Population impact of depression on functional disability in elderly: results from ""Sao Paulo Ageing & Health Study"" (SPAH)
Carregando...
Citações na Scopus
36
Tipo de produção
article
Data de publicação
2013
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER HEIDELBERG
Citação
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, v.263, n.2, p.153-158, 2013
Resumo
With the fast population aging, functional disability among the elderly is becoming a major public health issue. Depression is highly prevalent in this phase of life and may be associated with a significant proportion of the disability among elderly populations. We investigated the association of depressive symptoms and ICD-10 depression with functional disability in older adults and estimated the corresponding population attributable fractions (PAF). A cross-sectional one-phase population-based study was carried out with 2,072 individuals aged 65 years or over living in a low-income area of So Paulo, Brazil. Depressive symptoms and ICD-10 depression were assessed with the Geriatric Mental State and the Neuropsychiatric Inventory. We assessed functional disability with the WHO Disability Assessment Schedule Instrument. Prevalence Ratios and PAF were calculated using Poisson regression. The prevalence of depressive symptoms and ICD-10 depression was 21.4 and 4.8 %, respectively. Depression and depressive symptoms were strongly associated with high functional disability, even after adjustment for demographic factors, socioeconomic conditions, physical morbidities, and dementia. The PAFs for depressive symptoms and ICD-10 depression were 12.0 % for each of the psychiatric morbidity. Depressive symptoms contributed as much as ICD-10 depression to the population burden of functional disability in the elderly. Effective management of clinically significant depressive symptoms, delivered mainly at the primary care level, may reduce the total population disability.
Palavras-chave
Functional disability, Depressive symptoms, Elderly, Population attributable fraction, Epidemiology, Brazil
Referências
- Alexapoulos GS, 2005, LANCET, V365, P1961, DOI 10.1016/S0140-6736(05)66665-2
- Arean P, 2008, GERONTOLOGIST, V48, P311
- Baghai TC, 2012, EUR ARCH PSY CLIN N, V262, P13, DOI 10.1007/s00406-011-0274-7
- BEEKMAN A, 1995, AFFECTIVE DISORD, V36, P65
- Beekman ATF, 1997, PSYCHOL MED, V27, P1397, DOI 10.1017/S0033291797005734
- Callahan CM, 2005, J AM GERIATR SOC, V53, P367, DOI 10.1111/j.1532-5415.2005.53151.x
- Cepoiu M, 2008, J GEN INTERN MED, V23, P25, DOI 10.1007/s11606-007-0428-5
- Chobanian AV, 2003, JAMA-J AM MED ASSOC, V289, P2560, DOI 10.1001/jama.289.19.2560
- Coutinho Leticia M S, 2008, Rev Saude Publica, V42, P992, DOI 10.1590/S0034-89102008000600003
- Crawford MJ, 1998, INT J GERIATR PSYCH, V13, P172, DOI 10.1002/(SICI)1099-1166(199803)13:3<172::AID-GPS754>3.3.CO;2-3
- Gottfries CG, 2001, EUR ARCH PSY CLIN N, V251, P57
- Griffith L, 2010, AGE AGEING, V39, P738, DOI 10.1093/ageing/afq105
- Guerra M, 2009, BRIT J PSYCHIAT, V195, P510, DOI 10.1192/bjp.bp.109.064055
- Guralnik JM, 1996, ANNU REV PUBL HEALTH, V17, P25, DOI 10.1146/annurev.publhealth.17.1.25
- IBGE, 2002, PERF ID RESP PEL DOM
- IBGE, 2011, SIN CENS BRAS 2010
- Østbye Truls, 2005, Chronic Dis Can, V26, P93
- Scazufca M, 2008, INT PSYCHOGERIATR, V20, P394, DOI 10.1017/S1041610207005625
- Scazufca M, 2008, INT J EPIDEMIOL, V37, P879, DOI 10.1093/ije/dyn125
- Sousa RM, 2009, LANCET, V374, P1821, DOI 10.1016/S0140-6736(09)61829-8
- United Nations, 2005, WORLD POP PROSP 2004
- Unutzer J, 2002, JAMA-J AM MED ASSOC, V288, P2836, DOI 10.1001/jama.288.22.2836
- Von Korff M, 2008, J CLIN EPIDEMIOL, V61, P1132, DOI 10.1016/j.jclinepi.2007.12.009
- WHO, 2002, AGING MALE, V5, P1
- World Health Organization, 2008, GLOB BURD DIS 2004 U
- World Health Organization (WHO), 2001, INT CLASS FUNCT DIS
- [Anonymous], 1997, DIABETES CARE, V20, P1183