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Functional status and depressive symptoms among older adults from residential care facilities in the Czech Republic
Author(s) -
Vanková Hana,
Holmerová Iva,
Andel Ross,
Veleta Petr,
Janecková Hana
Publication year - 2008
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.1905
Subject(s) - activities of daily living , quality of life (healthcare) , geriatric depression scale , gerontology , depressive symptoms , depression (economics) , medicine , czech , population , long term care , cognition , psychology , psychiatry , environmental health , linguistics , philosophy , nursing , economics , macroeconomics
Background Depressive symptoms are common among older adults, particularly those living in long‐term care facilities. However, little is known about factors associated with depressive symptoms among long‐term care residents in the Czech Republic and in other Eastern European countries. Moreover, the role of mobility and pain in depressive symptoms among long‐term care residents is relatively understudied. Objective We examined the relationship between functional status and depressive symptoms in 308 older adults from residential care facilities (RCFs) in the Czech Republic. Method We used baseline data from two randomized controlled trials testing the effects of dance and reminiscence therapies on quality of life in older RCF residents. Functional status was measured as cognitive function, general ability to perform basic Activities of Daily Living (ADLs), mobility, and functional limitation by pain. Depressive symptoms were measured using the 15‐item Geriatric Depression Scale. Results In multiple regression analyses adjusted for sociodemographic factors and taking antidepressants, we found that cognitive function and functional limitation by pain were most strongly associated with depressive symptoms. The ability to perform basic ADLs and mobility were also related to depressive symptoms. Conclusion Our findings suggest factors that may be important in efforts to improve psychological well‐being in this population. Copyright © 2007 John Wiley & Sons, Ltd.