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Gender differences in depression among the very old

Published online by Cambridge University Press:  26 July 2007

Ellinor Bergdahl ,
Per Allard ,
Lena Alex ,
Berit Lundman  and
Yngve Gustafson
Ellinor Bergdahl*
Affiliation:
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden
Per Allard
Affiliation:
Department of Clinical Sciences, Division of Psychiatry, Umeå University, Umeå, Sweden
Lena Alex
Affiliation:
Department of Nursing, Umeå University, Umeå, Sweden
Berit Lundman
Affiliation:
Department of Nursing, Umeå University, Umeå, Sweden
Yngve Gustafson
Affiliation:
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden
*
Correspondence should be addressed to: Ellinor Bergdahl, Geriatric Medicine, Umeå University, SE-901 87 Umeå, Sweden. Phone: +46 90 785 87 27; Fax: +46 90 13 06 23. Email: [email protected].
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Abstract

Objectives: The aim of this study was to investigate factors associated with depression among men and women aged 85 and over.

Method: A population-based study was undertaken in northern Sweden. Out of 527 eligible participants, aged 85, 90 or ≥95, 363 were evaluated for depression. Data were collected from structured interviews, assessments and medical charts and from relatives and caregivers. Depression was screened for using the Geriatric Depression Scale-15 and further assessed using the Montgomerysberg Depression Rating Scale (MADRS).

Results A higher proportion of women were diagnosed with depression (33% vs. 18.6%, p = 0.006). In both men and women experienced loneliness (OR 3.4 vs. 7.0) and not going outside independently (OR 2.6 vs. 26.0) were associated with depression in the final regression model. Depression among men was also independently associated with loss of a child/children during the preceeding ten years (OR 30.0).

Conclusion: Depression was more common among women than among men. Experienced loneliness and not going outside independently seem to be closely related to depression in both men and women. Loss of a child seems to be the most important factor among men.

Keywords

old agedepressionmalefemaleassociated factors
Type
Research Article
Information
International Psychogeriatrics , Volume 19 , Issue 6 , December 2007 , pp. 1125 - 1140
Copyright
Copyright © International Psychogeriatric Association 2007

