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Impact of depression on functional d...

Dalal, Mehul R.

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Impact of depression on functional disability and out-of-pocket medical expenditures in the elderly.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Impact of depression on functional disability and out-of-pocket medical expenditures in the elderly./
Author:	Dalal, Mehul R.
Description:	234 p.
Notes:	Chair: A. Simon Pickard.
Contained By:	Dissertation Abstracts International66-04B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3173716
ISBN:	9780542111273

Impact of depression on functional disability and out-of-pocket medical expenditures in the elderly.
Dalal, Mehul R.

Impact of depression on functional disability and out-of-pocket medical expenditures in the elderly. - 234 p.

Chair: A. Simon Pickard.

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2005.

Depression, the most common mental disorder in the elderly, is characterized by periods of worsening, or persistence or remission of illness over prolonged periods. This study examined the longitudinal relationship between depression and future functional disability (FD) and out-of-pocket medical expenditures (OOPE), in non-institutionalized elderly community residents. Secondary data analysis was performed using data from a prospective cohort of older adults (at least 70 years of age) who were followed for seven years.

ISBN: 9780542111273Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Impact of depression on functional disability and out-of-pocket medical expenditures in the elderly.
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100 1 $a Dalal, Mehul R. $3 1296821
245 1 0 $a Impact of depression on functional disability and out-of-pocket medical expenditures in the elderly.
300 $a 234 p.
500 $a Chair: A. Simon Pickard.
500 $a Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2001.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2005.
520 $a Depression, the most common mental disorder in the elderly, is characterized by periods of worsening, or persistence or remission of illness over prolonged periods. This study examined the longitudinal relationship between depression and future functional disability (FD) and out-of-pocket medical expenditures (OOPE), in non-institutionalized elderly community residents. Secondary data analysis was performed using data from a prospective cohort of older adults (at least 70 years of age) who were followed for seven years.
520 $a Presence of depression was based on the Center for Epidemiological Studies-Depression Scale (CES-D), which was assessed thrice at roughly two-year intervals. FD and OOPE were also assessed thrice as an event occurring subsequent to assessment of depression (two-year lagged event). Self-reported OOPE included four health service components: inpatient care, outpatient visits, community care and prescription drug use. Severity of depression was classified as patterns based on presence of depression at each of the three waves such that a persistent pattern was considered to be most severe. Data from 3476 respondents were analyzed using a longitudinal random-effects regression model that adjusted for baseline heterogeneity in the outcome variables.
520 $a Overall, the results indicated that having depression was associated with higher FD compared to those never depressed. The study confirmed that a persistent pattern of depression was associated with significantly higher FD over time compared to an emergent depression pattern. Additionally, a trend towards higher FD was observed in those with more pervasive patterns of depression compared to less pervasive patterns. However, those with remission of depression at five years had no difference in FD over time compared to those who were never depressed indicating potential improvement in FD with remission of depression. Those with depression did not have very different OOPE over time compared to those never depressed. The study results have implications for continuous follow-up of depression and management of depression in elderly as an approach to slow deterioration of functional ability.
590 $a School code: 0806.
650 4 $a Health Sciences, Mental Health. $3 1017693
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650 4 $a Health Sciences, Public Health. $3 1017659
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710 2 0 $a University of Illinois at Chicago, Health Sciences Center. $3 1021703
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790 1 0 $a Pickard, A. Simon, $e advisor
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3173716