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Risk factors for depression in elderly people: a prospective study.

B H Green1, J R Copeland, M E Dewey

  • 1Department of Psychiatry, University of Liverpool, United Kingdom.

Acta Psychiatrica Scandinavica
|September 1, 1992
PubMed
Summary
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Older adults developing depression were more likely to be female, lonely, dissatisfied with life, and smokers. Bereavement was also a significant trigger for late-life depression.

Area of Science:

  • Geriatric Psychiatry
  • Epidemiology of Mental Disorders
  • Longitudinal Cohort Studies

Background:

  • Late-life depression is a significant public health concern.
  • Identifying risk factors for incident depression in older adults is crucial for prevention.
  • Previous research has explored various demographic, social, and lifestyle factors.

Purpose of the Study:

  • To identify risk factors associated with the development of new-onset depression in individuals aged 65 years and above.
  • To examine the independent contributions of various factors to depression incidence over a 3-year period.
  • To explore the role of bereavement as a potential trigger for late-life depression.

Main Methods:

  • A random sample of 1486 individuals aged 65+ was recruited.

Related Experiment Videos

  • 1070 participants were interviewed using the Geriatric Mental State and Social History questionnaire.
  • The cohort was followed up after 3 years, with incident depression diagnosed by the AGECAT program.

    • Main Results:

    • Univariate analysis identified lack of life satisfaction, loneliness, and smoking as significant risk factors.
    • Multivariate analysis confirmed these factors independently predicted depression.
    • Female gender and recent bereavement (within 6 months) were also significant predictors.

    Conclusions:

    • Lack of life satisfaction, loneliness, smoking, female gender, and bereavement are significant risk factors for incident depression in older adults.
    • Factors like poor housing, marital status, and living alone were not significant risk factors in this cohort.
    • These findings highlight key areas for targeted interventions and support for preventing late-life depression.