Incidence rate and related factors of depression in older adult patients with somatization symptoms
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View abstract on PubMed
Summary
This summary is machine-generated.Over 20% of older adults with somatization symptoms developed depression within 12 months. Resident medical insurance and living with children were linked to increased depression risk in this vulnerable population.
Area Of Science
- Geriatric Medicine
- Psychiatry
- Public Health
Background
- Investigating the incidence and predictors of depressive symptoms in older adults with somatization.
- Utilizing a prospective cohort design to track symptom development over time.
Purpose Of The Study
- To determine the incidence of depressive symptoms in older adults initially presenting with somatization.
- To identify predictors associated with the emergence of depression in this demographic.
- To inform targeted interventions for mental health in geriatric populations.
Main Methods
- Prospective cohort study of 162 community-dwelling adults (≥60 years) with somatization but no baseline depression.
- Screening for somatization using the Somatic Self-Rating Scale (SSS) and depression via Patient Health Questionnaire-2 (PHQ-2) and PHQ-9.
- Multivariable logistic regression with Firth correction to identify predictors of incident depressive symptoms over 12 months.
Main Results
- 20.37% of participants developed clinically significant depressive symptoms within 12 months.
- Baseline somatization severity correlated with subsequent depression scores (r=0.565, p<0.001).
- Resident medical insurance (aOR=0.068) and living with children (aOR=0.305) were associated with increased depression risk.
Conclusions
- Depressive symptoms are common in older adults with somatization, with over 20% developing them within a year.
- Factors like resident medical insurance and living arrangements may influence depression risk, potentially due to psychosocial stressors.
- Early identification and intervention are crucial, particularly when somatic symptoms may obscure underlying mental health conditions.
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