- 期刊
The Relationship Between Depression, Chronic Illnesses and Disability Among Community-Dwelling Women and Men Aged 60-80 Years: A Cross-Sectional Analysis
摘要
Background: Depression together with chronic diseases results in significant health deterioration. The aim of our study was to assess the relationship between depression and the most common chronic diseases and disability in the case of the older inhabitants of South-East Poland (the region of Podkarpackie). Methods: The study population was a randomly chosen group of 1800 people aged 60 to 80 years living in South-East Poland (the region of Podkarpackie). This population was divided into subgroups: subjects without depression (1655 people, 91.94%) and subjects with depression (145 people, 8.06%). The study tool was the WHO Disability Assessment Schedule (WHODAS 2.0) and a socio-demographic questionnaire. Results: We have found the highest proportion of patients with depression among those participants who were diagnosed with four or more chronic diseases. Patients with the highest depression values of odds ratio were those with urinary incontinence and migraine. Elderly patients with these disorders were four times more likely to suffer from depression than those without depression. A surge in disability in each domain measured by WHODAS 2.0 increased the chance of depression significantly, particularly in subjects who reported limitations in social functioning. Conclusion: Our results have indicated urgent needs for studying the predisposition of the elderly to develop chronic diseases and depression resulting from increased disability occurring as a result of combination of these diseases. Diagnosis and treatment of depression should be a base for building standard and complex rehabilitation programmes in chronic diseases among the elderly.
延伸閱讀
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