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Late-life depressive symptoms: an international study
Gerald J Jogerst1, Shimin Zheng, Elena V Frolova
1Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242-1097, USA. gerald-jogerst@uiowa.edu
Depressive symptoms are more prevalent in Russia compared to Korea and the US. However, these symptoms have a lesser impact on daily functioning in Russian participants, suggesting cultural or environmental influences.
Area of Science:
- Geriatric Medicine
- Cross-Cultural Psychiatry
- Public Health
Background:
- Depressive symptoms are a significant concern in aging populations worldwide.
- Understanding cross-cultural variations in depression prevalence and impact is crucial for effective healthcare delivery.
Purpose of the Study:
- To evaluate differences in depressive symptoms among older adults in Korea, Russia, and the USA.
- To compare sociodemographic and health-related variables associated with depressive symptoms.
- To report the impact of depressive symptoms on daily activities across these countries.
Main Methods:
- A cross-sectional study involving 1115 patients aged 60-93 years.
- Utilized self-administered questionnaires and the Patient Health Questionnaire-9 (PHQ-9) diagnostic survey.
- Participants were recruited from primary care clinics in Korea, Russia, and the USA.
Main Results:
- Prevalence of mild depression (PHQ-9 score ≥ 5) was 28% in Koreans, 65% in Russians, and 27% in US participants.
- Russians reported higher depression scores and suicidal thoughts, while Koreans reported less worthlessness.
- Poorer self-rated health, chronic diseases, and female gender were associated with depression across all groups. Employment, marital status, and older age showed protective effects in specific countries, while vascular disease was linked to depression in Russia.
Conclusions:
- Depressive symptoms are more common in Russia than in Korea and the USA.
- Despite higher prevalence, depressive symptoms had a lesser impact on daily functioning in Russian participants.
- Cultural or environmental factors may explain the observed differences in the impact of depression on daily life.
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