Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-27T23:55:13.588Z Has data issue: false hasContentIssue false

Relationship of age and gender to the prevalence and correlates of psychological distress in later life

Published online by Cambridge University Press:  16 January 2012

Julie E. Byles*
Affiliation:
The Research Centre for Gender, Health and Ageing, Faculty of Health, University of Newcastle, NSW, Australia
Lucy Gallienne
Affiliation:
The Research Centre for Gender, Health and Ageing, Faculty of Health, University of Newcastle, NSW, Australia
Fiona M. Blyth
Affiliation:
The Sax Institute, University of Technology, Sydney, NSW, Australia
Emily Banks
Affiliation:
The Sax Institute, University of Technology, Sydney, NSW, Australia National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia
*
Correspondence should be addressed to: Professor Julie E. Byles, Director, The Research Centre for Gender, Health and Ageing, Faculty of Health, The University of Newcastle, Callaghan, NSW 2308, Australia. Phone: +61 (0)2 49138643, 49138321; Fax: +61 (0)2 49138323. Email: [email protected].

Abstract

Background: As populations age, psychological distress in late life will become of increasing public health and social importance. This study seeks to bridge the gap in information that exists about psychological distress in late life, by exploring the prevalence of psychological distress among a very large sample of older adults to determine the impact of age and gender, and the modifying effect of these factors on the associations between measures of psychological distress and sociodemographic and comorbid conditions.

Methods: We analyzed self-reported data from 236,508 men and women in the New South Wales 45 and Up Study, to determine the impact of age and gender, and the modifying effects of these factors on associations between psychological distress and sociodemographic and comorbid conditions.

Results: Higher education, married status, and higher income were associated with lower risk of psychological distress. Although overall prevalence of psychological distress is lower at older ages, this increases after age 80, and is particularly associated with physical disabilities. Some older people (such as those requiring help because of disability and those with multiple comorbid health conditions) are at increased risk of psychological distress.

