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Cited by 126Aging, Health, and DisabilityDementia and Cognitive Impairment ResearchHealth and Well-being Studies

Disability in geriatric depression

Steffens, David C., Hays, Judith C., Krishnan, K. Ranga Rama·1999·The American Journal of Geriatric Psychiatry
DOI 10.1097/00019442-199902000-00005
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Abstract

The authors examined impairment in self-maintenance skills and in instrumental activities of daily living (IADL) among 211 older patients with unipolar major depression. In regression models, self-maintenance impairment was associated with older age, less reported depressed mood, psychomotor retardation, and severe chronic medical illness. IADL deficit was associated with older age, greater severity of depression, less guilt, more apathy, weight loss, greater cognitive impairment, more severe chronic medical illness, less social interaction, lower subjective social support, and greater instrumental support. The authors conclude that efforts to remediate basic skills deficits in depressed older adults should focus on treating comorbid medical conditions; impaired IADL skills in geriatric depressed patients should improve with treatment of depression and medical illness. Clinicians should be aware that substantial IADL impairment may accompany mild cognitive impairment associated with depression in older patients.

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Crossref · 10.1097/00019442-199902000-00005

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  • Evidence that depression increases the risk for functional decline independent of the presence or severity of medical illness suggests that somatic comorbidities do not fully explain the relationship between depressive symptoms and functional ability.

    “Evidence that depression increases the risk for functional decline independent of the presence or severity of medical illness (Ng, Niti, Zaw, and Kua 2009;Patten 1999;Steffens, Hays, and Krishnan 1999) further suggests that somatic comorbidities do not fully explain the relationship between depressive symptoms and functional ability.”

    From Successful aging: Advancing the science of physical independence in older adults (2015) · cites this paper as Steffens et al. 1999

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Authors
Steffens, D. C., Hays, J. C., & Krishnan, K. R. R.
Affiliations
Duke Medical Center (US)
Corresponding author
Steffens, David C.
ORCID
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
1999-12
Volume
7
Issue
1
Pages
34-40
ISSN
1064-7481 (ISSN-L)
DOI
10.1097/00019442-199902000-00005
OpenAlex
W2063671570
Cited by
126
References
30
Citations by year
2026: 3 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 4
FWCI
7.91
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (P30MH040159, P30 MH 40159, K07-MH01367, K07MH001367)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
Keywords
geriatric depression, unipolar major depression, instrumental activities of daily living, self-care impairment, older adults, chronic disease, cognitive impairment, social support, apathy, guilt, weight loss, psychomotor retardation
MeSH terms
Activities of Daily Living, Aged, Aging, Chronic Disease, Cognition Disorders, Cross-Sectional Studies, Data Collection, Depressive Disorder, Female, Humans, Interview, Psychological, Male, Middle Aged, North Carolina, Psychiatric Status Rating Scales, Regression Analysis, Self Care, Social Support, Comorbidity, Age of Onset, Age Distribution, Sex Distribution

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