TY - JOUR
T1 - Risk indicators for depression in aged care
T2 - The contribution of a meaningful life, mastery and environmental fit
AU - Chau, Rebecca
AU - Kissane, David W.
AU - Davison, Tanya E.
PY - 2020/9
Y1 - 2020/9
N2 - Objectives: Depression is a pernicious, growing problem in the aged care population. Knowledge about the risk factors for depression focuses on unchangeable, medical factors; therefore, a deeper, systematic understanding of modifiable psychological risk indicators is needed. Methods: This secondary analysis used data from an observational cohort study (T1, n = 147; T2, n = 81) of adults aged ≥65 years recruited from 15 aged care facilities in Melbourne, Australia. Meaningful existence, mastery, social support and person-environment fit were investigated as risk indicators. Results: Generalised estimating equation analysis identified that changes in meaningful existence (b = –0.06, P <.05), mastery (b = –0.05, P <.05) and person-environment fit (b = –0.02, P <.05) were significantly associated with change in depression score. These remained significant controlling for socio-demographic variables, cognitive impairment and functional impairment. Conclusion: Because these psychological risk factors—meaningful existence, mastery and person-environment fit—are suitable therapeutic targets, they are well positioned to inform prevention and intervention programs.
AB - Objectives: Depression is a pernicious, growing problem in the aged care population. Knowledge about the risk factors for depression focuses on unchangeable, medical factors; therefore, a deeper, systematic understanding of modifiable psychological risk indicators is needed. Methods: This secondary analysis used data from an observational cohort study (T1, n = 147; T2, n = 81) of adults aged ≥65 years recruited from 15 aged care facilities in Melbourne, Australia. Meaningful existence, mastery, social support and person-environment fit were investigated as risk indicators. Results: Generalised estimating equation analysis identified that changes in meaningful existence (b = –0.06, P <.05), mastery (b = –0.05, P <.05) and person-environment fit (b = –0.02, P <.05) were significantly associated with change in depression score. These remained significant controlling for socio-demographic variables, cognitive impairment and functional impairment. Conclusion: Because these psychological risk factors—meaningful existence, mastery and person-environment fit—are suitable therapeutic targets, they are well positioned to inform prevention and intervention programs.
KW - depression
KW - long-term care
KW - quality of life
KW - risk factors
KW - self efficacy
UR - http://www.scopus.com/inward/record.url?scp=85083774643&partnerID=8YFLogxK
U2 - 10.1111/ajag.12792
DO - 10.1111/ajag.12792
M3 - Article
AN - SCOPUS:85083774643
SN - 1440-6381
VL - 39
SP - e368-e374
JO - Australasian Journal on Ageing
JF - Australasian Journal on Ageing
IS - 3
ER -