and older drawn from a nationally representative, population-based study of adults in the United States, the Health and Retirement Study. Cox survival models were used to analyze time to death between the 2002 and 2014 study waves (5 waves). Controlling for health and demographic covariates, in 3 separate models, depressive symptoms and insomnia symptoms were

2018 International Journal of Geriatric Psychiatry

18. Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

First Street, NE, Washington, DC 20002-4242. E-mail: cpg@apa.org. APA GUIDELINE FOR THE TREATMENT OF DEPRESSION ii Abstract The American Psychological Association (APA) developed this clinical practice guideline to provide recommendations for the treatment of depressive disorders (including major depression, subsyndromal depression, and persistent depressive disorder). It addresses three developmental cohorts: children and adolescents; general adults; and older adults (ages 60 and over). Ten (...) Across Three Age Cohorts 1 Scope of the Problem 1 Children and Adolescents 2 General Adult Population 11 Older Adult Population 14 The Need for a Clinical Practice Guideline and Decisions about Scope and Goals of the Clinical Practice Guideline 18 The APA Clinical Practice Guideline for the Treatment of the Problem 19 Guideline Purpose and Scope: What the Guideline Does and Does Not Address 23 APA GUIDELINE FOR THE TREATMENT OF DEPRESSION iv Process and Method 26 Vetting and Appointment of Members

2019 American Psychological Association

19. Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study. Full Text available with Trip Pro

Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study. Although the awareness of mental health problems in late life is rising, the association between financial transfers to the older generations from children and mental health at older ages in China has received little attention. This study examines the association between financial transfers from children and depressive (...) symptoms among the mid-aged and elderly residents (from 45 years of age and older) in China.We used the data from the China Health and Retirement Longitudinal Study (CHARLS, 2013) (n = 10,935) This included data on financial transfers from all non-co-resident children to their parents, and the individual scores on depressive symptoms as measured by the 10-item Center for Epidemiologic Studies-Depression Scale (CESD-10). A two-level - individual and community levels - mixed linear model was deployed

2018 BMC Public Health

20. Depressive symptoms, health behaviors and risk of diabetes in Chinese mid-aged and older adults. (Abstract)

Depressive symptoms, health behaviors and risk of diabetes in Chinese mid-aged and older adults. While diabetes links with comorbidity of depression, there is no evidence in China regarding whether health behaviors modified the effect of depressive symptoms on diabetes. This study examined the influence of depressive symptoms on the incident diabetes, and investigated whether health behavior was a moderator in the depression-diabetes relationship in Chinese mid-aged and older adults.Using data (...) from the China Health and Retirement Longitudinal 2011-2015 Study, the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) short form was used to measure depressive symptoms in 47,671 Chinese mid-aged and older adults. Diabetes was diagnosed through self-reported measures. We used random effect logistic regression models to examine the effect of depressive symptoms on the incidence of depressive symptoms.Participants with depressive symptoms were more likely to suffer from diabetes

2018 Journal of Affective Disorders

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