Minor depression in older, long-term unemployed people seeking vocational support

Pfeil, Sabrina; Holtz, Katrin; Kopf, Kathrin Andrea; Hegerl, Ulrich; Rummel‐Kluge, Christine

doi:10.1186/s12888-017-1404-1

Cited by 12 publications

(13 citation statements)

References 42 publications

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“…In Table 3, the absolute values of regression coefficients of those who work, participate in social activities, and do regular physical activities are all smaller than the opposite. Numerous studies concerning this issue are consistent with the results [29][30][31][32][33][34]. Third, those with a greater number of chronic medical conditions experience more severe cognitive impairment accompanied with change in depressive state.…”

Section: Discussionsupporting

confidence: 71%

Association between Changes in Depressive State and Cognitive Function

Kim

Kwon

et al. 2019

IJERPH

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Dementia is defined as a severe form of cognitive impairment. Research concerning the two-way relationship between depression and cognitive impairment has been conducted; however, there has been little analysis of cognitive function following changes in depressive status. This study describes the association between changes in depressive state and cognitive function in a Korean geriatric population sample. Using the Korean Longitudinal Study of Aging (KLoSA) database, Mini-Mental State Examination (MMSE) scores and Center for Epidemiologic Studies Depression Scale (CESD-10) indexes were used for measuring cognitive function and depression, respectively. The survey population was divided into four case categories by change in depressive status: normal to normal (Group A), normal to depressive (Group B), depressive to normal (Group C), and depressive to depressive (Group D). Analysis of variance, multiple regression analysis, and subgroup analysis were used for statistical examination. In the multiple regression analysis between MMSE values and depressive status change groups, with Group A as the reference, β in all other groups was negative, and its absolute value was large in the order of D, B, and C in both men (B: −0.717, C: −0.416, D: −1.539) and women (B: −0.629, C: −0.430, D: −1.143). There were also significant results in the subgroup analysis in terms of age, working status, participation in social activities, regular physical activities, and number of chronic medical conditions. In conclusion, both cases—those suffering from depression and those having suffered from it before—experience cognitive impairment. The degree of cognitive function being impaired is greater in the case of depression-onset than that of depression-remission. Age, stimulating activities, and chronic conditions are also strongly relevant to cognitive decline accompanied by changes in depressive state.

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Section: Discussionsupporting

confidence: 71%

Association between Changes in Depressive State and Cognitive Function

Kim

Kwon

et al. 2019

IJERPH

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“…In addition to living alone before moving into nursing homes, the current study also found that residents who had never been employed had a 2.911‐fold higher risk of having depressive symptoms than those who had been employed before. A recent study revealed that 50% of older, long‐term unemployed adults (50 years or older) had minor or major depression (Pfeil, Holtz, Kopf, Hegerl, & Rummel‐Kluge, ). In a meta‐analysis study, Paul and Moser () also concluded that unemployment was associated with mental health, including depression.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depressive symptoms in older nursing home residents with intact cognitive function in Taiwan

Chuang

Ting

et al. 2018

Research in Nursing & Health

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The investigators aimed to explore the prevalence of depressive symptoms and associated factors among older residents with intact cognitive function in nursing homes in Taiwan. A cross-sectional descriptive and correlational research design was used. A convenience sample of 178 older residents without cognitive impairment was recruited from 36 nursing homes in Southern Taiwan. The questionnaires included demographic data; the Barthel Index, which assesses the ability to perform activities of daily living; and the Geriatric Depression Scale Short Form. Among older residents in nursing homes with intact cognitive function, 39.3% had depressive symptoms. Age, religion, previous living status, previous working status, being totally dependent in physical function, and being severely dependent in physical function were significant predictors of depressive symptoms among cognitively intact older residents. The findings highlight the critical mental healthcare issues among older residents with intact cognitive function in nursing homes. Practical strategies for preventing the occurrence of depressive symptoms and caring for those who have depressive symptoms should be developed, especially for younger or dependent older residents or residents who have never been employed, have no religious beliefs, or have lived alone before they moved into an institution.

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“…Sixteen of the 21 articles were published in the past 5 years. More than half (60%) were cross-sectional studies [24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] , while two were longitudinal prospective cohort studies 41,42 . Two articles used both cross-sectional and longitudinal study designs 1,24,40,43 .…”

Section: Characteristics Of the Selected Articlesmentioning

confidence: 99%

“…Two studies collected data via online assessments 32,38 , and four studies either retrospectively analyzed data or utilized previously collected datasets 29,31,39,47 . Two studies utilized healthy controls 30,45 , and six studies used the control groups or placebo groups for comparison [24][25][26]33,46,47 . The DSM-IV and DSM-V criteria were used the most by the reviewed articles to define fatigue 27,33,38,42 .…”

Section: Characteristics Of the Selected Articlesmentioning

confidence: 99%

“…Two studies utilized healthy controls 30,45 , and six studies used the control groups or placebo groups for comparison [24][25][26]33,46,47 . The DSM-IV and DSM-V criteria were used the most by the reviewed articles to define fatigue 27,33,38,42 . A total of seven different questionnaires were used to specifically assess fatigue, which included the Modified Fatigue Impact Scale, Multidimensional Fatigue Inventory, Profile Mood of States-Fatigue (POMS-F), Vitality Scale of the Short Form Health Survey (SF-36), Fatigue Severity Scale, Parkinson's Disease Fatigue Scale, and the sleep/fatigue domain of the Non-Motor Symptoms Scale (NMSS).…”

Section: Characteristics Of the Selected Articlesmentioning

confidence: 99%

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Disentangling fatigue from anhedonia: a scoping review

2020

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Fatigue and anhedonia are commonly reported, co-occurring clinical symptoms associated with chronic illnesses. Fatigue is a multidimensional construct that is defined as a distressing, persistent, subjective sense of physical, cognitive, or emotional tiredness that interferes with usual functioning. Anhedonia is a component of depressive disorders and other psychiatric conditions, such as schizophrenia, and is defined by the reduced ability to experience pleasure. Both symptoms greatly affect the health-related quality of life of patients with chronic illnesses. Although fatigue and anhedonia are commonly associated with each other, understanding the differences between the two constructs is necessary for diagnosis and clinical treatment. A scoping review was conducted based on published guidance, starting with a comprehensive search of existing literature to understand the similarities and differences between fatigue and anhedonia. An initial search of PubMed using fatigue and anhedonia as medical subject headings yielded a total of 5254 articles. A complete full-text review of the final 21 articles was conducted to find articles that treated both constructs similarly and articles that presented fatigue and anhedonia as distinct constructs. About 60% of the reviewed articles consider both constructs as distinct, but a considerable number of the reviewed articles found these constructs indistinguishable. Nomenclature and biology were two themes from the reviewed articles supporting the idea that anhedonia and fatigue are indistinguishable constructs. The information generated from this review is clinically relevant to optimize the management of fatigue related to anhedonia from other fatigue subtypes.

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Minor depression in older, long-term unemployed people seeking vocational support

Cited by 12 publications

References 42 publications

Association between Changes in Depressive State and Cognitive Function

Association between Changes in Depressive State and Cognitive Function

Prevalence of depressive symptoms in older nursing home residents with intact cognitive function in Taiwan

Disentangling fatigue from anhedonia: a scoping review

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