TY - JOUR
T1 - The impact of depression on the well-being, disability and use of services in older adults
T2 - A longitudinal perspective
AU - Beekman, Aartjan T.F.
AU - Penninx, Brenda W.J.H.
AU - Deeg, Dorly J.H.
AU - Beurs, Edwin de
AU - Geerlings, Sandra W.
AU - Tilburg, Willem van
PY - 2002/1/1
Y1 - 2002/1/1
N2 - Objective: To study the impact of depression on the wellbeing, disability and use of health services of older adults. Method: Prospective community-based study, using a large (n = 2200) sample of the elderly (55-85) in the Netherlands. Using a 3-year followup, the effect of depressive symptoms (CES-D) on disability, wellbeing and service utilization was assessed, controlling for competing need-for-care (chronic physical illness, functional limitation and cognitive decline), enabling (partner status, size of the social network, social support and locus of control), and predisposing factors (age, sex and level of education). Results: Depressive symptoms have considerable impact on the wellbeing and disability of older people and clear economic consequences caused by inappropriate service utilization. Compared with other need-for-care variables the impact of depression is weaker (service utilization), similar (disability) or stronger (wellbeing). Conclusion: The steeply rising prevalence of competing health risks in later life does not influence the significance of depression.
AB - Objective: To study the impact of depression on the wellbeing, disability and use of health services of older adults. Method: Prospective community-based study, using a large (n = 2200) sample of the elderly (55-85) in the Netherlands. Using a 3-year followup, the effect of depressive symptoms (CES-D) on disability, wellbeing and service utilization was assessed, controlling for competing need-for-care (chronic physical illness, functional limitation and cognitive decline), enabling (partner status, size of the social network, social support and locus of control), and predisposing factors (age, sex and level of education). Results: Depressive symptoms have considerable impact on the wellbeing and disability of older people and clear economic consequences caused by inappropriate service utilization. Compared with other need-for-care variables the impact of depression is weaker (service utilization), similar (disability) or stronger (wellbeing). Conclusion: The steeply rising prevalence of competing health risks in later life does not influence the significance of depression.
KW - Community
KW - Depression
KW - Disability
KW - Elderly
KW - Health-services
KW - Wellbeing
UR - http://www.scopus.com/inward/record.url?scp=0036171449&partnerID=8YFLogxK
U2 - https://doi.org/10.1034/j.1600-0447.2002.10078.x
DO - https://doi.org/10.1034/j.1600-0447.2002.10078.x
M3 - Article
C2 - 12086221
SN - 0001-690X
VL - 105
SP - 20
EP - 27
JO - Acta psychiatrica Scandinavica
JF - Acta psychiatrica Scandinavica
IS - 1
ER -