Depressive symptoms and frailty
Version of Record online: 7 SEP 2012
Copyright © 2012 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 28, Issue 6, pages 607–614, June 2013
How to Cite
St. John, P. D., Tyas, S. L. and Montgomery, P. R. (2013), Depressive symptoms and frailty. Int. J. Geriat. Psychiatry, 28: 607–614. doi: 10.1002/gps.3866
- Issue online: 6 MAY 2013
- Version of Record online: 7 SEP 2012
- Manuscript Accepted: 12 JUL 2012
- Manuscript Received: 12 MAR 2012
- accumulation of deficits;
- depressive symptoms;
Frailty and depressive symptoms are common issues facing older adults and may be associated.
To determine if: (i) depressive symptoms are associated with frailty; (ii) there is a gradient in this effect across the range of depressive symptoms; and (iii) the association between depressive symptoms and frailty is specific to particular types of depressive symptoms (positive affect, negative affect, somatic complaints, and interpersonal relations).
Secondary analysis of an existing population-based study was conducted.
In 1991, 1751 community-living adults aged 65+ years were interviewed.
Depressive symptoms were measured using the Center for Epidemiologic Studies—Depression (CES-D) scale. Frailty was graded from 0 (no frailty) to 3 (moderate/severe frailty). Age, gender, education, marital status, self-rated health, and the number of comorbid conditions were self-reported.
Logistic regression models were constructed with the outcome of no frailty/urinary incontinence only versus frailty.
Depressive symptoms were strongly associated with frailty, and there was a gradient effect across the entire range of the CES-D scale. The odds ratio and 95% confidence interval was 1.08 (1.06, 1.09) per point of the CES-D in unadjusted models. After potential confounding factors were adjusted, the adjusted odds ratio (95% confidence interval) was 1.03 (1.01, 1.05). Positive affect, negative affect, and somatic complaints were all associated with frailty, whereas interpersonal relations were not associated with frailty.
Depressive symptoms are associated with frailty. Clinicians should consider assessing frail older adults for the presence of depression. Copyright © 2012 John Wiley & Sons, Ltd.