Tags

Type your tag names separated by a space and hit enter

Do depressive symptoms predict declines in physical performance in an elderly, biracial population?
Psychosom Med. 2005 Jul-Aug; 67(4):609-15.PM

Abstract

OBJECTIVE

We investigated whether depressive symptoms, assessed by the 10-item Center for Epidemiological Studies Depression Scale (CES-D), predicted change in physical function in elderly adults.

METHODS

Participants were from a biracial, population-based sample of adults aged 65 and older (N: 4069; 61% black; 61% female). Physical function was assessed as a summary performance measure of tandem stand, measured walk, and repeated chair stand (mean [standard deviation], 10.3 [3.5]; range, 0-15), commonly used measures of overall physical health in older adults. Generalized estimating equation models estimated physical function across 3 assessments over 5.4 years of follow up as a function of CES-D scores at baseline.

RESULTS

Adjusting for age, sex, race, and education, each 1-point higher CES-D score was associated with a 0.34-point lower absolute level of physical performance (p < .0001), but there was no evidence of a CES-D by time interaction (p = .84), indicating that depressive symptoms at baseline were not associated with greater physical performance decline over time. In secondary analyses, with CES-D scores modeled in 4 categories, overall physical performance showed a graded, inverse association across CES-D categories (p's < .0001). However, we observed no threshold effect for depressive symptoms in relation to change in physical performance. Compared with the referent group (CES-D = 0), the 2 middle CES-D categories (CES-D = 1 or 2-3) evidenced some decline in physical performance over time, but the highest CES-D group (CES-D > or =4) showed no significant physical decline over time (p = .89).

CONCLUSION

We observed a strong cross-sectional association between depressive symptoms and overall physical performance. Physical function declined over time, yet depressive symptoms did not consistently contribute to greater decline over an average of 5.4 years of follow up among older adults. Findings highlight the importance of longitudinal models in understanding the relation between depressive symptomatology and physical health.

Authors+Show Affiliations

Rush Institute for Healthy Aging, Rush University Medical Center, Department of Preventive Medicine, Chicago, Illinois 60612, USA. Susan_Everson@rush.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16046375

Citation

Everson-Rose, Susan A., et al. "Do Depressive Symptoms Predict Declines in Physical Performance in an Elderly, Biracial Population?" Psychosomatic Medicine, vol. 67, no. 4, 2005, pp. 609-15.
Everson-Rose SA, Skarupski KA, Bienias JL, et al. Do depressive symptoms predict declines in physical performance in an elderly, biracial population? Psychosom Med. 2005;67(4):609-15.
Everson-Rose, S. A., Skarupski, K. A., Bienias, J. L., Wilson, R. S., Evans, D. A., & Mendes de Leon, C. F. (2005). Do depressive symptoms predict declines in physical performance in an elderly, biracial population? Psychosomatic Medicine, 67(4), 609-15.
Everson-Rose SA, et al. Do Depressive Symptoms Predict Declines in Physical Performance in an Elderly, Biracial Population. Psychosom Med. 2005;67(4):609-15. PubMed PMID: 16046375.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do depressive symptoms predict declines in physical performance in an elderly, biracial population? AU - Everson-Rose,Susan A, AU - Skarupski,Kimberly A, AU - Bienias,Julia L, AU - Wilson,Robert S, AU - Evans,Denis A, AU - Mendes de Leon,Carlos F, PY - 2005/7/28/pubmed PY - 2006/7/19/medline PY - 2005/7/28/entrez SP - 609 EP - 15 JF - Psychosomatic medicine JO - Psychosom Med VL - 67 IS - 4 N2 - OBJECTIVE: We investigated whether depressive symptoms, assessed by the 10-item Center for Epidemiological Studies Depression Scale (CES-D), predicted change in physical function in elderly adults. METHODS: Participants were from a biracial, population-based sample of adults aged 65 and older (N: 4069; 61% black; 61% female). Physical function was assessed as a summary performance measure of tandem stand, measured walk, and repeated chair stand (mean [standard deviation], 10.3 [3.5]; range, 0-15), commonly used measures of overall physical health in older adults. Generalized estimating equation models estimated physical function across 3 assessments over 5.4 years of follow up as a function of CES-D scores at baseline. RESULTS: Adjusting for age, sex, race, and education, each 1-point higher CES-D score was associated with a 0.34-point lower absolute level of physical performance (p < .0001), but there was no evidence of a CES-D by time interaction (p = .84), indicating that depressive symptoms at baseline were not associated with greater physical performance decline over time. In secondary analyses, with CES-D scores modeled in 4 categories, overall physical performance showed a graded, inverse association across CES-D categories (p's < .0001). However, we observed no threshold effect for depressive symptoms in relation to change in physical performance. Compared with the referent group (CES-D = 0), the 2 middle CES-D categories (CES-D = 1 or 2-3) evidenced some decline in physical performance over time, but the highest CES-D group (CES-D > or =4) showed no significant physical decline over time (p = .89). CONCLUSION: We observed a strong cross-sectional association between depressive symptoms and overall physical performance. Physical function declined over time, yet depressive symptoms did not consistently contribute to greater decline over an average of 5.4 years of follow up among older adults. Findings highlight the importance of longitudinal models in understanding the relation between depressive symptomatology and physical health. SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/16046375/Do_depressive_symptoms_predict_declines_in_physical_performance_in_an_elderly_biracial_population L2 - http://dx.doi.org/10.1097/01.psy.0000170334.77508.35 DB - PRIME DP - Unbound Medicine ER -