The consequences of major depression for disability, impaired well-being and service utilization have been studied primarily in younger adults.
In all age groups the consequences of minor depression are virtually unknown.
In later life, the increased co-morbidity with physical illness may modify the consequences of depression, warranting special study of the elderly.
With rising numbers of elderly people, excess service utilization by depressed elderly represents an increasingly important issue.
Based on a large, random community-based sample of older inhabitants of the Netherlands (55-85 years), the associations of major and minor depression with various indicators of disability, well-being and service utilization were assessed, controlling for potential confounding factors.
Depression was diagnosed using a two-stage screening design.
Diagnosis took place in all subjects with high depressive symptom levels and a random sample of those with low depressive symptom levels.
The study sample consists of all participants to diagnostic interviews (N=646).
As in younger adults, associations of both major and minor depression with disability and well-being remained significant after controlling for chronic disease and functional limitations.
Adequate treatment is often not administered, even in subjects with major depression. (...)
Mots-clés Pascal : Etat dépressif, Forme clinique, Bien être, Capacité fonctionnelle, Utilisation, Service santé, Vieillard, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Clinical form, Well being, Functional capacity, Use, Health service, Elderly, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0027415
Code Inist : 002B18E. Création : 17/04/1998.