The Association Between Medical Diseases and Late-Life Depression: The Presence, Number, and Type of Medical Diseases

Year 2019, , 69 - 77, 31.12.2019

Emre Senol-durak , Mithat Durak

https://doi.org/10.5505/jaltc.2019.46855

Abstract

Medical diseases are highly prevalent among older adults and lead to several changes in psychosocial life. One effect of those problems is seen on depression. On the other hand, whether the type or the number of medical diseases are associated with late-life depression have not examined in the literature. The aim of the present study is to examine whether the place of residence, type of illnesses or a number of illnesses would make a difference on late-life depression. For this purpose, older adults living at home (N= 1100) and nursing home (N=1177) participated in the present study. The Demographic Information Form, including the type and number of medical diseases, and the Geriatric Depression Inventory were applied. Results demonstrated that older adults having two or more medical diseases had higher scores of late-life depression than those with one medical disease and those without suffering any medical disease. Older adults with suffering only psychiatric disease or digestive system disease had a higher level of late-life depression. Besides, older adults having chronic medical diseases had higher scores of late-life depression such as patients with psychiatric disorders, digestive system diseases, cardiovascular system diseases, metabolic and endocrine disorders, rheumatic and musculoskeletal diseases, central nervous system - neurological disorders, urinary system diseases, and sensory system disease. Results were discussed in the light of literature about medical diseases, late-life depression, and caring needs of older adults.

Keywords

Older adults, late-life depression, medical diseases, disorders, type of disease, number of physical illness

Supporting Institution

Turkish Scientific and Technological Research Council (TUBITAK)

Project Number

SOBAG 110K039

References

• Bao, Y. P., Han, Y., Ma, J., Wang, R. J., Shi, L., Wang, T. Y., ... & Lu, L. (2017). Cooccurrence and bidirectional prediction of sleep disturbances and depression in older adults: Meta-analysis and systematic review. Neuroscience and Biobehavioral Reviews, 75, 257-273.
• Cheung, G. & Sundram, F. (2017). Understanding the progression from physical illness to suicidal behavior: A case study based on a newly developed conceptual model. Clinical Gerontologist, 40(2), 124- 129.
• Collard, R. M., Arts, M. H. L., Schene, A. H., Naarding, P., Voshaar, R. O., & Comijs, H. C. (2017). The impact of frailty on depressive disorder in later life: Findings from the Netherlands Study of depression in older persons. European Psychiatry, 43, 66-72.
• Ertan, T., Eker, E., & Sar, V. (1997). Validity and reliability of the Geriatric Depression Scale in the Turkish elderly population [Geriatrik Depresyon Ölçeğinin Türk yaşlı nüfusunda geçerlilik ve güvenilirliği]. Archives of Neuropsychiatry, 34, 62-71.
• Fässberg, M. M., Cheung, G., Canetto, S. S., Erlangsen, A., Lapierre, S., Lindner, R., ... & Duberstein, P. (2016). A systematic review of physical illness, functional disability, and suicidal behaviour among older adults. Aging and Mental Health, 20(2), 166-194.
• Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363-389.
• Forlani, C., Morri, M., Ferrari, B., Dalmonte, E., Menchetti, M., De Ronchi, D. & Atti, A. R. (2014). Prevalence and gender differences in late-life depression: A population-based study. American Journal of Geriatric Psychiatry, 22, 370-380.
• Forsman, A. K., Schierenbeck, I., & Wahlbeck, K. (2011). Psychosocial interventions for the prevention of depression in older adults: Systematic review and meta-analysis. Journal of Aging and Health, 23(3), 387-416.
• Garfield, V., Llewellyn, C. H., & Kumari, M. (2016). The relationship between physical activity, sleep duration and depressive symptoms in older adults: The English Longitudinal Study of Ageing (ELSA). Preventive Medicine Reports, 4, 512-516.
• Haigh, E. A., Bogucki, O. E., Sigmon, S. T., & Blazer, D. G. (2018). Depression among older adults: A 20-year update on five common myths and misconceptions. The American Journal of Geriatric Psychiatry, 26(1), 107-122.
• Hummel, J., Weisbrod, C., Boesch, L., Himpler, K., Hauer, K., Hautzinger, M., ... & Dutzi, I. (2017). AIDE-acute illness and depression in elderly patients. Cognitive-behavioral group psychotherapy in geriatric patients with comorbid depression: A randomized, controlled trial. Journal of the American Medical Directors Association, 18(4), 341-349.
• IBM (2017). IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY, USA: IBM Corp.
• Lipski, E. (2012). Digestive Wellness: Strengthen the Immune System and Prevent Disease Through Healthy Digestion. New York, NY, USA: McGraw-Hill.
• Lue, B. H., Chen, L. J., & Wu, S. C. (2010). Health, financial stresses, and life satisfaction affecting late-life depression among older adults: A nationwide, longitudinal survey in Taiwan. Archives of Gerontology and Geriatrics, 50, S34-S38.
• Luppa, M., Sikorski, C., Luck, T., Ehreke, L., Konnopka, A., Wiese, B., … & Reidel-Heller, S. G. (2012). Ageand gender-specific prevalence of depression in latest-life: Systematic review and meta-analysis. Journal of Affective Disorders,136, 212-221.
• McIntyre, E., Lauche, R., Frawley, J., Sibbritt, D., Reddy, P., & Adams, J. (2019). Physical activity and depression symptoms in women with chronic illness and the mediating role of health-related quality of life. Journal of Affective Disorders, 252, 294-299.
• Petkus, A. J., Beam, C. R., Johnson, W., Kaprio, J., Korhonen, T., McGue, M., ... & IGEMS Consortium. (2017). Gene-environment interplay in depressive symptoms: Moderation by age, sex, and physical illness. Psychological Medicine, 47(10), 1836-1847.
• Saracino, R. M., Rosenfeld, B., & Nelson, C. J. (2016). Towards a new conceptualization of depression in older adult cancer patients: A review of the literature, Aging and Mental Health. 20(12), 1230-1242.
• Sagduyu, A. (1997). Depression Scale for Older Individuals: A reliability and validity study compared to the Hamilton Depression Scale [Yaşlılar için Depresyon ölçeği: Hamilton Depresyon Ölçeği ile karşılaştırmalı güvenilirlik ve geçerlilik çalışması]. Turkish Journal of Psychiatry, 8(1), 3-8.
• Subramaniam, M., Abdin, E., Sambasivam, R., Vaingankar, J. A., Picco, L., Pang, S., ... & Chong, S. A. (2016). Prevalence of depression among older adults: Results from the well-being of the Singapore elderly study. Annals Academy of Medicine Singapore, 45, 123-33.
• Yen, I. H., Michael, Y. L., & Perdue, L. (2009). Neighborhood environment in studies of health of older adults: A systematic review. American Journal of Preventive Medicine, 37(5), 455-463.
• Yesevage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.
• Zivin, K., Llewellyn, D. J., Lang, I. A., Vijan, S., Kabeto, M. U., Miller, E. M., & Langa, K. M. (2010). Depression among older adults in the United States and England. The American Journal of Geriatric Psychiatry, 18(11), 1036-1044.