Community Participation and the Emergence of Late-Life Depressive Symptoms: Differences between Women and Men

2008 ◽  
Vol 17 (9) ◽  
pp. 1463-1470 ◽  
Author(s):  
Melissa M. Ahern ◽  
Michael Hendryx
Keyword(s):  
Depressive Symptoms ◽  
Community Participation ◽  
Late Life

scholarly journals Health and social care service utilisation and associated expenditure among community-dwelling older adults with depressive symptoms

2021 ◽  
Vol 30 ◽  
Author(s):  
Shiyu Lu ◽  
Tianyin Liu ◽  
Gloria H. Y. Wong ◽  
Dara K. Y. Leung ◽  
Lesley C. Y. Sze ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Symptom Severity ◽  
Social Care ◽  
Late Life ◽  
Community Dwelling ◽  
Service Utilisation ◽  
Late Life Depression ◽  
Social Care Service ◽  
Health And Social Care

Abstract Aims Late-life depression has substantial impacts on individuals, families and society. Knowledge gaps remain in estimating the economic impacts associated with late-life depression by symptom severity, which has implications for resource prioritisation and research design (such as in modelling). This study examined the incremental health and social care expenditure of depressive symptoms by severity. Methods We analysed data collected from 2707 older adults aged 60 years and over in Hong Kong. The Patient Health Questionnaire-9 (PHQ-9) and the Client Service Receipt Inventory were used, respectively, to measure depressive symptoms and service utilisation as a basis for calculating care expenditure. Two-part models were used to estimate the incremental expenditure associated with symptom severity over 1 year. Results The average PHQ-9 score was 6.3 (standard deviation, s.d. = 4.0). The percentages of respondents with mild, moderate and moderately severe symptoms and non-depressed were 51.8%, 13.5%, 3.7% and 31.0%, respectively. Overall, the moderately severe group generated the largest average incremental expenditure (US$5886; 95% CI 1126–10 647 or a 272% increase), followed by the mild group (US$3849; 95% CI 2520–5177 or a 176% increase) and the moderate group (US$1843; 95% CI 854–2831, or 85% increase). Non-psychiatric healthcare was the main cost component in a mild symptom group, after controlling for other chronic conditions and covariates. The average incremental association between PHQ-9 score and overall care expenditure peaked at PHQ-9 score of 4 (US$691; 95% CI 444–939), then gradually fell to negative between scores of 12 (US$ - 35; 95% CI - 530 to 460) and 19 (US$ -171; 95% CI - 417 to 76) and soared to positive and rebounded at the score of 23 (US$601; 95% CI -1652 to 2854). Conclusions The association between depressive symptoms and care expenditure is stronger among older adults with mild and moderately severe symptoms. Older adults with the same symptom severity have different care utilisation and expenditure patterns. Non-psychiatric healthcare is the major cost element. These findings inform ways to optimise policy efforts to improve the financial sustainability of health and long-term care systems, including the involvement of primary care physicians and other geriatric healthcare providers in preventing and treating depression among older adults and related budgeting and accounting issues across services.

scholarly journals Depressive Symptoms and Cognitive Decline in Late Life

2006 ◽  
Vol 63 (2) ◽  
pp. 153 ◽  
Author(s):  
Mary Ganguli ◽  
Yangchun Du ◽  
Hiroko H. Dodge ◽  
Graham G. Ratcliff ◽  
Chung-Chou H. Chang
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Decline ◽  
Late Life

scholarly journals Temporal and Reciprocal Relationship Between IADL/ADL Disability and Depressive Symptoms in Late Life

2002 ◽  
Vol 57 (4) ◽  
pp. P338-P347 ◽  
Author(s):  
J. Ormel ◽  
F. V. Rijsdijk ◽  
M. Sullivan ◽  
E. van Sonderen ◽  
G. I. J. M. Kempen
Keyword(s):  
Depressive Symptoms ◽  
Late Life ◽  
Reciprocal Relationship ◽  
Adl Disability

scholarly journals Cognitive Functioning and Late-Life Depression

2014 ◽  
Vol 20 (5) ◽  
pp. 461-467 ◽  
Author(s):  
Aaron M. Koenig ◽  
Rishi K. Bhalla ◽  
Meryl A. Butters
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Cognitive Functioning ◽  
Neuropsychological Assessment ◽  
Cognitive Deficits ◽  
Late Life ◽  
Cognitive Outcomes ◽  
Review Of The Literature ◽  
Late Life Depression ◽  
The Relationship

AbstractThis brief report provides an introduction to the topic of cognitive functioning in late-life depression (LLD). In addition to providing a review of the literature, we present a framework for understanding the heterogeneity of cognitive outcomes in this highly prevalent disorder. In addition, we discuss the relationship between LLD and dementia, and highlight the importance of regularly assessing cognitive functioning in older adults who present with depressive symptoms. If cognitive deficits are discovered during a neuropsychological assessment, we recommend referral to a geriatric psychiatrist or cognitive neurologist, for evaluation and treatment of the patient’s symptoms. (JINS, 2014, 20, 1–7)

DEPRESSIVE SYMPTOMS IN LATE LIFE AND CEREBROVASCULAR DISEASE: THE IMPORTANCE OF INTELLIGENCE AND LESION LOCATION

2012 ◽  
Vol 30 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Alison D. Murray ◽  
Roger T. Staff ◽  
Christopher J. McNeil ◽  
Sima Salarirad ◽  
Louise H. Phillips ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cerebrovascular Disease ◽  
Late Life ◽  
Lesion Location
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