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Functional status and depressive symptoms among older adults from residential care facilities in the Czech Republic

✍ Scribed by Hana Vanková; Iva Holmerová; Ross Andel; Petr Veleta; Hana Janecková


Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
74 KB
Volume
23
Category
Article
ISSN
0885-6230

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✦ Synopsis


Abstract

Background

Depressive symptoms are common among older adults, particularly those living in long‐term care facilities. However, little is known about factors associated with depressive symptoms among long‐term care residents in the Czech Republic and in other Eastern European countries. Moreover, the role of mobility and pain in depressive symptoms among long‐term care residents is relatively understudied.

Objective

We examined the relationship between functional status and depressive symptoms in 308 older adults from residential care facilities (RCFs) in the Czech Republic.

Method

We used baseline data from two randomized controlled trials testing the effects of dance and reminiscence therapies on quality of life in older RCF residents. Functional status was measured as cognitive function, general ability to perform basic Activities of Daily Living (ADLs), mobility, and functional limitation by pain. Depressive symptoms were measured using the 15‐item Geriatric Depression Scale.

Results

In multiple regression analyses adjusted for sociodemographic factors and taking antidepressants, we found that cognitive function and functional limitation by pain were most strongly associated with depressive symptoms. The ability to perform basic ADLs and mobility were also related to depressive symptoms.

Conclusion

Our findings suggest factors that may be important in efforts to improve psychological well‐being in this population. Copyright © 2007 John Wiley & Sons, Ltd.