Prevalence and factors associated with probable depression among the oldest old during the Covid-19 pandemic: evidence from the large, nationally representative 'Old Age in Germany (D80+)' study

André Hajek; Hans-Helmut König; Angelina R Sutin; Antonio Terracciano; Martina Luchetti; Yannick Stephan; Razak M Gyasi

doi:10.1111/psyg.13129

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Prevalence and factors associated with probable depression among the oldest old during the Covid-19 pandemic: evidence from the large, nationally representative 'Old Age in Germany (D80+)' study

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Prevalence and factors associated with probable depression among the oldest old during the Covid-19 pandemic: evidence from the large, nationally representative 'Old Age in Germany (D80+)' study

André Hajek, Hans-Helmut König, Angelina R Sutin, Antonio Terracciano, Martina Luchetti, Yannick Stephan and Razak M Gyasi

Psychogeriatrics, Vol.24(4), pp.838-846

07/2024

DOI: https://doi.org/10.1111/psyg.13129

PMID: 38699978

Appears in Recent National Centre for Naturopathic Medicine Publications

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Abstract

institutionalization

mental health

spousal loss

oldest old

migration

depression

self‐rated health

morbidity

aged, 80 and above

Background To date, most studies examining the prevalence and determinants of depression among individuals aged 80 and over have used geographically limited samples that are not generalisable to the wider population. Thus, our aim was to identify the prevalence and the factors associated with probable depression among the oldest old in Germany based on nationally representative data. Methods Data were taken from the nationally representative ‘Old Age in Germany (D80+)’ study (n = 8386; November 2020 to April 2021) covering both community-dwelling and institutionalised individuals aged 80 and over. The Short Form of the Depression in Old Age Scale was used to quantify probable depression. Results Probable depression was found in 40.7% (95% CI: 39.5% to 42.0%) of the sample; 31.3% were men (95% CI: 29.7% to 32.9%) and 46.6% women (95% CI: 44.9% to 48.3%). The odds of probable depression were positively associated with being female (odds ratio (OR): 1.55, 95% CI: 1.30 to 1.84), being divorced (compared to being married, OR: 1.33, 95% CI: 1.01 to 1.76), being widowed (OR: 1.14, 95% CI: 1.00 to 1.30), having a low education (e.g., medium education compared to low education, OR: 0.86, 95% CI: 0.74 to 0.99), living in an institutionalised setting (OR: 2.36, 95% CI: 1.84 to 3.02), living in East Germany (OR: 1.21, 95% CI, 1.05 to 1.39), not having German citizenship (German citizenship compared to other citizenship, OR: 0.55, 95% CI: 0.31 to 0.95), poor self-rated health (OR: 0.31, 95% CI: 0.28 to 0.34), and the number of chronic conditions (OR: 1.12, 95% CI: 1.09 to 1.14). Conclusion About four out of 10 individuals aged 80 and over in Germany had probable depression, underlining the importance of this challenge. Knowledge of specific risk factors for this age group may assist in addressing older adults at risk of probable depression.

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Title: Prevalence and factors associated with probable depression among the oldest old during the Covid-19 pandemic: evidence from the large, nationally representative 'Old Age in Germany (D80+)' study
Creators: André Hajek - University Medical Center Hamburg-Eppendorf
Hans-Helmut König - University Medical Center Hamburg-Eppendorf
Angelina R Sutin - Florida State University
Antonio Terracciano - Florida State University
Martina Luchetti - Florida State University
Yannick Stephan - Université de Montpellier
Razak M Gyasi - Southern Cross University
Publication Details: Psychogeriatrics, Vol.24(4), pp.838-846
Publisher: John Wiley & Sons, Inc.
Number of pages: 9
Grant note: Projekt DEAL
Identifiers: 991013188913502368
Copyright: © 2024 The Authors. Psychogeriatrics published by John Wiley & Sons Australia, Ltd on behalf of Japanese Psychogeriatric Society. This is an open access article under the terms of the Creative Commons Attribution License. Open Access funding enabled and organized by Projekt DEAL.
Academic Unit: National Centre for Naturopathic Medicine
Language: English
Resource Type: Journal article

Prevalence and factors associated with probable depression among the oldest old during the Covid-19 pandemic: evidence from the large, nationally representative 'Old Age in Germany (D80+)' study

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