Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec

Mechakra-Tahiri, S; Zunzunegui, Marı́a Victoria; Préville, Michel; Dubé, Micheline

doi:10.1002/gps.2250

Cited by 74 publications

(72 citation statements)

References 41 publications

(45 reference statements)

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“…Variables cross-sectionally associated with late-life SubD which may be antecedents, consequences, or both include the following: (a) being unmarried (Schneider et al, 2000; Beekman et al, 1995; Hybels et al, 2001), (b) low socioeconomic status (Blazer and William, 1980; Adams and Moon, 2009; Mechakra-Tahiri et al, 2009), (c) Lower education (Blazer and William, 1980; Adams and Moon, 2009) (d) executive function and verbal recall impairments (McCusker et al, 2005; Parmelee et al, 1992; Xavier et al, 2002; Chuan et al, 2008; Elderkin-Thompson et al, 2003; Elderkin-Thompson et al, 2006), (e) increased medical burden (Beekman et al, 1995; Parmelee et al, 1992; Chuan et al, 2008; Geiselmann et al, 2001; Hybels et al, 2001; Lyness et al, 2007; Penninx et al, 1999), (f) disability (Beekman et al, 1995; McCusker et al, 2005; Parmelee et al, 1992; Schneider et al, 2000; Chuan et al, 2008; Eastwood et al, 1989; Geiselmann et al, 2001; Hybels et al, 2001; Lyness et al, 1999; Lyness et al, 2007; Penninx et al, 1999), (g) decreased social support/loneliness/conflicted relationships (Beekman et al, 1995; Adams and Moon, 2009; Mechakra-Tahiri et al, 2009; Morrow-Howell et al, 2008; Blazer and William, 1980; McCusker et al, 2005; Schneider et al, 2000; Hybels et al, 2001; Pasternak et al, 1992) and (g) negative life events and loss (Beekman et al, 1995; Adams and Moon, 2009; Morrow-Howell et al, 2008; Ormel et al, 2001). These are consistent with a recent meta-analysis of risk factors for late-life depression (variably defined, not generally referring to SubD) (Cole, 2005).…”

Section: Resultsmentioning

confidence: 99%

A tune in “a minor” can “b major”: A review of epidemiology, illness course, and public health implications of subthreshold depression in older adults

Meeks

Vahia

Lavretsky

et al. 2011

Journal of Affective Disorders

473

370

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BACKGROUND With emphasis on dimensional aspects of psychopathology in development of the upcoming DSM-V, we systematically review data on epidemiology, illness course, risk factors for, and consequences of late-life depressive syndromes not meeting DSM-IV-TR criteria for major depression or dysthymia. We termed these syndromes subthreshold depression, including minor depression and subsyndromal depression. METHODS We searched PubMed (1980–Jan 2010) using the terms: subsyndromal depression, subthreshold depression, and minor depression in combination with elderly, geriatric, older adult, and late-life. Data were extracted from 181 studies of late-life subthreshold depression. RESULTS In older adults subthreshold depression was generally at least 2–3 times more prevalent (median community point prevalence 9.8%) than major depression. Prevalence of subthreshold depression was lower in community settings versus primary care and highest in long-term care settings. Approximately 8–10% of older persons with subthreshold depression developed major depression per year. The course of late-life subthreshold depression was more favorable than that of late-life major depression, but far from benign, with a median remission rate to non-depressed status of only 27% after ≥1 year. Prominent risk factors included female gender, medical burden, disability, and low social support; consequences included increased disability, greater healthcare utilization, and increased suicidal ideation. LIMITATIONS Heterogeneity of the data, especially related to definitions of subthreshold depression limit our ability to conduct meta-analysis. CONCLUSIONS The high prevalence and associated adverse health outcomes of late-life subthreshold depression indicate the major public health significance of this condition and suggest a need for further research on its neurobiology and treatment. Such efforts could potentially lead to prevention of considerable morbidity for the growing number of older adults.

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Section: Resultsmentioning

confidence: 99%

A tune in “a minor” can “b major”: A review of epidemiology, illness course, and public health implications of subthreshold depression in older adults

Meeks

Vahia

Lavretsky

et al. 2011

Journal of Affective Disorders

473

370

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“…Data was collected through at-home, face-to-face interviews. The study population, data collection procedures, and ethics are described in previous publications [18–20]. Briefly, a probabilistic sample of French-speaking community-dwelling older adults (94% of the population of Quebec who are able to understand and speak French) was used.…”

Section: Methodsmentioning

confidence: 99%

“…In this study, a 12-month recall period was used. For the purpose of this study, and as reported in previous research [18, 19], a dichotomous outcome was defined as 1 if the person fulfilled the criteria for major or minor depression and 0 otherwise. Subjects who displayed the essential features of depression and reported between 2 and 4 of the 9 associated symptoms of depression were classified as minor depression cases.…”

Section: Methodsmentioning

confidence: 99%

Pattern of Change of Depressive Disorder over a One-Year Period among Community-Dwelling Older Adults in Québec

Dubé¹,

Zunzunegui²,

Préville³

et al. 2013

Depression Research and Treatment

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The objective of this study was to describe changes in depression and its correlates, in community-dwelling elderly, over a 12-month period. Data come from a longitudinal ESA Study (Enquête sur la Santé des Aînés) of elderly persons (n = 2752). Depression was measured using the DSM-IV criteria. Polytomous logistic regression was used to assess relations, over time, between participant's characteristics and depression. Among the 164 (5.9%) subjects, who were depressed at baseline, 19.5% were continuously ill cases and 80.4% had recovered, 12 months later. In polytomous regression, factors increasing the probability of the three depression states (persistence, recovery, and incidence) were daily hassles, stress intensity, and fair/poor self-rated mental health. Depression in old age is dynamic. Available prognostic factors can be taken into account to help direct treatment to elderly at highest risk of a poor prognosis.

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“…Individuals who received less social support were more likely to have depressive symptoms (Mechakra-Tahiri, *Corresponding author. Email: hhwang@kmu.edu.tw Zunzunegui, Pre´ville, & Dube´, 2009;Nahcivan & Demirezen, 2005).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with depressive symptoms among older adults living alone: An analysis of sex difference

Lin

Wang

2011

Aging & Mental Health

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Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec

Abstract: Geographic differences in depression exist within the elderly population in Quebec that may generate significant impact on their health and functional abilities. Further research should be conducted to explain these differences.

Cited by 74 publications

References 41 publications

A tune in “a minor” can “b major”: A review of epidemiology, illness course, and public health implications of subthreshold depression in older adults

A tune in “a minor” can “b major”: A review of epidemiology, illness course, and public health implications of subthreshold depression in older adults

Pattern of Change of Depressive Disorder over a One-Year Period among Community-Dwelling Older Adults in Québec

Factors associated with depressive symptoms among older adults living alone: An analysis of sex difference

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