Mild depressive symptoms, self-reported disability, and slowing across multiple functional domains
Background: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Methods: Among older adults who did not meet criteria for de...
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| Vydáno v: | International psychogeriatrics Ročník 24; číslo 2; s. 253 - 260 |
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| Hlavní autoři: | , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Cambridge, UK
Cambridge University Press
01.02.2012
Elsevier Inc |
| Témata: | |
| ISSN: | 1041-6102, 1741-203X, 1741-203X |
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| Abstract | Background: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Methods: Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests. Results: Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than “several days” in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0–7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance. Conclusions: Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. |
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| AbstractList | Background: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Methods: Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests. Results: Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than "several days" in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0-7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance. Conclusions: Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. [PUBLICATION ABSTRACT] ABSTRACTBackground: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Methods: Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests. Results: Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than “several days” in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0–7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance. Conclusions: Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. Background: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Methods: Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests. Results: Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than “several days” in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0–7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance. Conclusions: Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation.BACKGROUNDSubthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation.Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests.METHODSAmong older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests.Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than "several days" in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0-7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance.RESULTSOf 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than "several days" in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0-7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance.Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility.CONCLUSIONSMild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests. Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than "several days" in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0-7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance. Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. Background: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking depressed mood to increased risk of disability need further investigation. Methods: Among older adults who did not meet criteria for depression, respondents reporting no anhedonia and dysphoria over the past two weeks were compared to respondents reporting occasional symptoms with respect to self-reported disability and cognitive, psychomotor, and physical performance tests. Results: Of 312 community-resident participants without dementia, 35.3% (n = 110) reported one or both of the two depressive symptoms at mild severity (no more than “several days” in the past two weeks). Older adults with mild depressive symptoms reported more physician-diagnosed medical conditions (2.2 vs. 1.8, p < 0.01) and mobility problems (3.0 vs. 1.8, 0–7 scale, p < 0.001), and were slower in gait (0.80 vs. 0.73 m/sec, p < 0.01) and speed of cognitive processing (Trail B, 166.1 vs. 184.7 sec, p < 0.001). In regression models that adjusted for sociodemographic and medical status, subthreshold symptoms were not a significant correlate of slowing in gait speed or cognitive performance. However, subthreshold depressive symptoms were associated with self-reported mobility limitation in models that adjusted for observed performance. Conclusions: Mild depressive symptoms in this sample were not an independent correlate of slowed performance. However, the presence of mild depressive symptoms was associated with poorer appraisal of mobility after adjustment for objective measures of mobility. |
| Author | Bear-Lehman, Jane Albert, Steven M. Burkhardt, Ann |
| Author_xml | – sequence: 1 givenname: Steven M. surname: Albert fullname: Albert, Steven M. email: smalbert@pitt.edu organization: 1Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, USA – sequence: 2 givenname: Jane surname: Bear-Lehman fullname: Bear-Lehman, Jane organization: 2Department of Occupational Therapy, New York University, New York, USA – sequence: 3 givenname: Ann surname: Burkhardt fullname: Burkhardt, Ann organization: 3Department of Occupational Therapy, Quinnipiac University, Hamden, Connecticut, USA |
