Wim Houtjes1,2,3, Dorly Deeg2, Peter M van de Ven2, Berno van Meijel3,4,5, Theo van Tilburg6, Aartjan Beekman4. 1. GGZ-VS, Academy for Masters in Advanced Nursing Practice, Utrecht, The Netherlands. 2. Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. 3. Research Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands. 4. Department of Psychiatry, VEMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. 5. Parnassia Psychiatric Institute. 6. Department of Sociology, VU University, Amsterdam, The Netherlands.
Abstract
OBJECTIVES: To test the interrelation of the naturalistic course of depression in older people with long-term support received. DESIGN: Longitudinal cohort study. METHODS: A sample of 277 adults age 55-85 years participating in the Longitudinal Aging Study Amsterdam, with clinically relevant depressive symptoms at baseline (scores ≥16 on the Center for Epidemiological Studies Depression Scale) were followed up over a period of 13 years. General estimating equations were used to examine the relation between depression course and emotional/instrumental support received over time. In addition, partner status, gender, and age were tested as modifiers. RESULTS: A 2-way interaction between depression courses types and time showed significant differences in instrumental support received over time in older people with a late-life depression. Three-way interactions showed that associations between depression course and support variables were modified by gender and partner status. CONCLUSION: Both men and singles, with a chronic course of depression may be at risk to lose emotional and instrumental support over time. Professional attention is needed to prevent a chronic course of late-life depression, and to preserve personal social networks.
OBJECTIVES: To test the interrelation of the naturalistic course of depression in older people with long-term support received. DESIGN: Longitudinal cohort study. METHODS: A sample of 277 adults age 55-85 years participating in the Longitudinal Aging Study Amsterdam, with clinically relevant depressive symptoms at baseline (scores ≥16 on the Center for Epidemiological Studies Depression Scale) were followed up over a period of 13 years. General estimating equations were used to examine the relation between depression course and emotional/instrumental support received over time. In addition, partner status, gender, and age were tested as modifiers. RESULTS: A 2-way interaction between depression courses types and time showed significant differences in instrumental support received over time in older people with a late-life depression. Three-way interactions showed that associations between depression course and support variables were modified by gender and partner status. CONCLUSION: Both men and singles, with a chronic course of depression may be at risk to lose emotional and instrumental support over time. Professional attention is needed to prevent a chronic course of late-life depression, and to preserve personal social networks.
Authors: Daniel E Jimenez; Shariful Syed; Doris Perdomo-Johnson; Joseph F Signorile Journal: Am J Geriatr Psychiatry Date: 2017-06-29 Impact factor: 4.105