Association between physical disability and incidence of depressive symptoms in older Mexican adults
Abstract
Introduction: Functional limitations associated with the aging process can lead to the development of depressive symptoms and increase the vulnerability of older adults.
Objective: To estimate the association between physical disability and the incidence of clinically significant depressive symptoms in older Mexican adults.
Materials and methods: We conducted a retrospective cohort study with data from the Encuesta Nacional sobre Salud y Envejecimiento en México (ENASEM). The analytical sample (n=6,780) included adults over 50 years old with measurements for the main variables and no clinically significant depressive symptoms reported in the first round. These symptoms were evaluated with the CESD-9 scale and disability by means of the report of activities of daily living (ADL) or instrumental activities of daily living (IADL). Descriptive, bivariate, and multivariate analyses were performed using logistic regression models adjusted by sociodemographic variables, health conditions, childhood adversities, social participation, and stressful life events.
Results: The incidence of clinically significant depressive symptoms was 25.75% (95% CI: 24,70 - 26,80). Compared to those without IADL limitations, an increased risk of 68% for the development of clinically significant depressive symptoms was found (95% CI: 1.10-2.57; p= 0,015). With the ADL model, the OR for the development of clinically significant depressive symptoms was 1.36 (1.01 -1.81; p= 0.039). Both models were adjusted by confounding variables.
Conclusion: Presenting limitations in daily life is an important risk factor for the development of clinically significant depressive symptoms at two years of follow-up.
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References
Organización Mundial de la Salud. Informe mundial sobre el envejecimiento y la salud - 2015. Fecha de consulta: 5 de enero de 2018. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/186466/9789240694873_spa.pdf;js essionid=5AD2C468F5AF2E3A8A3AACE346E4576C?sequence=1
Haigh E, Bogucki O, Sigmon S, Blazer D. Depression among older adults: A 20-year update on five common myths and misconceptions. Am J Geriatr Psychiatry. 2019;26:107-22. https://doi.org/10.1016/j.jagp.2017.06.011
Organización Mundial de la Salud. Informe mundial sobre la discapacidad - 2011. Fecha de consulta: 10 de enero de 2018. Disponible en: https://www.who.int/disabilities/world_report/2011/accessible_es.pdf?ua=1
Manini T. Development of physical disability in older adults. Curr Aging Sci. 2011;4:184-91. https://doi.org/10.2174/1874609811104030184
Fillit H, Rockwood K, Young J. Brocklehurst’s Textbook of Geriatric Medicine and Gerontology. 8th edition. Philadelphia: Elsevier; 2016. p. 1017-22.
Lestari SK, Nawi Ng, Kowal P, Santosa A. Diversity in the factors associated with ADL-related disability among older people in six middle-income countries: A cross-country comparison. Int J Environ Res Public Health. 2019;16:1341. https://doi.org/10.3390/ijerph16081341
Bleijenberg N, Zuithoff NPA, Smith AK, De Wit NJ, Schuurmans MJ. Disability in the individual ADL, IADL, and mobility among older adults: A prospective cohort study. J Nutr Health Aging. 2017;21:897-903. https://doi.org/10.1007/s12603-017-0891-6
Moharic M. Research on prevalence of secondary conditions in individuals with disabilities: An overview. Int J Rehabil Res. 2017;40:297-302. https://doi.org/10.1097/MRR.0000000000000255
Unützer J. Late-life depression. N Engl J Med. 2007;357:2269-76. https://doi.org/10.1056/NEJMcp073754
Cohen S, Rodríguez MS. Pathways linking affective disturbances and physical disorders. Health Psychol. 1995;14:374-80. https://doi.org/10.1037//0278-6133.14.5.374
Ehmann TS, Beninger RJ, Gawel MJ, Riopelle RJ. Depressive symptoms in Parkinson’s disease: A comparison with disabled control subjects. J Geriatr Psychiatry Neurol. 1990;3:3-9. https://doi.org/10.1177/089198879000300102
Bruce ML. Psychosocial risk factors for depressive disorders in late life. Biol Psychiatry. 2002;52:175-84. https://doi.org/10.1016/S0006-3223(02)01410-5
Estudio Nacional de Salud y Envejecimiento en México. Archivos de datos y documentación de uso público. Información general - 2001. Fecha de consulta: 25 de mayo de 2018. Disponible en: http://www.enasem.org/StudyDescription_Esp.aspx
Casey DA. Depression in older adults a treatable medical condition. Prim Care. 2017;44:499-510. https://doi.org/10.1016/j.pop.2017.04.007
Aguilar-Navarro SG, Fuentes-Cantú A, Ávila-Funes JA, García-Mayo EJ. Validez y confiabilidad del cuestionario del ENASEM para la depresión en adultos mayores. Salud Pública Mex. 2007;49:256-62.