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| CitedBy_id | crossref_primary_10_1016_j_jagp_2017_01_007 crossref_primary_10_1016_j_jagp_2014_04_005 crossref_primary_10_1016_j_jagp_2019_07_007 crossref_primary_10_1016_j_jad_2022_08_060 crossref_primary_10_1016_j_psychres_2019_112687 crossref_primary_10_1016_j_jamda_2022_07_016 crossref_primary_10_1016_j_jagp_2019_08_001 |
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| Keywords | slowing physical function depression cognition subsyndromal Human Mood disorder Handicap Self evaluation Depression Cognition Subsyndromal Disability Symptomatology Slowing down Elderly |
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| References | Barry, Allore, Bruce, Gill (bb0020) 2009; 64A Benton (bb0025) 1955 Kroenke, Spitzer, Williams (bb0095) 2003; 41 Judd, Akiskal (bb0080) 2002; 10 Babyak (bb0015) 2004; 66 Penninx, Guralnik, Ferrucci, Simonsick, Deeg, Wallace (bb0130) 1998; 279 Rogers (bb0140) 2010; 178 Bhalla (bb0035) 2009; 17 Goodglass, Kaplan (bb0060) 1983 Hybels, Pieper, Blazer (bb0075) 2009; 39 Manly, Bell-McGinty, Tang, Schupf, Stern, Mayeux (bb0110) 2005; 62 Meeks, Vahia, Lavretsky, Kulkarni, Jeste (bb0120) 2011; 129 Moberg (bb0125) 1958; 40B Royston, Altman, Sauerbrei (bb0145) 2006; 25 Spitzer, Kroenke, Williams (bb0150) 1999; 282 Guralnik, Fried, Simonsick, Kasper, Lafferty (bb0070) 1995 Tinetti, Richman, Powell (bb0155) 1990; 45 van't Veer-Tazelaar (bb0160) 2009; 66 Gallo, Rabins, Lyketos, Tien, Anthony (bb0055) 1997; 45 Guralnik (bb0065) 1994; 49 Albert, Bear-Lehman, Burkhardt, Merete-Roa, Noboa-Lemonier (bb0010) 2006; 61A McKhann, Drachman, Folstein, Katzman, Price, Stadlan (bb0115) 1984; 34 Bushke, Fuld (bb0040) 1974; 24 Benton, Hamsher (bb0030) 1976 Katon (bb0090) 2005; 62 Castro-Costa (bb0045) 2007; 191 Lyness (bb0100) 2006; 44 Cronin-Stubbs, de Leon, Beckett, Field, Glynn, Evans (bb0050) 2000; 160 Lyness (bb0105) 2007; 15 Reitan (bb0135) 1958; 8 Yen, Rebok, Gallo, Jones, Tennstadt (bb0165) 2011; 19 Kaplan, Goodglass, Weintraub (bb0085) 1983 Kroenke (10.1017/S1041610211001499_bb0095) 2003; 41 Barry (10.1017/S1041610211001499_bb0020) 2009; 64A Babyak (10.1017/S1041610211001499_bb0015) 2004; 66 Bhalla (10.1017/S1041610211001499_bb0035) 2009; 17 Meeks (10.1017/S1041610211001499_bb0120) 2011; 129 Royston (10.1017/S1041610211001499_bb0145) 2006; 25 Judd (10.1017/S1041610211001499_bb0080) 2002; 10 Albert (10.1017/S1041610211001499_bb0010) 2006; 61A Guralnik (10.1017/S1041610211001499_bb0065) 1994; 49 Cronin-Stubbs (10.1017/S1041610211001499_bb0050) 2000; 160 Hybels (10.1017/S1041610211001499_bb0075) 2009; 39 Moberg (10.1017/S1041610211001499_bb0125) 1958; 40B Guralnik (10.1017/S1041610211001499_bb0070) 1995 McKhann (10.1017/S1041610211001499_bb0115) 1984; 34 Tinetti (10.1017/S1041610211001499_bb0155) 1990; 45 Gallo (10.1017/S1041610211001499_bb0055) 1997; 45 Spitzer (10.1017/S1041610211001499_bb0150) 1999; 282 Manly (10.1017/S1041610211001499_bb0110) 2005; 62 van't Veer-Tazelaar (10.1017/S1041610211001499_bb0160) 2009; 66 Katon (10.1017/S1041610211001499_bb0090) 2005; 62 Rogers (10.1017/S1041610211001499_bb0140) 2010; 178 Lyness (10.1017/S1041610211001499_bb0100) 2006; 44 Bushke (10.1017/S1041610211001499_bb0040) 1974; 24 Kaplan (10.1017/S1041610211001499_bb0085) 1983 Reitan (10.1017/S1041610211001499_bb0135) 1958; 8 Yen (10.1017/S1041610211001499_bb0165) 2011; 19 Penninx (10.1017/S1041610211001499_bb0130) 1998; 279 Goodglass (10.1017/S1041610211001499_bb0060) 1983 Benton (10.1017/S1041610211001499_bb0025) 1955 Lyness (10.1017/S1041610211001499_bb0105) 2007; 15 Benton (10.1017/S1041610211001499_bb0030) 1976 Castro-Costa (10.1017/S1041610211001499_bb0045) 2007; 191 |
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| Snippet | Background: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms... ABSTRACTBackground: Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear.... Subthreshold depressive symptoms are common in older adults. The threshold for the clinical significance of such symptoms is unclear. Mechanisms linking... |
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| SubjectTerms | Activities of Daily Living - psychology Adult and adolescent clinical studies Adults Aged Anhedonia Biological and medical sciences Clinical significance Cognition Cognitive ability Dementia Depression Depression - psychology Disability Emotions Female Gait Geriatrics Gerontology/Geriatrics Humans Male Medical conditions Medical sciences Mental depression Mobility Mobility Limitation Mood disorders Neuropsychological Tests Older people People with disabilities Persons with Disabilities - psychology physical function Physicians Psychiatric/Mental Health Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Respondents slowing Sociodemographics subsyndromal Symptoms |
| Title | Mild depressive symptoms, self-reported disability, and slowing across multiple functional domains |
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