BMC Geriatrics
Health-related quality of life in older depressed psychogeriatric patients: one year follow-up
Health-related quality of life in older depressed psychogeriatric patients: one year follow-up
Sammendrag på engelsk (abstract)
Knowledge
about long-term change in health related quality of life (HQoL) among older
adults after hospitalization for treatment of depression has clinical
relevance. The aim was firstly to describe the change of HQoL one year after
admission for treatment of depression, secondly to explore if improved HQoL was
associated with remission of depression at follow-up and lastly to study how
HQoL in patients with remission from depression were compared to a reference
group of older persons without depression.
This study had the one year follow-up information of 108 older patients
(≥60 years), all hospitalized for depression at baseline, and a reference
sample of 106 community-living older adults (≥60 years) without
depression. HQoL was measured using the EuroQol Group’s EQ-5D Index and a
visual analog scale (EQ-VAS). Depression and remission were diagnosed according
to ICD-10. Socio-demographic variables (age, gender, and education), depressive
symptom score (Montgomery-Aasberg Depression Rating Scale), cognitive
functioning (Mini Mental State Examination scale), instrumental activities of
daily living (the Lawton and Brody’s Instrumental Activities of Daily Living
Scale), and poor general physical health (General Medical Health Rating) were
included as covariates.
HQoL had improved at follow-up for the total group of depressed patients, as
indicated by better scores on the EQ-5D Index and EQ-VAS. In the multivariate
linear regression model, improved EQ-5D Index and EQ-VAS was significantly
better in those with remission of depression and those with better baseline
physical health. In adjusted analyses, the HQoL in patients with remission from
depression at follow-up did not differ from the HQoL in a reference group
without depression.
Older hospital patients with depression who experienced remission one year
after admission gained HQoL and their HQoL was comparable with the HQoL in a
reference group of older adults without depression when adjusting for
differences in socio-demographics and health conditions.
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BMC Geriatrics, 2016