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Prevalence of and risk factors for minor and major depression among community-dwelling older adults in Taiwan

Published online by Cambridge University Press:  10 April 2017

Chi-Shin Wu ,
Shu-Han Yu ,
Chun-Yi Lee ,
Han-Yun Tseng ,
Yen-Feng Chiu  and
Chao Agnes Hsiung
Chi-Shin Wu
Affiliation:
Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan, ROC
Shu-Han Yu
Affiliation:
Aesthetic-Mind Clinic, Taichung, Taiwan, ROC
Chun-Yi Lee
Affiliation:
Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan, ROC
Han-Yun Tseng
Affiliation:
Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan, ROC
Yen-Feng Chiu*
Affiliation:
Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan, ROC
Chao Agnes Hsiung
Affiliation:
Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan, ROC
*
Correspondence should be addressed to: Dr Yen-Feng Chiu, Institute of Population Health Sciences, National Health Research Institutes, 35 Kenyan Rd Zhunan, Miaoli 35053, Taiwan, ROC. Tel: +886-37-246166 ext. 36107. Email: yfchiu@nhri.org.tw.
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Abstract

Background:

This study was conducted to estimate prevalence rates and risk factors for late-life depression in a large nationwide representative sample from Taiwan.

Methods:

A total of 5,664, randomly sampled individuals aged ≥55 years were enrolled. Clinically, relevant depressive symptoms were classified using the Center for Epidemiological Studies Depression Scale (CES-D score ≥16), and major depression was confirmed using the Primary Care Evaluation of Mental Disorders. Individuals with clinically relevant depressive symptoms, who did not meet the strict diagnostic criteria for major depression, were considered to have minor depression. Multinomial logistic regression analyses were conducted to identify risk factors for major and minor depression, including socio-demographic characteristics, medical conditions, lifestyle behaviors, social support network, and life events.

Results:

The prevalence rates of minor and major depression were 3.7% and 1.5%, respectively. Major depression was associated with personal vulnerability factors, such as poor social support, cognitive impairment, comorbid pain conditions, and sleep disturbance. However, minor depression was more likely to be related to adverse life events, including increased burden on families, changes in health status, or relationship problem. Approximately, 20.0% of individuals with major depression received antidepressant treatment.

Conclusions:

Late-life depression was less prevalent among community-dwelling older adults in Taiwan than among populations in other countries. Our findings may aid the early detection and treatment of late-life depression and provide a basis for future investigations.

Keywords

late-life depressiondepression symptomsmood module
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 7 , July 2017 , pp. 1113 - 1121
Copyright
Copyright © International Psychogeriatric Association 2017 

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Footnotes

*

These two authors contribute equally to this work.

