Gender differences in the trajectories of late-life depressive symptomology and probable depression in the years prior to death

被引:15
|
作者
Burns, R. A. [1 ]
Luszcz, M. A. [2 ,3 ]
Kiely, K. M. [1 ]
Butterworth, P. [1 ]
Browning, C. [4 ]
Mitchell, P. [5 ,6 ]
Anstey, K. J. [1 ]
机构
[1] Australian Natl Univ, Ctr Res Ageing Hlth & Wellbeing, Canberra, ACT 0200, Australia
[2] Flinders Univ S Australia, Flinders Ctr Ageing Studies, Adelaide, SA 5001, Australia
[3] Flinders Univ S Australia, Sch Psychol, Adelaide, SA 5001, Australia
[4] Monash Univ, Fac Med Nursing & Hlth Sci, Sch Primary Hlth Care, Melbourne, Vic 3004, Australia
[5] Univ Sydney, Westmead Millennium Inst, Ctr Vis Res, Sydney, NSW 2006, Australia
[6] Univ Sydney, Dept Ophthalmol, Sydney, NSW 2006, Australia
基金
英国医学研究理事会; 澳大利亚研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
aging; depression; mortality; self-rated health; sub-syndromal depression; OLD-AGE; LONGITUDINAL EVIDENCE; DYNAMIC-ANALYSES; UNITED-KINGDOM; HEALTH-STATUS; PREVALENCE; MORTALITY; DECLINE; ADULTS; SATISFACTION;
D O I
10.1017/S1041610213001099
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Gender differences in depression are well established. Whether these differences persist into late life and in the years preceding death is less clear. There is a suggestion that there is no increased likelihood of depression in late life, but that there is an increase in depressive symptomology, particularly with proximity to death. We compared trajectories of probable depression and depressive symptomology between men and women over age and distance-to-death metrics to determine whether reports of depressive symptoms are more strongly related to age or mortality. Methods: Participants (N = 2,852) from the Dynamic Analyses to Optimise Ageing (DYNOPTA) project had a mean age of 75 years (SD = 5.68 years) at baseline and were observed for up to 16 years prior to death. Multi-level regression models estimated change in depressive symptomology and probable depression over two time metrics, increasing age, and distance-to-death. Results: Increases in depressive symptomology were reported over increasing age and in the years approaching death. Only male participants reported increased probable depression in the years preceding death. Models that utilized distance-to-death metrics better represented changes in late-life depression, although any changes in depression appear to be accounted for by co-varying physical health status. Conclusions: As death approaches, there are increases in the levels of depressive symptomology even after controlling for socio-demographic and health covariates. In line with increases in suicide rates in late life, male participants were at greater risk of reporting increases in depressive symptomology.
引用
收藏
页码:1765 / 1773
页数:9
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