The relationship between social integration and depression in non-demented primary care patients aged 75 years and older.
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The relationship between social integration and depression in non-demented primary care patients aged 75 years and older. / Schwarzbach, Michaela; Luppa, Melanie; Sikorski, Claudia; Fuchs, Angela; Maier, Wolfgang; van den Bussche, Hendrik; Pentzek, Michael; Riedel-Heller, Steffi G.
In: J AFFECT DISORDERS, Vol. 145, No. 2, 2, 2013, p. 172-178.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The relationship between social integration and depression in non-demented primary care patients aged 75 years and older.
AU - Schwarzbach, Michaela
AU - Luppa, Melanie
AU - Sikorski, Claudia
AU - Fuchs, Angela
AU - Maier, Wolfgang
AU - van den Bussche, Hendrik
AU - Pentzek, Michael
AU - Riedel-Heller, Steffi G
N1 - Copyright © 2012 Elsevier B.V. All rights reserved.
PY - 2013
Y1 - 2013
N2 - BACKGROUND: Social integration seems to be associated with depression in late life. But the measurement of social integration still lacks a strong consensus. To date in most studies the different domains of social integration have been examined separately.AIMS: In order to improve comparability among studies, we used the social integration index (SII), which covers all domains of social integration, to examine the association of social integration and depression in non-demented primary care patients aged 75 years and older.METHOD: Data were derived from the longitudinal German study on Aging, Cognition and Dementia in primary care patients. Included in the cross-sectional survey were 1028 non-demented subjects aged 75 years and older. The GDS-15 Geriatric Depression Scale was used to measure depression with a threshold of ≥6. Associations of the SII and further potential risk factors and depression were analysed using multivariate logistic regression models.RESULTS: The SII was significantly associated with depression in the elderly. After full adjustment for all variables, odds of depression were significantly higher for lower levels of the SII, having a care level, impaired vision and mobility and subjective memory complaints.CONCLUSION: Because the social integration index covers several aspects of social integration, the results seem to be more significant than considering only one of these domains alone. Further research is needed to prove the practicability of the social integration index and to supply the literature with consistent results regarding the association of social integration and depression. Elderly with depression could benefit from increased social networks and enhanced social integration, which points to the development of social programs and social policies that maximize the engagement of older adults in social activities and volunteer roles.
AB - BACKGROUND: Social integration seems to be associated with depression in late life. But the measurement of social integration still lacks a strong consensus. To date in most studies the different domains of social integration have been examined separately.AIMS: In order to improve comparability among studies, we used the social integration index (SII), which covers all domains of social integration, to examine the association of social integration and depression in non-demented primary care patients aged 75 years and older.METHOD: Data were derived from the longitudinal German study on Aging, Cognition and Dementia in primary care patients. Included in the cross-sectional survey were 1028 non-demented subjects aged 75 years and older. The GDS-15 Geriatric Depression Scale was used to measure depression with a threshold of ≥6. Associations of the SII and further potential risk factors and depression were analysed using multivariate logistic regression models.RESULTS: The SII was significantly associated with depression in the elderly. After full adjustment for all variables, odds of depression were significantly higher for lower levels of the SII, having a care level, impaired vision and mobility and subjective memory complaints.CONCLUSION: Because the social integration index covers several aspects of social integration, the results seem to be more significant than considering only one of these domains alone. Further research is needed to prove the practicability of the social integration index and to supply the literature with consistent results regarding the association of social integration and depression. Elderly with depression could benefit from increased social networks and enhanced social integration, which points to the development of social programs and social policies that maximize the engagement of older adults in social activities and volunteer roles.
KW - Aged
KW - Aged, 80 and over
KW - Cross-Sectional Studies
KW - Depression
KW - Female
KW - Humans
KW - Interpersonal Relations
KW - Longitudinal Studies
KW - Male
KW - Primary Health Care
KW - Psychiatric Status Rating Scales
KW - Risk Factors
KW - Social Participation
U2 - 10.1016/j.jad.2012.07.025
DO - 10.1016/j.jad.2012.07.025
M3 - SCORING: Journal article
C2 - 22871528
VL - 145
SP - 172
EP - 178
JO - J AFFECT DISORDERS
JF - J AFFECT DISORDERS
SN - 0165-0327
IS - 2
M1 - 2
ER -