Article ID Journal Published Year Pages File Type
9878880 Archives of Gerontology and Geriatrics 2005 10 Pages PDF
Abstract
The purpose of this study was to examine the prevalence of screening-based depression and the association of depression with activities of daily living (ADL) and quality of life (QOL) of community-dwelling elderly in the developing and developed countries. A total of 2695 community-dwelling elderly subjects aged 60 years or older living in five rural Asian towns (Indonesia: 411, Vietnam: 379, Japan: 1905) participated in this cross-sectional study. Depressive symptoms were assessed using a 15-item geriatric depression scale (GDS-15). ADL, higher daily activities, and medical and social history were assessed by interviews or self-report questionnaires. For the assessment of subjective QOL, a 100 mm visual analogue scale was used. Using a cut-point of 5/6 for the GDS-15, 782 participants (29.0%) appeared to have depression (Indonesia: 33.8%, Vietnam: 17.2%, Japan: 30.3%). Subjects with depression had significantly lower scores for both ADL and QOL than those without depression in all the three countries. In all the three countries, 17.2-33.8% of community-dwelling elderly subjects had screening-based depression, which was commonly associated with both lower quantitative ADL and lower QOL.
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