The relationship between functional disability and depressive mood in Japanese older adult inpatients.
Depression is commonly found in older adult patients and is often associated with handicaps. The authors administered the Comprehensive Geriatric Assessment (CGA), including basic activities of daily living (BADL), instrumental activities of daily living (IADL), Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS)-15, and a socioenvironmental questionnaire to 198 patients who were admitted to Nagoya University Hospital, to examine the relationship between depressive mood and various physical and socioenvironmental outcomes. The overall GDS-15 score was correlated with the BADL and IADL. The factor analysis extracted 4 factors from the GDS-15 subscales. The factors labeled "loss of morale and hope" and "memory loss and reduction of social activity" were highly correlated with both ADLs, social variables, and the MMSE score. The results reveal that factor analysis of GDS-15 will help in understanding the etiology of depressive mood, thereby contributing to better therapeutic approaches.
Onishi
Joji
J
Department of Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-Ku, Nagoya, Aichi 466-8550, Japan.
Umegaki
Hiroyuki
H
Suzuki
Yusuke
Y
Uemura
Katsuhiko
K
Kuzuya
Masafumi
M
Iguchi
Akihisa
A
D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000375:Aging / Q000523:psychology; D000704:Analysis of Variance; D015992:Body Mass Index; D003866:Depressive Disorder / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007564:Japan; D008297:Male; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data