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  1. Depression and physical health in later life : results from the Longitudinal Aging Study Amsterdam (LASA).

    Article - En anglais

    Background 

    In later life, declining physical health is often thought to be one of the most important risk factors for depression.

    Major depressive disorders are relatively rare, while depressive syndromes which do not fulfil diagnostic criteria (minor depression) are common.

    Methods 

    Community-based sample of older adults (55-85) in the Netherlands : baseline sample n=3056 ; study sample in two stage screening procedure n=646.

    Both relative (odds ratios) and absolute (population attributable risks) measures of associations reported.

    Results 

    In multivariate analyses minor depression was related to physical health, while major depression was not.

    General aspects of physical health had stronger associations with depression than specific disease categories.

    Significant interactions between ill health and social support were found only for minor depression.

    Major depression was associated with variables reflecting long-standing vulnerability.

    Conclusion 

    Major and minor depression differ in their association with physical health.

    Limitation 

    Cross-sectional study relying largely on self-reported data.

    Clinical relevance : In major depression, with or without somatic co-morbidity, primary treatment of the affective disorder should not be delayed.

    In minor depression associated with declining physical health, intervention may be aimed at either or both conditions.

    Mots-clés Pascal : Etat dépressif, Facteur risque, Epidémiologie, Pays Bas, Europe, Communauté, Stress, Vulnérabilité, Association morbide, Santé mentale, Vieillard, Homme, Trouble humeur, Santé physique

    Mots-clés Pascal anglais : Depression, Risk factor, Epidemiology, Netherlands, Europe, Community, Stress, Vulnerability, Concomitant disease, Mental health, Elderly, Human, Mood disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0205103

    Code Inist : 002B18E. Création : 11/09/1998.