“Getting better” or “getting worse”: What practitioners can learn from older adults with high depressive symptoms
Keywords:older adults, depressive symptoms, chronic conditions, functional disability, pain
AbstractThe purpose of this study was to identify concrete markers of older adults scoring high in depressive symptoms. Through identification of depressive symptom covariates, practitioners may more accurately chart a course of interventions to assist the person in coping with depressive symptomatology. Subjects were members of an earlier longitudinal study. The present study was restricted to 133 subjects 60 and older who had high depressive symptom scores at baseline or follow-up or both. The findings suggest that somatic maladies were the distinguishing variables separating subjects who were able to reduce their depressive symptoms compared to those who stagnated at a high depressive symptom scores over 3 years. The present findings suggest a direct course of action_address the somatic concomitants of depression and the affect is likely to improve.
Centers for Disease Control and Prevention: Current depression (2006). Available at http://apps.nccd.cdc.gov/MAHA/MahaHome.aspx. Accessed January 16, 2013.
Ell K: Depression care for the elderly: Reducing barriers to evidence based practice. Home Health Care Serv Q. 2006; 25(1-2): 115-148.
Luppa M, Sikorski C, Motzek T, et al.: Health service utilization and costs of depressive symptoms in late life–A systematic review. Curr Pharm Des. 2012; 18: 5936-5957.
Langa KM, Valenstein MA, Fendrick AM, et al.: Extent and cost of informal caregiving for older Americans with symptoms of depression. Am J Psychiatry. 2004; 161(5): 857-863.
Vasiliadis HM, Dionne PA, Preville M, et al.: The excess healthcare costs associated with depression and anxiety in elderly living in the community. Am J Geriatr Psychiatry. 2012 (in press). doi:10.1097/JGP.0b013e318248ae9e.
Na YM, Kim KS, Lee KU, et al.: The relationship between depressive symptoms in outpatients with chronic illness and health care costs. Yonsei Med J. 2007; 48(5): 787-794.
Reynolds CF, Kupfer DJ: Depression and aging: A look to the future. Psychiatr Serv. 1999; 50: 1167-1172.
Mossey JM, Gallagher RM: The longitudinal occurrence and impact of comorbid chronic pain and chronic depression over two years in continuing care retirement community residents. Pain Med. 2004; 5(4): 335-348.
Robinson CL: Relieving pain in the elderly. Health Prog. 2007; 88(1): 48-53, 70.
Mobily KE, Rubenstein LM, Lemke JH, et al.: Walking and depression in a cohort of older adults: The Iowa 65+ rural health study. J Aging Phys Act. 1996; 4(2): 119-135.
Windle G, Hughes D, Linck P, et al.: Is exercise effective in promoting well-being in older age? A systematic review. Aging Ment Health. 2010; 14(6): 652-669.
Seligman MEP: Helplessness: On Depression, Development, and Death. San Francisco: WH Freeman and Co., 1975.
Mirowsky J, Ross CE: Education and self-rated health. Res Aging. 2008; 30: 93-122.
Radloff LS: The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3): 385-401.
Cardenas D, Henderson KA, Wilson BE: Physical activity and senior games participation: Benefits, constraints, and behaviors. J Aging Phys Act. 2009; 17: 135-153.
Stumbo NJ, Peterson CA: Therapeutic Recreation Program Design: Principles and Procedures. San Francisco: Benjamin Cummings, 2009.
Dattilo J, Kleiber D, Williams R: Self-determination and enjoyment enhancement: A psychologically-based service delivery model for therapeutic recreation. Ther Recreation J. 1998; 32(4): 258-271.
Iso-Ahola SE: Perceived control and responsibility as mediators of the effects of therapeutic recreation on the institutionalized aged. Ther Recreation J. 1980; 14(1): 36-43.
Blake H, Mo P, Malik S, et al.: How effective are physical activity interventions for alleviating depressive symptoms in older people? A systematic review. Clin Rehabil. 2009; 23(10): 873-887.
Arthritis Foundation: Aquatics. Available at http://www.arthritis.org/resources/community-programs/aquatics/. Accessed January 21, 2013.
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