title: Improvement in depressive symptoms and changes in self-rated health among community-dwelling disabled older adults.
abstract: This study investigated the association between improvement in depressive symptoms and changes in self-rated health among community-dwelling disabled older adults over time. Multivariate logistic regression models were applied using the 1993 and 1995 Assets and Health Dynamics among the Oldest-Old Survey data. Changes in depressive symptoms and changes in self-rated health clearly coincide. Among participants with functional disability in 1993 and 1995, a decrease in depressive symptoms was associated with decreased odds of having decline in self-rated health (odds ratio [OR], 0.85; 95% confidence interval [CI], 0.78-0.93) and was associated with increased odds of having improvement in self-rated health (OR, 1.15; 95% CI, 1.04-1.27). Similar results were also found among participants with no functional disability in 1993 and with functional disability in 1995. Among community-dwelling older adults who remained disabled at follow-up or who experienced disability only at follow-up, even just a small decrease in depressive symptoms was associated with increased odds of having improvement in self-rated health and with decreased risks of having decline in self-rated health. Reducing the number of symptoms of depression among these disabled older adults would be beneficial in improving their self-rated health as well as maintaining and promoting their quality of life.
authors.affiliation: National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD 20782, USA. hih9@cdc.gov
authors.forename: B
authors.initials: B
authors.lastname: Han
authors.forename: M
authors.initials: M
authors.lastname: Jylha
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003863:Depression / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires; D014481:United States