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The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems

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The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems. / Sikorski, Claudia; Luppa, Melanie; Heser, Kathrin; Ernst, Anette; Lange, Carolin; Werle, Jochen; Bickel, Horst; Mösch, Edelgard; Wiese, Birgitt; Prokein, Jana; Fuchs, Angela; Pentzek, Michael; König, Hans-Helmut; Brettschneider, Christian; Scherer, Martin; Maier, Wolfgang; Weyerer, Siegfried; Riedel-Heller, Steffi G; AgeCoDe Study Group.

in: J AFFECT DISORDERS, Jahrgang 161, 01.06.2014, S. 97-103.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Sikorski, C, Luppa, M, Heser, K, Ernst, A, Lange, C, Werle, J, Bickel, H, Mösch, E, Wiese, B, Prokein, J, Fuchs, A, Pentzek, M, König, H-H, Brettschneider, C, Scherer, M, Maier, W, Weyerer, S, Riedel-Heller, SG & AgeCoDe Study Group 2014, 'The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems', J AFFECT DISORDERS, Jg. 161, S. 97-103. https://doi.org/10.1016/j.jad.2014.02.033

APA

Sikorski, C., Luppa, M., Heser, K., Ernst, A., Lange, C., Werle, J., Bickel, H., Mösch, E., Wiese, B., Prokein, J., Fuchs, A., Pentzek, M., König, H-H., Brettschneider, C., Scherer, M., Maier, W., Weyerer, S., Riedel-Heller, S. G., & AgeCoDe Study Group (2014). The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems. J AFFECT DISORDERS, 161, 97-103. https://doi.org/10.1016/j.jad.2014.02.033

Vancouver

Sikorski C, Luppa M, Heser K, Ernst A, Lange C, Werle J et al. The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems. J AFFECT DISORDERS. 2014 Jun 1;161:97-103. https://doi.org/10.1016/j.jad.2014.02.033

Bibtex

@article{dc396bba63dd422d879b941d1b3e28e0,
title = "The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems",
abstract = "BACKGROUND: In the revised version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) the Mood Disorder Workgroup for DSM-V the bereavement exclusion criterion for the diagnosis of major depression has been eliminated.AIM: To investigate the impact of bereavement on the incidence of depression and depressive symptoms in the elderly.METHOD: Participants over 75 years from the longitudinal German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe) that were still married at baseline were investigated (n=1,193). Data from four follow-ups (time frame: 6 years) were investigated. The response rate at baseline was 50.3%. Three clinical endpoints were analyzed: depressive symptoms according to Geriatric Depression Scale (1) GDS≥6, (2) GDS≥10, and (3) Major Depression (MD). The effect of loss was investigated using random-effects regression models.RESULTS: Experiencing a loss of spouse was predictive of a higher incidence in GDS≥6 (OR 4.52, 95% CI 2.6-7.9) and 10 (OR 5.59, 95% CI 1.8-17.0) even after adjusting for age, gender, impairment at baseline, and GDS score at baseline. Associations with MD were not significant (OR 1.77, 96% CI 0.9-3.5).CONCLUSIONS: Older adults experiencing the loss of their spouse are more likely to display elevated levels of depressive symptoms, that may reach a concerning level of severity.",
author = "Claudia Sikorski and Melanie Luppa and Kathrin Heser and Anette Ernst and Carolin Lange and Jochen Werle and Horst Bickel and Edelgard M{\"o}sch and Birgitt Wiese and Jana Prokein and Angela Fuchs and Michael Pentzek and Hans-Helmut K{\"o}nig and Christian Brettschneider and Martin Scherer and Wolfgang Maier and Siegfried Weyerer and Riedel-Heller, {Steffi G} and {AgeCoDe Study Group} and {Bussche van den}, Hendrik",
note = "Copyright {\textcopyright} 2014 Elsevier B.V. All rights reserved.",
year = "2014",
month = jun,
day = "1",
doi = "10.1016/j.jad.2014.02.033",
language = "English",
volume = "161",
pages = "97--103",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - The role of spousal loss in the development of depressive symptoms in the elderly - implications for diagnostic systems

AU - Sikorski, Claudia

AU - Luppa, Melanie

AU - Heser, Kathrin

AU - Ernst, Anette

AU - Lange, Carolin

AU - Werle, Jochen

AU - Bickel, Horst

AU - Mösch, Edelgard

AU - Wiese, Birgitt

AU - Prokein, Jana

AU - Fuchs, Angela

AU - Pentzek, Michael

AU - König, Hans-Helmut

AU - Brettschneider, Christian

AU - Scherer, Martin

AU - Maier, Wolfgang

AU - Weyerer, Siegfried

AU - Riedel-Heller, Steffi G

AU - AgeCoDe Study Group

AU - Bussche van den, Hendrik

N1 - Copyright © 2014 Elsevier B.V. All rights reserved.

PY - 2014/6/1

Y1 - 2014/6/1

N2 - BACKGROUND: In the revised version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) the Mood Disorder Workgroup for DSM-V the bereavement exclusion criterion for the diagnosis of major depression has been eliminated.AIM: To investigate the impact of bereavement on the incidence of depression and depressive symptoms in the elderly.METHOD: Participants over 75 years from the longitudinal German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe) that were still married at baseline were investigated (n=1,193). Data from four follow-ups (time frame: 6 years) were investigated. The response rate at baseline was 50.3%. Three clinical endpoints were analyzed: depressive symptoms according to Geriatric Depression Scale (1) GDS≥6, (2) GDS≥10, and (3) Major Depression (MD). The effect of loss was investigated using random-effects regression models.RESULTS: Experiencing a loss of spouse was predictive of a higher incidence in GDS≥6 (OR 4.52, 95% CI 2.6-7.9) and 10 (OR 5.59, 95% CI 1.8-17.0) even after adjusting for age, gender, impairment at baseline, and GDS score at baseline. Associations with MD were not significant (OR 1.77, 96% CI 0.9-3.5).CONCLUSIONS: Older adults experiencing the loss of their spouse are more likely to display elevated levels of depressive symptoms, that may reach a concerning level of severity.

AB - BACKGROUND: In the revised version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) the Mood Disorder Workgroup for DSM-V the bereavement exclusion criterion for the diagnosis of major depression has been eliminated.AIM: To investigate the impact of bereavement on the incidence of depression and depressive symptoms in the elderly.METHOD: Participants over 75 years from the longitudinal German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe) that were still married at baseline were investigated (n=1,193). Data from four follow-ups (time frame: 6 years) were investigated. The response rate at baseline was 50.3%. Three clinical endpoints were analyzed: depressive symptoms according to Geriatric Depression Scale (1) GDS≥6, (2) GDS≥10, and (3) Major Depression (MD). The effect of loss was investigated using random-effects regression models.RESULTS: Experiencing a loss of spouse was predictive of a higher incidence in GDS≥6 (OR 4.52, 95% CI 2.6-7.9) and 10 (OR 5.59, 95% CI 1.8-17.0) even after adjusting for age, gender, impairment at baseline, and GDS score at baseline. Associations with MD were not significant (OR 1.77, 96% CI 0.9-3.5).CONCLUSIONS: Older adults experiencing the loss of their spouse are more likely to display elevated levels of depressive symptoms, that may reach a concerning level of severity.

U2 - 10.1016/j.jad.2014.02.033

DO - 10.1016/j.jad.2014.02.033

M3 - SCORING: Journal article

C2 - 24751315

VL - 161

SP - 97

EP - 103

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -