The impact of frailty on depressive disorder in later life:Findings from the Netherlands Study of depression in older persons

Background: Physical frailty and depressive symptoms are reciprocally related in community-based studies, but its prognostic impact on depressive disorder remains unknown. Methods: A cohort of 378 older persons (>= 60 years) suffering from a depressive disorder (DSM-IV criteria) was reassessed at two-year follow-up. Depressive symptom severity was assessed every six months with the Inventory of Depressive Symptomatology, including a mood, motivational, and somatic subscale. Frailty was assessed according to the physical frailty phenotype at the baseline examination. Results: For each additi... Mehr ...

Verfasser: Collard, R. M.
Arts, M. H. L.
Schene, A. H.
Naarding, P.
Voshaar, R. C. Oude
Comijs, H. C.
Dokumenttyp: Artikel
Erscheinungsdatum: 2017
Reihe/Periodikum: Collard , R M , Arts , M H L , Schene , A H , Naarding , P , Voshaar , R C O & Comijs , H C 2017 , ' The impact of frailty on depressive disorder in later life : Findings from the Netherlands Study of depression in older persons ' , European Psychiatry , vol. 43 , pp. 66-72 . https://doi.org/10.1016/j.eurpsy.2017.01.003
Schlagwörter: Frailty / Depression / Older persons / Netherlands study of depression in older persons / WOMEN AGED 65 / PHYSICAL FRAILTY / GERIATRIC DEPRESSION / COMMUNITY / SARCOPENIA / ADULTS / CONSEQUENCES / DETERMINANTS / INFLAMMATION / PREVALENCE
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29192412
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/cc61e8a0-6143-4d9e-a621-383bac022da7

Background: Physical frailty and depressive symptoms are reciprocally related in community-based studies, but its prognostic impact on depressive disorder remains unknown. Methods: A cohort of 378 older persons (>= 60 years) suffering from a depressive disorder (DSM-IV criteria) was reassessed at two-year follow-up. Depressive symptom severity was assessed every six months with the Inventory of Depressive Symptomatology, including a mood, motivational, and somatic subscale. Frailty was assessed according to the physical frailty phenotype at the baseline examination. Results: For each additional frailty component, the odds of non-remission was 1.24 [95% CI = 1.01-1.52] (P = 040). Linear mixed models showed that only improvement of the motivational (P <001) subscale and the somatic subscale (P = 003) of the IDS over time were dependent on the frailty severity. Conclusions: Physical frailty negatively impacts the course of late-life depression. Since only improvement of mood symptoms was independent of frailty severity, one may hypothesize that frailty and residual depression are easily mixed-up in psychiatric treatment.