ABSTRACT
OBJECTIVES: To compare the effects of depression and
chronic physical conditions on disability in elderly persons.
SETTING: Yoruba-speaking areas of Nigeria.
DESIGN: Interviews.
PATICIPANTS: Community-dwelling persons aged 65 and
older.
METHOD: Face-to-face interviews were conducted with a representative sample of community-dwelling persons aged 65 and older (N52,152) in the Yoruba-speaking areas of Nigeria (representing 22% of the national population).
Major depressive disorder (MDD) was assessed using the World Health Organization Composite International Diagnostic
Interview. Chronic pain and medical disorders were assessed using self-report. Disorder-specific disability was evaluated using the Sheehan Disability Scale (SDS).
RESULTS: MDD was highly comorbid with each of the medical conditions (odds ratio range 1.3–2.0). A higher proportion of persons with MDD (47.2%) were rated severely disabled globally than those with arthritis (20.6%), chronic spinal pain (24.2%), or high blood pressure (25.0%). Subjects with MDD were also more likely to be severely disabled in three of the four domains of the SDS. In pair-wise comparisons, persons with MDD had significantly higher levels of disability than those with any of the disorders, with differences in mean scores ranging between 3.74 and 27.50.
CONCLUSION: To reduce the public health burden of depression, its prevention and treatment require more clinical and research attention than currently given by developing countries. J Am Geriatr Soc 56:2033–2038, 2008
Gureje, O (2021). Depression and Disability: Comparisons with Common Physical Conditions in the Ibadan Study of Aging. Afribary. Retrieved from https://tracking.afribary.com/works/depression-and-disability-comparisons-with-common-physical-conditions-in-the-ibadan-study-of-aging
Gureje, Oye "Depression and Disability: Comparisons with Common Physical Conditions in the Ibadan Study of Aging" Afribary. Afribary, 23 Apr. 2021, https://tracking.afribary.com/works/depression-and-disability-comparisons-with-common-physical-conditions-in-the-ibadan-study-of-aging. Accessed 22 Dec. 2024.
Gureje, Oye . "Depression and Disability: Comparisons with Common Physical Conditions in the Ibadan Study of Aging". Afribary, Afribary, 23 Apr. 2021. Web. 22 Dec. 2024. < https://tracking.afribary.com/works/depression-and-disability-comparisons-with-common-physical-conditions-in-the-ibadan-study-of-aging >.
Gureje, Oye . "Depression and Disability: Comparisons with Common Physical Conditions in the Ibadan Study of Aging" Afribary (2021). Accessed December 22, 2024. https://tracking.afribary.com/works/depression-and-disability-comparisons-with-common-physical-conditions-in-the-ibadan-study-of-aging