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Depression and disability: comparisons with common physical conditions in the Ibadan study of aging
Objectives: To compare the effects of depression and chronic physical conditions on disability in elderly persons. Setting: Yoruba-speaking areas of Nigeria. Design: Interviews. Participants: Community-dwelling persons aged 65 and older. Method: Face-to-face interviews were conducted with a represen...
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2008-11
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/1645 | ||
| 042 | |a dc | ||
| 720 | |a Gureje, O. |e author | ||
| 720 | |a Ademola, A. |e author | ||
| 720 | |a Olley, B. O. |e author | ||
| 260 | |c 2008-11 | ||
| 520 | |a Objectives: To compare the effects of depression and chronic physical conditions on disability in elderly persons. Setting: Yoruba-speaking areas of Nigeria. Design: Interviews. Participants: Community-dwelling persons aged 65 and older. Method: Face-to-face interviews were conducted with a representative sample of community-dwelling persons aged 65 and older (N= 2,152) in the Yoruba-speaking areas of Nigeria (representing ~22% of the national population). Major depressive disorder (MDD) was assessed using the World Health Organization Composite International Diagnostic Interview. Chronic pain and medical disorders were assessed using self-report. Disorder-specific disability was evaluated using the Sheehan Disability Scale (SDS). Results: MDD was highly comorbid with each of the medical conditions (odds ratio range 1.3–2.0). A higher proportion of persons with MDD (47.2%) were rated severely disabled globally than those with arthritis (20.6%), chronic spinal pain (24.2%), or high blood pressure (25.0%). Subjects with MDD were also more likely to be severely disabled in three of the four domains of the SDS. In pair-wise comparisons, persons with MDD had significantly higher levels of disability than those with any of the disorders, with differences in mean scores ranging between -3.74 and -27.50. Conclusion: To reduce the public health burden of depression, its prevention and treatment require more clinical and research attention than currently given by developing countries. | ||
| 024 | 8 | |a J Am Geriatr Soc 56(11), pp. 2033-2038 | |
| 024 | 8 | |a ui_art_gureje_depression_2008 | |
| 024 | 8 | |a http://ir.library.ui.edu.ng/handle/123456789/1645 | |
| 245 | 0 | 0 | |a Depression and disability: comparisons with common physical conditions in the Ibadan study of aging |