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Somatic and anxiety symptoms of depression are associated with disability in late life depression

Morin, Ruth T. ; Nelson, Craig ; Bickford, David ; Insel, Philip S. LU and Mackin, R. Scott (2020) In Aging and Mental Health 24(8). p.1225-1228
Abstract

Objectives: To assess the relationships of somatic and anxiety symptoms of depression with functional disability in a sample of older adults with late life depression. Method: Data were analyzed from 78 older adults aged 65–88 with current major depression. Somatic and anxiety symptoms from the 24-item Hamilton Depression Rating Scale (HDRS) were summed to create variables measuring severity of these symptoms. Other symptoms of depression were also assessed using the remaining items of the HDRS. Current physical health burden was assessed using the Functional Comorbidity Index (FCI). Disability was measured with the Late Life Function and Disability Instrument (LLFDI) total limitation score. A linear regression analysis was performed to... (More)

Objectives: To assess the relationships of somatic and anxiety symptoms of depression with functional disability in a sample of older adults with late life depression. Method: Data were analyzed from 78 older adults aged 65–88 with current major depression. Somatic and anxiety symptoms from the 24-item Hamilton Depression Rating Scale (HDRS) were summed to create variables measuring severity of these symptoms. Other symptoms of depression were also assessed using the remaining items of the HDRS. Current physical health burden was assessed using the Functional Comorbidity Index (FCI). Disability was measured with the Late Life Function and Disability Instrument (LLFDI) total limitation score. A linear regression analysis was performed to assess the association of somatic and anxiety symptoms with disability independent of other factors. Results: The model accounted for 26.6% of variance in disability, (F(6,51) = 3.1, p =.01). Somatic (B = −1.9, p =.004) and anxiety (B = −3.7, p =.04) symptoms of depression were significantly associated with disability. Other depressive symptoms and physical illness burden were not associated with disability. Discussion: In older adults with major depression, somatic and anxiety symptoms of depression are associated with disability. Identification and treatment to remission of these symptoms may improve functional outcomes among older depressed adults.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anxious symptoms, disability, Late life depression, somatic symptoms
in
Aging and Mental Health
volume
24
issue
8
pages
4 pages
publisher
Taylor & Francis
external identifiers
  • pmid:30945553
  • scopus:85063969094
ISSN
1360-7863
DOI
10.1080/13607863.2019.1597013
language
English
LU publication?
yes
id
8e3a2906-53be-44aa-a1da-dff4675307b8
date added to LUP
2019-05-09 11:11:34
date last changed
2021-05-11 05:07:35
@article{8e3a2906-53be-44aa-a1da-dff4675307b8,
  abstract     = {<p>Objectives: To assess the relationships of somatic and anxiety symptoms of depression with functional disability in a sample of older adults with late life depression. Method: Data were analyzed from 78 older adults aged 65–88 with current major depression. Somatic and anxiety symptoms from the 24-item Hamilton Depression Rating Scale (HDRS) were summed to create variables measuring severity of these symptoms. Other symptoms of depression were also assessed using the remaining items of the HDRS. Current physical health burden was assessed using the Functional Comorbidity Index (FCI). Disability was measured with the Late Life Function and Disability Instrument (LLFDI) total limitation score. A linear regression analysis was performed to assess the association of somatic and anxiety symptoms with disability independent of other factors. Results: The model accounted for 26.6% of variance in disability, (F(6,51) = 3.1, p =.01). Somatic (B = −1.9, p =.004) and anxiety (B = −3.7, p =.04) symptoms of depression were significantly associated with disability. Other depressive symptoms and physical illness burden were not associated with disability. Discussion: In older adults with major depression, somatic and anxiety symptoms of depression are associated with disability. Identification and treatment to remission of these symptoms may improve functional outcomes among older depressed adults.</p>},
  author       = {Morin, Ruth T. and Nelson, Craig and Bickford, David and Insel, Philip S. and Mackin, R. Scott},
  issn         = {1360-7863},
  language     = {eng},
  number       = {8},
  pages        = {1225--1228},
  publisher    = {Taylor & Francis},
  series       = {Aging and Mental Health},
  title        = {Somatic and anxiety symptoms of depression are associated with disability in late life depression},
  url          = {http://dx.doi.org/10.1080/13607863.2019.1597013},
  doi          = {10.1080/13607863.2019.1597013},
  volume       = {24},
  year         = {2020},
}