Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people

Gustaf Boström,1 Mia Conradsson,1 Erik Rosendahl,1,2 Peter Nordström,1 Yngve Gustafson,1 Håkan Littbrand1,21Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Re...

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Autores principales:	Boström G, Conradsson M, Rosendahl E, Nordström P, Gustafson Y, Littbr, H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	aged 80 and over residential facilities independent living depression activities of daily living Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/51e43a3ac3f64eebb4599befa110dd92
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spelling	oai:doaj.org-article:51e43a3ac3f64eebb4599befa110dd922021-12-02T01:06:38ZFunctional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people1178-1998https://doaj.org/article/51e43a3ac3f64eebb4599befa110dd922014-02-01T00:00:00Zhttps://www.dovepress.com/functional-capacity-and-dependency-in-transfer-and-dressing-are-associ-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Gustaf Boström,1 Mia Conradsson,1 Erik Rosendahl,1,2 Peter Nordström,1 Yngve Gustafson,1 Håkan Littbrand1,21Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, SwedenBackground: This study examined associations between depressive symptoms and functional capacity, overall dependency in personal activities of daily living (ADLs), and dependency in individual ADL tasks, respectively, in people with a high mean age, large range of functional capacity, and wide spectrum of dependency in ADLs.Methods: Cross-sectional data from three studies were used. A total of 392 individuals living in community and residential care facilities were included. Mean age was 86.2 years, 72% were women, 75% were dependent in ADLs, 42% had depression, and 39% had dementia. Depressive symptoms were assessed with the 15-item Geriatric Depression Scale (GDS-15), functional capacity with the Berg Balance Scale (BBS), and ADLs with the Barthel ADL Index. Multiple linear regression analyses with comprehensive adjustments were performed between GDS-15 and BBS, GDS-15 and Barthel ADL Index, and GDS-15 and each individual ADL task, separately.Results: GDS-15 score was associated with BBS score (unstandardized b =-0.03, P=0.008), but not with Barthel ADL Index score (unstandardized b =-0.07, P=0.068). No significant interaction effects of sex, dementia, or living conditions were found in these associations. Among individual ADL tasks, dependency in transfer (unstandardized b =-1.03, P=0.007) and dressing (unstandardized b =-0.70, P=0.035) were associated with depressive symptoms.Conclusion: Functional capacity seems to be independently associated with depressive symptoms in older people living in community and residential care facilities, whereas overall ADL performance may not be associated. Dependency in the individual ADL tasks of transfer and dressing appear to be independently associated with depressive symptoms and may be an important focus of future interdisciplinary multifactorial intervention studies.Keywords: aged 80 and over, residential facilities, independent living, depression, activities of daily livingBoström GConradsson MRosendahl ENordström PGustafson YLittbrHDove Medical Pressarticleaged80 and overresidential facilitiesindependent livingdepressionactivities of daily livingGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 249-257 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	aged 80 and over residential facilities independent living depression activities of daily living Geriatrics RC952-954.6
spellingShingle	aged 80 and over residential facilities independent living depression activities of daily living Geriatrics RC952-954.6 Boström G Conradsson M Rosendahl E Nordström P Gustafson Y Littbr H Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
description	Gustaf Boström,1 Mia Conradsson,1 Erik Rosendahl,1,2 Peter Nordström,1 Yngve Gustafson,1 Håkan Littbrand1,21Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, SwedenBackground: This study examined associations between depressive symptoms and functional capacity, overall dependency in personal activities of daily living (ADLs), and dependency in individual ADL tasks, respectively, in people with a high mean age, large range of functional capacity, and wide spectrum of dependency in ADLs.Methods: Cross-sectional data from three studies were used. A total of 392 individuals living in community and residential care facilities were included. Mean age was 86.2 years, 72% were women, 75% were dependent in ADLs, 42% had depression, and 39% had dementia. Depressive symptoms were assessed with the 15-item Geriatric Depression Scale (GDS-15), functional capacity with the Berg Balance Scale (BBS), and ADLs with the Barthel ADL Index. Multiple linear regression analyses with comprehensive adjustments were performed between GDS-15 and BBS, GDS-15 and Barthel ADL Index, and GDS-15 and each individual ADL task, separately.Results: GDS-15 score was associated with BBS score (unstandardized b =-0.03, P=0.008), but not with Barthel ADL Index score (unstandardized b =-0.07, P=0.068). No significant interaction effects of sex, dementia, or living conditions were found in these associations. Among individual ADL tasks, dependency in transfer (unstandardized b =-1.03, P=0.007) and dressing (unstandardized b =-0.70, P=0.035) were associated with depressive symptoms.Conclusion: Functional capacity seems to be independently associated with depressive symptoms in older people living in community and residential care facilities, whereas overall ADL performance may not be associated. Dependency in the individual ADL tasks of transfer and dressing appear to be independently associated with depressive symptoms and may be an important focus of future interdisciplinary multifactorial intervention studies.Keywords: aged 80 and over, residential facilities, independent living, depression, activities of daily living
format	article
author	Boström G Conradsson M Rosendahl E Nordström P Gustafson Y Littbr H
author_facet	Boström G Conradsson M Rosendahl E Nordström P Gustafson Y Littbr H
author_sort	Boström G
title	Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
title_short	Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
title_full	Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
title_fullStr	Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
title_full_unstemmed	Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
title_sort	functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/51e43a3ac3f64eebb4599befa110dd92
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Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people

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