Conclusion: These findings have implications for both healthcare providers and policy-makers in identifying and responding to the needs of older people in our aging society.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Almeida, O. P., Alfonso, H. and Pirkis, J. et al. (2011). A practical approach to address depression risk and to guide risk reduction strategies in later life. International Psychogeriatrics, 23, 280291.CrossRefGoogle Scholar
Andrews, G. and Slade, T. (2001). Interpreting scores on the Kessler Psychological Distress Scale (K10). Australian and New Zealand Journal of Public Health, 25, 494497.CrossRefGoogle ScholarPubMed
Australian Bureau of Statistics (2007). National Survey of Mental Health and Wellbeing: Summary of Results. ABS Catalogue No. 4326.0. Canberra, Australia: ABS.Google Scholar
Australian Bureau of Statistics (2009). National Health Survey: Summary of Results, 2007–2008. ABS Catalogue No. 4364.0. Canberra, Australia: ABS.Google Scholar
Australian Bureau of Statistics (2010). 1216.0 – Australian Standard Geographical Classification (ASGC), July 2010. Available at: http://www.ausstats.abs.gov.au/Ausstats/subscriber.nsf/0/0001EA65CA16C1B9CA25779F00179316/$File/12160_july%202010.pdf; last accessed 25 September 2010.Google Scholar
Bertakis, K. D., Helms, L. J., Callahan, E. J., Azari, R., Leigh, P. and Robbins, J. A. (2001). Patient gender differences in the diagnosis of depression in primary care. Journal of Women's Health & Gender-Based Medicine, 10, 689698.CrossRefGoogle ScholarPubMed
Braam, A. W. et al. (2005). Physical health and depressive symptoms in older Europeans: results from EURODEP. British Journal of Psychiatry, 187, 3542.CrossRefGoogle ScholarPubMed
Brodaty, H. et al. (2003). Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors. International Journal of Geriatric Psychiatry, 16, 504512.CrossRefGoogle Scholar
Bryant, C., Jackson, H. and Ames, D. (2008). The prevalence of anxiety in older adults: methodological issues and a review of the literature. Journal of Affective Disorders, 109, 233250.CrossRefGoogle Scholar
Byrne, G. J., Raphael, B. and Arnold, E. (1999). Alcohol consumption and psychological distress in recently widowed older men. Australian and New Zealand Journal of Psychiatry, 33, 740747.CrossRefGoogle ScholarPubMed
Christensen, K., Doblhammer, G., Rau, R. and Vaupel, J. W. (2009). Ageing populations: the challenges ahead. Lancet, 374, 11961208.CrossRefGoogle ScholarPubMed
Copeland, J. R., Beekman, A. T. and Braam, A. W. et al. (2004). Depression among older people in Europe: the EURODEP studies. World Psychiatry, 3, 4549.Google ScholarPubMed
Djernes, J. K. (2006). Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatrica Scandinavia, 113, 372387. doi: 10.1111/j.1600-0447.2006.00770.x.CrossRefGoogle ScholarPubMed
Dozeman, E. et al. (2010). High incidence of clinically relevant depressive symptoms in vulnerable persons of 75 years or older living in the community. Aging & Mental Health, 14, 828833.CrossRefGoogle ScholarPubMed
Furukawa, T. A., Kessler, R. C., Slade, T. and Andrews, G. (2003). The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 33, 357362.CrossRefGoogle ScholarPubMed
Gerstorf, D. et al. (2010). Late-life decline in well-being across adulthood in Germany, the United Kingdom, and the United States: something is seriously wrong at the end of life. Psychology and Aging, 25, 477485.CrossRefGoogle ScholarPubMed
Giles, L. C., Cameron, I. D. and Crotty, M. (2003). Disability in older Australians: projections for 2006–2031. Medical Journal of Australia, 179, 130133.CrossRefGoogle ScholarPubMed
Glaesmer, H., Riedel-Heller, S., Braehler, E., Spangenberg, L. and Luppa, M. (2011). Age and gender-specific prevalence and risk factors for depressive symptoms in the elderly: a population-based study. International Psychogeriatrics, 23, 12941300. doi: 10.1017/S1041610211000780.CrossRefGoogle ScholarPubMed
Koloski, N. A., Smith, N., Pachana, N. A. and Dobson, A. (2008). Performance of the Goldberg Anxiety and Depression Scale in older women. Age and Ageing, 37, 464467.CrossRefGoogle ScholarPubMed
Leach, L. S. et al. (2008). Gender differences in depression and anxiety across the adult lifespan: the role of psychosocial mediators. Social Psychiatry & Psychiatric Epidemiology, 43, 983998.CrossRefGoogle ScholarPubMed
Lenze, E. J. et al. (2005). Generalized anxiety disorder in late life: lifetime course and comorbidity with major depressive disorder. American Journal of Geriatric Psychiatry, 13, 7780.CrossRefGoogle ScholarPubMed
Li, G. (1995). The interaction effect of bereavement and sex on the risk of suicide in the elderly: an historical cohort study. Social Science and Medicine, 40, 825828.CrossRefGoogle ScholarPubMed
McGarry, K. and Schoeni, R. (2005). Widow(er) poverty and out-of-pocket medical expenditures near the end of life. The Journals of Gerontology: Series B, Psychological Sciences & Social Sciences, 60, S160S168. doi: 10.1093/geronb/60.3.S160.CrossRefGoogle ScholarPubMed
Moussavi, S. et al. (2007). Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet, 370, 851858.CrossRefGoogle ScholarPubMed
New South Wales Department of Health, Centre for Epidemiology and Research (2010). 2009 Summary Report on Adult Health from the New South Wales Population Health Survey. Publication No: HSP100009, ISBN 9781 74187 540 9. Sydney, Australia: NSW Department of Health, Australia. Available at: http://www.health.nsw.gov.au/PublicHealth/surveys/hsa/09summary.asp; last accessed 2 April 2010.Google Scholar
Nicolosi, G. T. et al. (2011). Depressive symptoms in old age: relations among sociodemographic and self-reported health variables. International Psychogeriatrics, 23, 941949. doi: 10.1017/S1041610211000627.CrossRefGoogle ScholarPubMed
Pirkis, J. et al. (2009). The community prevalence of depression in older Australians. Journal of Affective Disorders, 115, 5461.CrossRefGoogle ScholarPubMed
Trollor, J. N. et al. (2007). Prevalence of mental disorders in the elderly: the Australian National Mental Health and Well-Being Survey 2007. American Journal of Geriatric Psychiatry, 15, 455466. doi: 10.1097/JGP.0b013e3180590ba9.CrossRefGoogle Scholar
van den Brink, C. L. et al. (2004). Effect of widowhood on disability onset in elderly men from three European countries. Journal of the American Geriatrics Society, 52, 353358. doi: 10.1111/j.1532-5415.2004.52105.x.CrossRefGoogle ScholarPubMed
Vin, D. et al. (2009). Onset of anxiety and depression in the aging population: comparison of risk factors in a 9-year prospective study. American Journal of Geriatric Psychiatry, 17, 642652.Google Scholar
Wai-chi Chan, S. et al. (2009). Predictors of change in health-related quality of life among older people with depression: a longitudinal study. International Psychogeriatrics, 21, 11711179.CrossRefGoogle Scholar