Impact of falls on depressive symptoms among the oldest old: Results from the AgeQualiDe study.
Int J Geriatr Psychiatry
; 33(10): 1383-1388, 2018 10.
Article
in En
| MEDLINE
| ID: mdl-30024054
ABSTRACT
OBJECTIVE:
The purpose of this study was to examine the impact of falls on depressive symptoms among the oldest old in Germany longitudinally.METHODS:
Data were used from 2 waves of the multicenter prospective cohort "Study on needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe). This study covers primary care patients ≥85 years (at baseline n = 547, average age of 88.9 ± 3.0 years; ranging from 85 to 100 years). General practitioner-diagnosed falls were used as explanatory variable. The Geriatric Depression Scale was used as outcome measure.RESULTS:
Linear fixed effects regressions showed that the occurrence of falls is associated with an increase in depressive symptoms (ß = .60, P = .02), whereas changes in marital status, ageing, social support, functional decline (instrumental activity of daily living), cognitive impairment, and an increase in chronic diseases did not affect depressive symptoms. In sensitivity analysis, an increase in depressive symptoms was associated with functional impairment (basic activities of daily living; Barthel index; ß = -.04, P = .005).CONCLUSIONS:
Based on a large, population-based longitudinal study, this study underlined the impact of falls on depressive symptoms and consequently extended previous knowledge about an association between falls and depressive symptoms in the oldest old. Developing strategies to prevent falls might also help to prevent depressive symptoms.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Accidental Falls
/
Depressive Disorder
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
Int J Geriatr Psychiatry
Journal subject:
GERIATRIA
/
PSIQUIATRIA
Year:
2018
Type:
Article
Affiliation country:
Germany