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References

Antonucci, T. C. and Akiyama, H. 1987. Social networks in adult life and a preliminary examination of the convoy model. Journal of Gerontology, 42, 519–527.CrossRefGoogle Scholar
BarefootJ. C., J. C., MortensenE. L., E. L., HelmsM. J., M. J., Avlund, K. and Schroll, M. 2001. A longitudinal study of gender differences in depressive symptoms from age 50 to 80. Psychology and Aging, 16, 342–345.CrossRefGoogle ScholarPubMed
BeekmanA. T., A. T., Copeland, J. R. and Prince, M. J. 1999. Review of community prevalence of depression in later life. British Journal of Psychiatry, 174, 307–311.CrossRefGoogle ScholarPubMed
Bergdahl, E. et al. 2005. Depression among the oldest old: the Umea 85+ study. International Psychogeriatrics, 17, 557–575.CrossRefGoogle ScholarPubMed
Blazer, D. G. 2003. Depression in late life: review and commentary. Journals of Gerontology Series A, Biological Science, Medical Science, 58, 249–265.CrossRefGoogle Scholar
Blazer, D. G. 2005. Depression and social support in late life: a clear but not obvious relationship. Aging and Mental Health, 9, 497–499.CrossRefGoogle Scholar
Butters, M. A. et al. 2004. The nature and determinants of neuropsychological functioning in late-life depression. Archives of General Psychiatry, 61, 587–595.CrossRefGoogle ScholarPubMed
Carrington ReidM., M., WilliamsC. S., C. S., ConcatoJ., J., Tinetti, M. E. and Gill, T. M. 2003. Depressive symptoms as a risk factor for disabling back pain in community-dwelling older persons. Journal of the American Geriatrics Society, 51, 1710–1717.CrossRefGoogle Scholar
CarrollL. J., L. J., Cassidy, J. D. and Cote, P. 2004. Depression as a risk factor for onset of an episode of troublesome neck and low back pain. Pain, 107, 134–139.CrossRefGoogle ScholarPubMed
Chino, A. F. and Funabiki, D. 1984. A cross-validation of sex differences in the expression of depression. Sex Roles, 11, 175–187.CrossRefGoogle Scholar
Chou, K. L. and Chi, I. 2003. Reciprocal relationship between social support and depressive symptoms among Chinese elderly. Aging and Mental Health, 7, 224–231.CrossRefGoogle ScholarPubMed
Chow, E. S. et al. 2004. The prevalence of depressive symptoms among elderly Chinese private nursing home residents in Hong Kong. International Journal of Geriatric Psychiatry, 19, 734–740.CrossRefGoogle ScholarPubMed
Courtenay, W. H. 2000. Engendering health: a social constructionist examination of men's health beliefs and behaviours. Psychology of Men and Masculinity, 1, 4–15.CrossRefGoogle Scholar
Dall, J. and Hopkins, A. 1992. Standardised Assessment Scales for Elderly People. London: The Royal College of Physicians of London and the British Geriatrics Society.Google Scholar
Danielsson, U. and Johansson, E. E. 2005. Beyond weeping and crying: a gender analysis of expressions of depression. Scandinavian Journal of Primary Health Care, 23, 171–177.CrossRefGoogle ScholarPubMed
de CraenA. J., A. J., Heeren, T. J. and Gussekloo, J. 2003. Accuracy of the 15-item geriatric depression scale (GDS-15) in a community sample of the oldest old. International Journal of Geriatric Psychiatry, 18, 63–66.CrossRefGoogle Scholar
DeanA., A., Kolody, B. and Wood, P. 1990. Effects of social support from various sources on depression in elderly persons. Journal of Health and Social Behavior, 31, 148–161.CrossRefGoogle ScholarPubMed
DoniniL. M., L. M., Savina, C. and Cannella, C. 2003. Eating habits and appetite control in the elderly: the anorexia of aging. International Psychogeriatrics, 15, 73–87.CrossRefGoogle ScholarPubMed
FolsteinM. F., M. F., Folstein, S. E. and McHugh, P. R. 1975. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Forsell, Y. 2000. Predictors for depression, anxiety and psychotic symptoms in a very elderly population: data from a 3-year follow-up study. Social Psychiatry and Psychiatric Epidemiology, 35, 259–263.CrossRefGoogle Scholar
Forsell, Y. and Winblad, B. 1999 Incidence of major depression in a very elderly population. International Journal of Geriatric Psychiatry, 14, 368–372.3.0.CO;2-Y>CrossRefGoogle Scholar
ForsellY., Y., Jorm, A. F. and Winblad, B. 1994. Association of age, sex, cognitive dysfunction, and disability with major depressive symptoms in an elderly sample. American Journal of Psychiatry, 151, 1600–1604.Google Scholar
FuhrerR., R., Dufouil, C. and Dartigues, J. F. 2003. Exploring sex differences in the relationship between depressive symptoms and dementia incidence: prospective results from the PAQUID Study. Journal of the American Geriatrics Society, 51, 1055–1063.CrossRefGoogle ScholarPubMed
