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Trajectory classes of depressive symptoms in a community sample of older adults
Author(s) -
Kuchibhatla M. N.,
Fillenbaum G. G.,
Hybels C. F.,
Blazer D. G.
Publication year - 2012
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2011.01801.x
Subject(s) - multinomial logistic regression , depression (economics) , latent class model , depressive symptoms , social class , psychology , logistic regression , cognition , psychiatry , center for epidemiologic studies depression scale , epidemiology , socioeconomic status , gerontology , clinical psychology , demography , medicine , population , sociology , economics , macroeconomics , statistics , mathematics , machine learning , computer science , political science , law
Kuchibhatla MN, Fillenbaum GG, Hybels CF, Blazer DG. Trajectory classes of depressive symptoms in a community sample of older adults. Objective: To identify trajectories of depressive symptoms in older community residents. Method: Depressive symptomatology, based on a modified Center for Epidemiological Studies–Depression scale, was obtained at years 0, 3, 6, and 10, in the Duke Established Populations for Epidemiologic Studies of the Elderly ( n = 4162). Generalized growth mixture models identified the latent class trajectories present. Baseline demographic, health, and social characteristics distinguishing the classes were identified using multinomial logistic regression. Results: Four latent class trajectories were identified. Class 1 – stable low depressive symptomatology (76.6% of the sample); class 2 – initially low depressive symptomatology, increasing to the subsyndromal level (10.0%); class 3 – stable high depressive symptomatology (5.4%); class 4 – high depressive symptomatology improving over 6 years before reverting somewhat (8.0%). Class 1 was younger, male gender, with better education, health, and social resources, in contrast to class 3. Class 2 had poorer cognitive functioning and higher death rate. Class 4 had better health and social resources. Conclusion: Reduction in high depressive symptomatology is associated with more education, better health, fewer stressful events, and a larger social network. Increasing depressive symptomatology is accompanied by poorer physical and cognitive health, more stressful life events, and greater risk of death.