References

Alexopoulos, G. S. (2005). Depression in the elderly. Lancet, 365, 1961–1970.CrossRefGoogle ScholarPubMed
Averill, P. M., Novy, D. M., Nelson, D. V. and Berry, L. A. (1996). Correlates of depression in chronic pain patients: a comprehensive examination. Pain, 65, 93–100.CrossRefGoogle ScholarPubMed
Barbui, C., Cipriani, A., Patel, V., Ayuso-Mateos, J. L. and van Ommeren, M. (2011). Efficacy of antidepressants and benzodiazepines in minor depression: systematic review and meta-analysis. British Journal of Psychiatry, 198, 11–16.CrossRefGoogle ScholarPubMed
Beekman, A. T., Deeg, D. J., Braam, A. W., Smit, J. H. and Van Tilburg, W. (1997). Consequences of major and minor depression in later life: a study of disability, well-being and service utilization. Psychological Medicine, 27, 1397–1409.CrossRefGoogle ScholarPubMed
Beekman, A. T., Deeg, D. J., van Tilburg, T., Smit, J. H., Hooijer, C. and van Tilburg, W. (1995). Major and minor depression in later life: a study of prevalence and risk factors. Journal of Affective Disorders, 36, 65–75.CrossRefGoogle ScholarPubMed
Butters, M. A. et al. (2008). Pathways linking late-life depression to persistent cognitive impairment and dementia. Dialogues in Clinical Neuroscience, 10, 345–357.CrossRefGoogle ScholarPubMed
Chien, C. and Cheng, T.-A. (1985). Depression in Taiwan: epidemiological survey utilizing CES-D. Psychiatrica et Neurologica Japonica, 87, 335–338.Google ScholarPubMed
Chiu, E. (2004). Epidemiology of depression in the Asia Pacific region. Australasian Psychiatry, 12, S4–S10.CrossRefGoogle ScholarPubMed
Chong, M. Y. et al. (2001). Community study of depression in old age in Taiwan: prevalence, life events and socio-demographic correlates. British Journal of Psychiatry, 178, 29–35.CrossRefGoogle ScholarPubMed
Cole, M. G., Bellavance, F. and Mansour, A. (1999). Prognosis of depression in elderly community and primary care populations: a systematic review and meta-analysis. American Journal of Psychiatry, 156, 1182–1189.CrossRefGoogle ScholarPubMed
Cole, M. G. and Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. American Journal of Psychiatry, 160, 1147–1156.CrossRefGoogle ScholarPubMed
Compton, W. M. et al. (1991). New methods in cross-cultural psychiatry: psychiatric illness in Taiwan and the United States. American Journal of Psychiatry, 148, 1697–1704.Google ScholarPubMed
Cuijpers, P., de Graaf, R. and van Dorsselaer, S. (2004). Minor depression: risk profiles, functional disability, health care use and risk of developing major depression. Journal of Affective Disorders, 79, 71–79.CrossRefGoogle ScholarPubMed
Djernes, J. K. (2006). Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatrica Scandinavica, 113, 372–387.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Fu, C. C., Lee, Y. M. and Chen, J. D. (2003). Association between depressive symptoms and twelve-year mortality among elderly in a rural community in Taiwan. Journal of the Formosan Medical Association, 102, 234–239.Google Scholar
Hsu, C. C. et al. (2016). Cohort profile: The Healthy Aging Longitudinal Study in Taiwan (HALST). Inaternational Journal of Epidemiology, in press.Google Scholar
Kuo, S. Y., Lin, K. M., Chen, C. Y., Chuang, Y. L. and Chen, W. J. (2011). Depression trajectories and obesity among the elderly in Taiwan. Psychological Medicine, 41, 1665–1676.CrossRefGoogle ScholarPubMed
Lewinsohn, P. M., Seeley, J. R., Roberts, R. E. and Allen, N. B. (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12, 277–287.CrossRefGoogle ScholarPubMed
Liao, S. C. et al. (2012). Low prevalence of major depressive disorder in Taiwanese adults: possible explanations and implications. Psychological Medicine, 42, 1227–1237.CrossRefGoogle ScholarPubMed
Liu, C. Y. et al. (1997). Depressive disorders among older residents in a Chinese rural community. Psychological Medicine, 27, 943–949.CrossRefGoogle Scholar
Livingston, G., Blizard, B. and Mann, A. (1993). Does sleep disturbance predict depression in elderly people? A study in inner London. British Journal of General Practice, 43, 445–448.Google ScholarPubMed
Lu, C. H., Liu, C. Y. and Yu, S. (1998). Depressive disorders among the Chinese elderly in a suburban community. Public Health Nursing, 15, 196–200.CrossRefGoogle Scholar
Luppino, F. S. et al. (2010). Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of General Psychiatry, 67, 220–229.CrossRefGoogle ScholarPubMed
Lyketsos, C. G., Lopez, O., Jones, B., Fitzpatrick, A. L., Breitner, J. and DeKosky, S. (2002). Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment: results from the cardiovascular health study. Journal of the American Medical Association, 288, 1475–1483.CrossRefGoogle ScholarPubMed
Lyness, J. M., Noel, T. K., Cox, C., King, D. A., Conwell, Y. and Caine, E. D. (1997). Screening for depression in elderly primary care patients. A comparison of the center for epidemiologic studies-depression scale and the geriatric depression scale. Archives of Internal Medicine, 157, 449–454.CrossRefGoogle Scholar
Nelson, J. C., Delucchi, K. and Schneider, L. S. (2008). Efficacy of second generation antidepressants in late-life depression: a meta-analysis of the evidence. American Journal of Geriatric Psychiatry, 16, 558–567.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D Scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
Spitzer, R. L. et al. (1994). Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. Journal of the American Medical Association, 272, 1749–1756.CrossRefGoogle ScholarPubMed
Tsai, Y. F., Yeh, S. H. and Tsai, H. H. (2005). Prevalence and risk factors for depressive symptoms among community-dwelling elders in Taiwan. International Journal of Geriatric Psychiatry, 20, 1097–1102.CrossRefGoogle ScholarPubMed
Weissman, M. M. et al. (1996). Cross-national epidemiology of major depression and bipolar disorder. Journal of the American Medical Association, 276, 293–299.CrossRefGoogle ScholarPubMed
Williams, J. W., Pignone, M., Ramirez, G. and Stellato, C. P. (2002). Identifying depression in primary care: a literature synthesis of case-finding instruments. General Hospital Psychiatry, 24, 225–237.CrossRefGoogle ScholarPubMed
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