LaPlante MP. The classic measure of disability in activities of daily living is biased by age but an expanded IADL/ADL measure is not. J Gerontol B Psychol Sci Soc Sci. 2010;65:720-32. https://doi.org/10.1093/geronb/gbp129
Fondo de las Naciones Unidas para la Infancia. Medición de la pobreza infantil - 2012. Fecha de consulta: 10 de mayo de 2018. Disponible en: http://www.unicef-irc.org/publications/pdf/rc10_esp.pdf
Díaz de León E, Barragán AJ, Gutiérrez H, Cobos H. Desempeño cognoscitivo y mortalidad en personas mayores de 50 años en México. Rev Panam Salud Pública. 2010;27:368-75.
Organización Mundial de la Salud. Multimorbidity: Technical Series on Safer Primary Care - 2016. Fecha de consulta: 10 de febrero de 2018. Disponible en: https://apps.who.int/iris/bitsteam/handle/10665/252275/9789241511650-eng.pdf?sequence=1
Monserud M, Wong R. Depressive symptoms among older mexicans: The role of widowhood, gender, and social integration. Res Aging. 2015;37:856-86. https://doi.org/10.1177/0164027514568104
Rivera-Hernández M. Religiosity, social support and care associated with health in older Mexicans with diabetes. J Relig Health. 2016;55:1394-410. https://doi.org/10.1007/s10943-015-0105-7
Fiske A, Gatz M, Pedersen NL. Depressive symptoms and aging: The effects of illness and non-health related events. J Gerontol B Psychol Sci Soc Sci. 2003;58:320-28. https://doi.org/10.1093/geronb/58.6.p320
Chao SF. Functional disability and depressive symptoms: Longitudinal effects of activity restriction, perceived stress, and social support. Aging Ment Health. 2014;18:767-76. https://doi.org/10.1080/13607863.2013.878308
Chang M, Phillips C, Coppin AK, Linden M, Ferrucci L, Fried L, et al. An association between incident disability and depressive symptoms over 3 years of follow-up among older women: The Women’s Health and Aging Study. Aging Clin Exp Res. 2009;21:191-7. https://doi.org/10.1007/BF03325228
Zeiss AM, Lewinsohn PM, Rohde P, Seeley JR. Relationship of physical disease and functional impairment to depression in older people. Psychol Aging. 1996;11:572-81. https://doi.org/10.1037/0882-7974.11.4.572
Prince MJ, Harwood RH, Thomas A, Mann AH. A prospective population-based cohort study of the effects of disablement and social milieu on the onset and maintenance of late-life depression. The Gospel Oak Project VII. Psychol Med.1998;28:337-50. https://doi.org/10.1017/s0033291797006478
He M, Ma J, Ren Z, Zhou G, Gong P, Liu M, et al. Association between activities of daily living disability and depression symptoms of middle-aged and older Chinese adults and their spouses: A community-based study. J Affect Disord. 2019;242:135-42. https://doi.org/10.1016/j.jad.2018.08.060
Schieman S, Plickert G. Functional limitations and changes in levels of depression among older adults : A multiple-hierarchy stratification perspective. J Gerontol B Psychol Sci Soc Sci. 2007;62:36-42. https://doi.org/10.1093/geronb/62.1.S36
Hajek A, Brettschneider C, Eisele M, Lühmann D, Mamone S, Wiese B, et al. Disentangling the complex relation of disability and depressive symptoms in old age – findings of a multicenter prospective cohort study in Germany. Int Psychogeriatr. 2017;29:885-95. https://doi.org/10.1017/S1041610216002507
Anand A. Understanding depression among older adults in six low-middle income countries using WHO-SAGE survey. Behavioral Health. 2015;1:2-9.
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