ArticleEuropean archives of psychiatry and clinical neuroscience2013
Population impact of depression on functional disability in elderly: results from "São Paulo Ageing & Health Study" (SPAH).
Article in European archives of psychiatry and clinical neuroscience, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Trajectories of depressive symptoms in older adults and associated health outcomes.Nature aging · 2022Article
- Differential Effects of Sleep Disturbance and Malnutrition on Late-Life Depression Among Community-Dwelling Older Adults.Frontiers in psychiatry · 2022Article
- Frailty and Incident Depressive Symptoms During Short- and Long-Term Follow-Up Period in the Middle-Aged and Elderly: Findings From the Chinese Nationwide Cohort Study.Frontiers in psychiatry · 2022Article
- Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017.Population health metrics · 2020Article
- Prevalence of Older Adult Disability and Primary Health Care Responsiveness in Low-Income Communities.Life (Basel, Switzerland) · 2020Article
- Investigating Software Requirements for Systems Supporting Task-Shifted Interventions: Usability Study.Journal of medical Internet research · 2019Article
- Article
- Prevalence of depressive symptoms and its associated factors among healthy community-dwelling older adults living in Australia and the United States.International journal of geriatric psychiatry · 2019Article
- Use of a Mobile Phone App to Treat Depression Comorbid With Hypertension or Diabetes: A Pilot Study in Brazil and Peru.JMIR mental health · 2019Article
- The Co-Occurrence Of Frailty (Accumulation Of Functional Deficits) And Depressive Symptoms, And Its Effect On Mortality In Older Adults: A Longitudinal Study.Clinical interventions in aging · 2019Article
- The impact of multi-morbidity on disability among older adults in South Africa: do hypertension and socio-demographic characteristics matter?International journal for equity in health · 2017Article
- Health Related Quality of Life in Iranian Elderly Citizens: A Systematic Review and Meta-Analysis.International journal of community based nursing and midwifery · 2017Review
- Identification and treatment of depression of older adults in primary care: findings from the São Paulo Ageing and Health Study.Family practice · 2016Article
- An EEG-Based Fuzzy Probability Model for Early Diagnosis of Alzheimer's Disease.Journal of medical systems · 2016Article
- Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study.PloS one · 2016Article
- Sensory impairments and their associations with functional disability in a sample of the oldest-old.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014Article
- Hoarding severity predicts functional disability in late-life hoarding disorder patients.International journal of geriatric psychiatry · 2014Article
- The impact of repeated manic episodes and executive dysfunction on work adjustment in bipolar disorder.European archives of psychiatry and clinical neuroscience · 2014Article
- Differential diagnosis of major depression and bipolar disorder.European archives of psychiatry and clinical neuroscience · 2013Article
- The association between depressive disorders and health care utilization: results from the São Paulo ageing and health study (SPAH).General hospital psychiatryArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
With the fast population aging, functional disability among the elderly is becoming a major public health issue. Depression is highly prevalent in this phase of life and may be associated with a significant proportion of the disability among elderly populations. We investigated the association of depressive symptoms and ICD-10 depression with functional disability in older adults and estimated the corresponding population attributable fractions (PAF). A cross-sectional one-phase population-based study was carried out with 2,072 individuals aged 65 years or over living in a low-income area of São Paulo, Brazil. Depressive symptoms and ICD-10 depression were assessed with the Geriatric Mental State and the Neuropsychiatric Inventory. We assessed functional disability with the WHO Disability Assessment Schedule Instrument. Prevalence Ratios and PAF were calculated using Poisson regression. The prevalence of depressive symptoms and ICD-10 depression was 21.4 and 4.8 %, respectively. Depression and depressive symptoms were strongly associated with high functional disability, even after adjustment for demographic factors, socioeconomic conditions, physical morbidities, and dementia. The PAFs for depressive symptoms and ICD-10 depression were 12.0 % for each of the psychiatric morbidity. Depressive symptoms contributed as much as ICD-10 depression to the population burden of functional disability in the elderly. Effective management of clinically significant depressive symptoms, delivered mainly at the primary care level, may reduce the total population disability.
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