GanguliM., M., DubeS., S., JohnstonJ. M., J. M., PandavR., R., Chandra, V. and Dodge, H. H. 1999. Depressive symptoms, cognitive impairment and functional impairment in a rural elderly population in India: a Hindi version of the geriatric depression scale (GDS-H). International Journal of Geriatric Psychiatry, 14, 807–820.3.0.CO;2-#>CrossRefGoogle Scholar
GanguliM., M., DuY., Y., DodgeH. H., H. H., Ratcliff, G. G. and Chang, C. C. 2006 Depressive symptoms and cognitive decline in late life: a prospective epidemiological study. Archives of General Psychiatry, 63, 153–160.CrossRefGoogle ScholarPubMed
GoldC. H., C. H., MalmbergB., B., McClearnG. E., G. E., Pedersen, N. L. and Berg, S. 2002 Gender and health: a study of older unlike-sex twins. Journals of Gerontology Series B, Psychological Science Social Science, 57, S168–S176.CrossRefGoogle Scholar
Green, B. H. et al. 1992. Risk factors for depression in elderly people: a prospective study. Acta Psychiatrica Scandinavica, 86, 213–217.CrossRefGoogle ScholarPubMed
Heikkinen, R. L. and Kauppinen, M. 2004. Depressive symptoms in late life: a 10-year follow-up. Archives of Gerontology and Geriatrics, 38, 239–250.CrossRefGoogle ScholarPubMed
JensenE., E., Dehlin, O. and Gustafson, L. 1993. A comparison between three psychogeriatric rating scales. International Journal of Geriatric Psychiatry, 8, 215–229.CrossRefGoogle Scholar
Kivelä, S. L. and Pahkala, K. 2001. Depressive disorder as a predictor of physical disability in old age. Journal of the American Geriatrics Society, 49, 290–296.CrossRefGoogle ScholarPubMed
Kockler, M. and Heun, R. 2002. Gender differences of depressive symptoms in depressed and nondepressed elderly persons. International Journal of Geriatric Psychiatry, 17, 65–72.CrossRefGoogle ScholarPubMed
Lawton, M. P. 1975. The Philadelphia Geriatric Center Morale Scale: a revision. Journal of Gerontology, 30, 85–89.CrossRefGoogle ScholarPubMed
Mahoney, F. I. and Barthel, D. W. 1965. Functional evaluation: the Barthel Index. Maryland State Medical Journal, 14, 61–65.Google ScholarPubMed
Modrego, P. J. and Ferrandez, J. 2004. Depression in patients with mild cognitive impairment increases the risk of developing dementia of Alzheimer type: a prospective cohort study. Archives of Neurology, 61, 1290–1293.CrossRefGoogle ScholarPubMed
Montgomery, S. A. and Åsberg, M. 1979. A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382–389.CrossRefGoogle ScholarPubMed
O'NeilM. K., M. K., Lancee, W. J. and Freeman, S. J. 1985. Sex differences in depressed university students. Social Psychiatry, 20, 186–190.CrossRefGoogle ScholarPubMed
PrinceM. J., M. J., HarwoodR. H., R. H., BlizardR. A., R. A., Thomas, A. and Mann, A. H. 1997. Social support deficits, loneliness and life events as risk factors for depression in old age. The Gospel Oak Project VI. Psychological Medicine, 27, 323–332.CrossRefGoogle ScholarPubMed
Rinaldi, P. et al. 2003. Validation of the five-item geriatric depression scale in elderly subjects in three different settings. Journal of the American Geriatrics Society, 51, 694–698.CrossRefGoogle ScholarPubMed
SchoeversR. A., R. A., BeekmanA. T., A. T., DeegD. J., D. J., HooijerC., C., Jonker, C. and van Tilburg, W. 2003. The natural history of late-life depression: results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Affective Disorders, 76, 5–14.CrossRefGoogle ScholarPubMed
Sheik, J. and Yesavage, J. 1986. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontology, 5, 165–172.Google Scholar
Steffens, D. C. et al. 2000. Prevalence of depression and its treatment in an elderly population: the Cache County study. Archives of General Psychiatry, 57, 601–607.CrossRefGoogle Scholar
ThompsonL. W., L. W., Gallagher-ThompsonD., D., FuttermanA., A., Gilewski, M. J. and Peterson, J. 1991. The effects of late-life spousal bereavement over a 30-month interval. Psychology and Aging, 6, 434–441.CrossRefGoogle Scholar
Tiikkainen, P. and Heikkinen, R. L. 2005. Associations between loneliness, depressive symptoms and perceived togetherness in older people. Aging and Mental Health, 9, 526–534.CrossRefGoogle ScholarPubMed
von Heideken Wågert, P. et al. 2006. Health status in the oldest old. Age and sex differences in the Umeå 85+ Study. Aging Clinical and Experimental Research, 18, 116–126.CrossRefGoogle ScholarPubMed
ZunzuneguiM. V., M. V., BelandF., F., Llacer, A. and Leon, V. 1998. Gender differences in depressive symptoms among Spanish elderly. Social Psychiatry and Psychiatric Epidemiology, 33, 19–205.CrossRefGoogle ScholarPubMed