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Prevalence of depression among older Americans: the Aging, Demographics and Memory Study

  • David C. Steffens (a1), Gwenith G. Fisher (a2), Kenneth M. Langa (a2) (a3) (a4), Guy G. Potter (a1) and Brenda L. Plassman (a1)...
Abstract
ABSTRACT

Background: Previous studies have attempted to provide estimates of depression prevalence in older adults. The Aging, Demographics and Memory Study (ADAMS) is a population-representative study that included a depression assessment, providing an opportunity to estimate the prevalence of depression in late life in the U.S.A.

Methods: The ADAMS sample was drawn from the larger Health and Retirement Study. A total of 851 of 856 ADAMS participants aged 71 and older had available depression data. Depression was measured using the Composite International Diagnostic Interview – Short Form (CIDI-SF) and the informant depression section of the Neuropsychiatric Inventory (NPI). We estimated the national prevalence of depression, stratified by age, race, sex, and cognitive status. Logistic regression analyses were performed to examine the association of depression and previously reported risk factors for the condition.

Results: When combining symptoms of major or minor depression with reported treatment for depression, we found an overall depression prevalence of 11.19%. Prevalence was similar for men (10.19%) and women (11.44%). Whites and Hispanics had nearly three times the prevalence of depression found in African-Americans. Dementia diagnosis and pain severity were associated with increased depression prevalence, while black race was associated with lower rates of depression.

Conclusions: The finding of similar prevalence estimates for depression in men and women was not consistent with prior research that has shown a female predominance. Given the population-representativeness of our sample, similar depression rates between the sexes in ADAMS may result from racial, ethnic and socioeconomic diversity.

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Corresponding author
Correspondence should be addressed to: David C. Steffens, M.D., M.H.S., Professor of Psychiatry and Medicine, Head, Division of Geriatric Psychiatry, Duke University Medical Center, Box 3903, Durham, NC 27710, U.S.A. Phone: +1 (919)-684-3746; Fax: +1 (919)-681-7668. Email: steff001@mc.duke.edu.
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American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 4th edn. Washington, DC: American Psychiatric Association.

A. Beekman , J. Copeland and M. Prince (1999). Review of community prevalence of depression in later life. British Journal of Psychiatry, 174, 307311.

J. R. Copeland (1999). Depression in Europe. Geographical distribution among older people. British Journal of Psychiatry, 174, 312321.

J. L. Cummings , M. Mega , K. Gray , S. Rosenberg-Thompson , D. A. Carusi and J. Gornbein (1994). The neuropsychiatric inventory: comprehensive assessment of psychopathology in dementia. Neurology, 44, 23082314.

G. G. Fisher , J. D. Faul , D. R. Weir and R. B. Wallace (2005). Documentation of Chronic Disease Measures in the Health and Retirement Study (HRS/AHEAD). HRS Documentation Report DR-009.

S. Folstein , M. H. Abbott , G. A. Chase , B. A. Jensen and M. F. Folstein (1983). The association of affective disorder with Huntington's disease in a case series and in families. Psychological Medicine, 13, 537542.

M. F. Grunebaum , M. A. Oquendo and J. J. Manly (2008). Depressive symptoms and antidepressant use in a random community sample of ethnically diverse, urban elder persons. Journal of Affective Disorders, 105, 273277.

S. G Heeringa . (2007). Aging, Demographics and Memory Studys (ADAMS). Sample design, weights, and analysis for ADAMS. Available at: http://hrsonline.isr.umich.edu/meta/adams/desc/AdamsSampleWeights.pdf.

R. C. Kessler , G. Andrews , D. Mroczek , B. Ustun and H. U. Wittchen (1998). The World Health Organiztion Composite International Diagnostic Interview Short-Form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171185.

L. A. Klatka , E. D. Louis and R. B. Schiffer (1996). Psychiatric features in diffuse Lewy body disease: a clinicopathologic study using Alzheimer's disease and Parkinson's disease comparison groups. Neurology, 47, 11481152.

