Gender, Depressive Symptoms, Chronic Medical Conditions, and Time to First Psychiatric Diagnosis among American Older Adults.

Chronic medical conditions depressive symptoms gender

Journal

International journal of preventive medicine

ISSN: 2008-7802

Titre abrégé: Int J Prev Med

Pays: Iran

ID NLM: 101535380

Informations de publication

Date de publication:
2019

Historique:

received: 10 12 2015

accepted: 11 04 2018

entrez: 6 3 2020

pubmed: 7 3 2020

medline: 7 3 2020

Statut: epublish

Résumé

To test whether gender moderates the effects of baseline depressive symptoms and chronic medical conditions (CMCs) on risk of receiving subsequent psychiatric diagnosis among older adults. Data came from ten waves of the Health and Retirement Study, a nationally representative longitudinal study. We followed 9794 individuals older than 52 years without any diagnosed psychiatric disorder at baseline for up to 18 years. Baseline depressive symptoms and CMC were the predictors, time to receiving an emotional diagnosis was the outcome, baseline demographics and socioeconomics were controls, and gender was the moderator. We used Cox proportional hazards models for data analysis. In the pooled sample, female gender increased the effect of baseline depressive symptoms (hazard ratio [HR], 1.58; 95% confidence interval [CI], 1.26-2.00) and reduced the effect of baseline CMC (HR, 0.78; 95% CI, 0.63-0.97) on time to receiving a psychiatric diagnosis. Among men, baseline depressive symptoms (HR, 2.36; 95% CI, 1.87-2.97) increased and baseline CMC (HR, 0.81; 95% CI, 0.69-0.95) decreased time to receiving a psychiatric diagnosis. Among women, depressive symptoms (HR, 1.49; 95% CI, 1.21-1.83) but not CMC (HR, 1.06; 95% CI, 0.91-1.23) were associated with time to receiving a psychiatric diagnosis over time. Men and women differ in how depressive symptoms and CMC influence their risk of receiving a psychiatric diagnosis over time. Depressive symptoms are more salient promotor for men than women while CMC is only a barrier for men.

Sections du résumé

BACKGROUND BACKGROUND

To test whether gender moderates the effects of baseline depressive symptoms and chronic medical conditions (CMCs) on risk of receiving subsequent psychiatric diagnosis among older adults.

METHODS METHODS

Data came from ten waves of the Health and Retirement Study, a nationally representative longitudinal study. We followed 9794 individuals older than 52 years without any diagnosed psychiatric disorder at baseline for up to 18 years. Baseline depressive symptoms and CMC were the predictors, time to receiving an emotional diagnosis was the outcome, baseline demographics and socioeconomics were controls, and gender was the moderator. We used Cox proportional hazards models for data analysis.

RESULTS RESULTS

In the pooled sample, female gender increased the effect of baseline depressive symptoms (hazard ratio [HR], 1.58; 95% confidence interval [CI], 1.26-2.00) and reduced the effect of baseline CMC (HR, 0.78; 95% CI, 0.63-0.97) on time to receiving a psychiatric diagnosis. Among men, baseline depressive symptoms (HR, 2.36; 95% CI, 1.87-2.97) increased and baseline CMC (HR, 0.81; 95% CI, 0.69-0.95) decreased time to receiving a psychiatric diagnosis. Among women, depressive symptoms (HR, 1.49; 95% CI, 1.21-1.83) but not CMC (HR, 1.06; 95% CI, 0.91-1.23) were associated with time to receiving a psychiatric diagnosis over time.

CONCLUSIONS CONCLUSIONS

Men and women differ in how depressive symptoms and CMC influence their risk of receiving a psychiatric diagnosis over time. Depressive symptoms are more salient promotor for men than women while CMC is only a barrier for men.

Identifiants

DOI: 10.4103/ijpvm.IJPVM_333_15 PMID: 32133100 PMC: PMC6826688

pubmed: 32133100

doi: 10.4103/ijpvm.IJPVM_333_15

pii: IJPVM-10-182

pmc: PMC6826688

doi:

Types de publication

Journal Article

Langues

eng

Pagination

182

Informations de copyright

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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