Higher morale is associated with lower risk of depressive disorders five years later among very old people |
| |
| Affiliation: | 1. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Sunderby Research Unit, Umeå University, Umeå, Sweden;2. Faculty of Education and Welfare Studies, Social Sciences Study Programme, Social Policy Unit, Åbo Akademi University, Vaasa, Finland;3. Society of Swedish Literature in Finland, Helsinki, Finland;4. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden;5. Department of Nursing, Umeå University, Umeå, Sweden;1. Department of Traditional Chinese Medicine, Chinese People''s Liberation Army General Hospital, Beijing 100853, China;2. Department of Traditional Chinese Medicine, Department of Medical Statistics, Chinese People''s Liberation Army General Hospital, Beijing 100853, China;1. CHU de Bordeaux, 33000 Bordeaux, France;2. University de Bordeaux, 33076 Bordeaux cedex, France;3. Inserm U1219, 33076 Bordeaux cedex, France;4. Inserm CIC1401, 33076 Bordeaux cedex, France;5. ADERA, 33608 Pessac, France;1. GREMPAL Research Group, Idiap Jordi Gol Primary Care Research Institute, CIBER FES ISCIII, Universitat Autonoma de Barcelona, Barcelona, Spain;2. Ambit Barcelona, Primary Care Department, Institut Català de la Salut, Barcelona, Spain;3. Internal Medicine Department IMIM (Hospital del Mar Medical Research), Universitat Autónoma de Barcelona, CIBER FES ISCIII, Barcelona, Spain;4. MRC Lifecourse Epidemiology Unit, Southampton University, Southampton, UK;5. Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, NIHR Oxford Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK;1. CEA, Institute of Biology and Technology of Saclay, Gif-sur-Yvette, France;2. Department of Physics and Astronomy, Faculty of Sciences, VU University Amsterdam, Amsterdam, The Netherlands;3. Department of Physics, University of Pretoria, Pretoria, South Africa;4. A. N. Belozersky Institute of Physico-Chemical Biology, Moscow State University, Moscow, Russia;5. Institute for Integrative Biology of the Cell, Université Paris Saclay, CEA, CNRS, Université Paris Sud, CEA-Saclay, Gif sur Yvette, France |
| |
| Abstract: | ObjectiveThe aim of this study was to investigate whether higher morale, i.e. future-oriented optimism, at baseline was associated with lower risk of depressive disorders five years later among very old people.Methods The Umeå85+/GErontological Regional Database, a population-based study with a longitudinal design, recruited participants in Sweden and Finland aged 85, 90 and ≥95 years. The sample in the present study included 647 individuals (89.1 ± 4.4 years (Mean ± SD), range 85–103). After five years, 216 were alive and agreed to a follow-up (92.6 ± 3.4 years, range 90–104). The Philadelphia Geriatric Center Morale Scale (PGCMS) was used to assess morale. The depressive disorder diagnosis was determined according to DSM-IV based on medical records and interview data including assessment scales for depressive disorders. A number of sociodemographic, functional and health-related variables were analysed as possible confounders.Results For those with no depressive disorders at baseline, the only baseline variable significantly associated with depressive disorders five years later was the PGCMS score. A logistic regression model showed lower risk of depressive disorders five years later with higher baseline PGCMS scores (odds ratio 0.779 for one point increase in PGCMS, p < 0.001). The association remained after adjusting for social isolation (p < 0.1 association with depressive disorders five years later).Conclusion Our results indicate that the higher the morale, the lower the risk of depressive disorders five years later among very old people. The PGCMS seems to identify those very old individuals at increased risk of depressive disorders five years later. Preventive measures could befocused on this group. |
| |
| Keywords: | Morale Depressive disorders Geriatric psychiatry Aged, 80 and over Salutogenic factor Future-oriented optimism |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