K. M. Langa (2005). The Aging, Demographics, and Memory Study: study design and methods. Neuroepidemiology, 25, 181191.

O. L. Lopez (2003). Psychiatric symptoms vary with the severity of dementia in probable Alzheimer's disease. Journal of Neuropsychiatry and Clinical Neurosciences, 15, 346353.

R. Mojtabai and M. Olfson (2006). Treatment seeking for depression in Canada and the United States. Psychiatric Services, 57, 631639.

S. A. Murrell , S. Himmelfarb and K. Wright (1983). Prevalence of depression and its correlations in older adults. American Journal of Epidemiology, 117, 173185.

M. C. Norton (2006). Three-year incidence of first-onset depressive syndrome in a population sample of older adults: the Cache County study. American Journal of Geriatric Psychiatry, 14, 237245.

M. Papka , A. Rubio and R. B. Schiffer (1998). A review of Lewy body disease, an emerging concept of cortical dementia. Journal of Neuropsychiatry and Clinical Neurosciences, 10, 267279.

J. H. Park (2007). Depression in vascular dementia is quantitatively and qualitatively different from depression in Alzheimer's disease. Dementia and Geriatric Cognitive Disorders, 23, 6773.

K. R. Peters (2008). Neuropsychiatric symptom clusters and functional disability in cognitively-impaired-not-demented individuals. American Journal of Geriatric Psychiatry, 16, 136144.

B. L. Plassman (2007). Prevalence of dementia in the United States: the aging, demographics, and memory study. Neuroepidemiology, 29, 125132.

B. L. Plassman (2008). Prevalence of cognitive impairment without dementia in the United States. Annals of Internal Medicine, 148, 427434.

D. A. Regier (1988). One-month prevalence of mental disorders in the United States. Based on five Epidemiologic Catchment Area sites. Archives of General Psychiatry, 45, 977986.

S. A. Riolo , T. A. Nguyen , J. F. Greden and C. A. King (2005). Prevalence of depression by race/ethnicity: findings from the National Health and Nutrition Examination Survey III. American Journal of Public Health, 95, 9981000.

L. N. Robins and D. A. Regier (1991). Psychiatric Disorders in America: The Epidemiological Catchment Area Study. New York, NY: Free Press.

D. C. Steffens (2000). Prevalence of depression and its treatment in an elderly population: the Cache County study. Archives of General Psychiatry, 57, 601607.

D. C. Steffens (2006). Perspectives on depression, mild cognitive impairment, and cognitive decline. Archives of General Psychiatry, 63, 130138.

D. Steffick (2000). Documentation of Affective Functioning Measures in the Health and Retirement Study (HRS/AHEAD Documentation Report No. DR-005). Ann Arbor, MI: University of Michigan Survey Research Center.

E. Tandberg , J. P. Larsen , D. Aarsland and J. L. Cummings (1996). The occurrence of depression in Parkinson's disease: a community-based study. Archives of Neurology, 53, 175179.

M. F. Tatsch (2006). Neuropsychiatric symptoms in Alzheimer disease and cognitively impaired, nondemented elderly from a community-based sample in Brazil: prevalence and relationship with dementia severity. American Journal of Geriatric Psychiatry, 14, 438445.

J. Vilalta-Franch (2006). Comparison of different clinical diagnostic criteria for depression in Alzheimer disease. American Journal of Geriatric Psychiatry, 14, 589597.

D. Weintraub and M. B. Stern (2005). Psychiatric complications in Parkinson disease. American Journal of Geriatric Psychiatry, 13, 844851.

D. R. Williams (2007). Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the National Survey of American Life. Archives of General Psychiatry, 64, 305315.

J. B. Williams (1992). The Structured Clinical Interview for DSM-III-R (SCID). II. Multisite test-retest reliability. Archives of General Psychiatry, 49, 630636.

G. S. Zubenko (2003). A collaborative study of the emergence and clinical features of the major depressive syndrome of Alzheimer's disease. American Journal of Psychiatry, 160, 857866.

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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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