Safien, A'isyah Mohd and Ibrahim, Norhayati and Subramaniam, Ponnusamy and Singh, Devinder Kaur Ajit and Ludin, Arimi Fitri Mat and Chin, Ai-Vyrn and Shahar, Suzana (2024) Prevalence of depression and clinical depressive symptoms in community-dwelling older adults with cognitive frailty. Geriatrics & Gerontology International, 24 (2). pp. 225-233. ISSN 1444-1586, DOI https://doi.org/10.1111/ggi.14801.
Full text not available from this repository.Abstract
AimThe present study determines the prevalence of depression and the extent of clinical depression symptoms among community-dwelling older adults with cognitive frailty and its associated factors.MethodsA total of 755 older adults aged >= 60 years were recruited. Their cognitive performance was determined using the Clinical Dementia Rating. Fried's criteria was applied to identify physical frailty, and the Beck Depression Inventory assessed their mental states.ResultsA total of 39.2% (n = 304) of the participants were classified as cognitive frail. In this cognitive frail subpopulation, 8.6% (n = 26) had clinical depressive symptoms, which were mostly somatic such as disturbance in sleep pattern, work difficulty, fatigue, and lack of appetite. Older adults with cognitive frailty also showed significantly higher depression levels as compared with the noncognitive frail participants (t (622.06) = -3.38; P = 0.001). There are significant associations between depression among older adults with cognitive frailty and multimorbidity (P = 0.009), polypharmacy (P = 0.009), vision problems (P = 0.046), and hearing problems (P = 0.047). The likelihood of older adults with cognitive frailty who experience impairments to their vision and hearing, polypharmacy, and multimorbidity to be depressed also increased by 2, 3, 5, and 7-fold.ConclusionsThe majority of the Malaysian community-dwelling older adults were in a good mental state. However, older adults with cognitive frailty are more susceptible to depression due to impairments to their hearing and vision, multimorbidity, and polypharmacy. As common clinical depressive symptoms among older adults with cognitive frailty are mostly somatic, it is crucial for health professionals to recognize these and not to disregard them as only physical illness. Geriatr Gerontol Int 2024; center dot center dot: center dot center dot-center dot center dot. Do clinical depression symptoms vary according to older adults' cognitive function?image
| Item Type: | Article |
|---|---|
| Funders: | Ministry of Education, Malaysia, National University of Malaysia (UKM/PPI/111/8/JEP-2020-347); (LRGS/1/2019/UM-UKM/1/4) |
| Uncontrolled Keywords: | cognitive frailty; community dwelling; depression; older adult |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 12 Nov 2024 04:44 |
| Last Modified: | 12 Nov 2024 04:44 |
| URI: | http://eprints.um.edu.my/id/eprint/45801 |
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