Long-term trajectories of depressive symptoms in old age: Relationships with sociodemographic and health-related factors

Background: This study aimed at depicting the course of depression symptoms over the old age, with a special interest in a) uncovering its relationships with sociodemographic and health-related factors; b) analysing its predictive role on healthy-ageing outcomes later in life. Methods: The sample co...

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Detalles Bibliográficos
Autores: De La-Torre Luque, Alejandro Francisco, Fuente, Javier de la, Prina, Matthew, Sanchez Niubo, Albert, Haro, Josep Maria, Ayuso Mateos, Jose Luis
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/99408
Acceso en línea:https://hdl.handle.net/20.500.14352/99408
Access Level:acceso abierto
Palabra clave:616.89
Depression
Healthy ageing
Longitudinal trajectories
Measurement invariance
Mixture modelling
Psiquiatría
Psicología (Psicología)
3202 Epidemiología
3211 Psiquiatría
61 Psicología
Descripción
Sumario:Background: This study aimed at depicting the course of depression symptoms over the old age, with a special interest in a) uncovering its relationships with sociodemographic and health-related factors; b) analysing its predictive role on healthy-ageing outcomes later in life. Methods: The sample comprised 8317 older adults (46.02% men) from the English Longitudinal Study of Ageing. Robust structural equation modelling was used to identify symptom trajectories and their relationships with time-varying factors. Trajectory class and covariates were used to predict outcomes (quality of life, satisfaction with life, and daily living functioning) in a 2-year follow-up. Results: Three trajectory classes (so-called, normative, subclinical, chronic symptom trajectories) were identified for both sexes. Rising hearing difficulties and history of psychiatric problems were consistently associated with the chronic symptom trajectory. Lower education level, history of psychiatric problems, and increasing visual difficulties were connected with the subclinical trajectories. Finally, participants with either a subclinical or a chronic symptom trajectory showed worse outcomes than the remaining participants in the follow-up. Conclusion: This study highlighted the presence of varying courses of depression symptoms (each showing some distinctive features from other another) over the old age, pointing to some relevant implications for clinical assessment and treatment prescription.