Subthreshold depression: Characteristics and risk factors among vulnerable elders

Aging and Mental Health

Volumn 13, Issue 5, 2009, Pages 682-692

  Adams, Kathryn Betts ^a   Moon, Heehyul ^a  

^a CASE WESTERN RESERVE UNIVERSITY   (United States)

Author keywords

Assisted living; Geriatric Depression Scale; Independent living; MINI; Non major depression; Subthreshold depression

Indexed keywords

AFFECT; AFRICAN AMERICAN; AGED; ARTICLE; COMMUNITY; CONTROL GROUP; CONTROLLED STUDY; DEPRESSION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DIAGNOSTIC INTERVIEW SCHEDULE; EMOTION; EUROPEAN AMERICAN; FEMALE; GERIATRIC DEPRESSION SCALE; HEALTH EDUCATION; HOUSING; HUMAN; IRRITABILITY; LOGISTIC REGRESSION ANALYSIS; LONELINESS; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; MENTAL HEALTH CARE; PRIORITY JOURNAL; PSYCHOSOCIAL WITHDRAWAL; RISK FACTOR; SOCIAL STATUS; SUBTHRESHOLD DEPRESSION; TELEPHONE;

AFFECT; AFRICAN AMERICANS; AGED, 80 AND OVER; ASSISTED LIVING FACILITIES; CAUSALITY; DEPRESSIVE DISORDER; EUROPEAN CONTINENTAL ANCESTRY GROUP; FEMALE; GERIATRIC ASSESSMENT; GRIEF; HOMES FOR THE AGED; HUMANS; INTERVIEW, PSYCHOLOGICAL; INTERVIEWS AS TOPIC; IRRITABLE MOOD; LONELINESS; MALE; OHIO; PSYCHIATRIC STATUS RATING SCALES; RISK FACTORS; SOCIAL ISOLATION;

EID: 70449120303     PISSN: 13607863     EISSN: 13646915     Source Type: Journal    
DOI: 10.1080/13607860902774501     Document Type: Article

References (65)

1. Adams, K.B. (2001). Depressive symptoms, depletion, or developmental change? Withdrawal, apathy, and lack of vigor in the geriatric depression scale. Gerontologist, 41(6), 768-777.
2. Adams, K.B., Matto, H.C., & Sanders, S. (2004). Confirmatory factor analysis of the geriatric depression scale. Gerontologist, 44(6), 818-826.
3. Adams, K.B., Sanders, S., & Auth, E. (2004). Loneliness and depression in independent living retirement communities: Risk and resilience factors. Aging and Mental Health, 8(6), 475-485.
4. Akiskal, H.S., Judd, L.L., Gillin, J.C., & Lemmi, H. (1997). Subthreshold depressions: Clinical and polysomnographic validation of dysthymic, residual and masked forms. Journal of Affective Disorders, 45(1-2), 53-63.
5. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (4th ed.). Washington, DC: Author.
6. Barg, F.K., Huss-Ashmore, R., Wittink, M.N., Murray, G.F., Bogner, H.R., & Gallo, J.J. (2006). A mixedmethods approach to understanding loneliness and depression in older adults. The Journals of Gerontology: Series B Psychological sciences and social l sciences, 61B(6), S329-S339.
7. Beekman, A.T.F., Penninx, B.W.J.H., Deeg, D.J.H., Ormel, J., Braam, A.W., & van Tilburg, W. (1997). Depression and physical health in later life: Results from the Longitudinal Aging Study Amsterdam (LASA). Journal of Affective Disorders, 46, 219-231.
8. Blazer, D.G. (2002). Self-efficacy and depression in late life: A primary prevention proposal. Aging and Mental Health, 6(4), 315-324.
9. Blazer, D.G. (2003). Depression in late life: Review and commentary. Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 58(3), 249-265.
10. Brink, T.L., Yesavage, J.A., Lum, O., Heersema, P.H., Adey, M., & Rose, T.L. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1(1), 37-43.
11. Chan, D., Kasper, J.D., Black, B.S., & Rabins, P.V. (2003). Prevalence and correlates of behavioral and psychiatric symptoms in community-dwelling elders with dementia or mild cognitive impairment: The memory and medical care study. International Journal of Geriatric Psychiatry, 18, 174-192.
12. Cheng, S.T., & Chan, A.C.M. (2007). Withdrawal, apathy and lack of vigor in late life depression: Factorial validity and relationship to diagnosis. Aging & Mental Health, 11(5), 532-537.
13. Chodosh, J., Buckwalter, J.G., Blazer, D.G., & Seeman, T.E. (2004). How the question is asked makes a difference in the assessment of depressive symptoms in older persons. American Journal of Geriatric Psychiatry, 12(1), 75-83.
14. Chopra, M.P., Zubritsky, C., Knott, K., Ten Have, T., Hadley, T., Coyne, J.C., et al. (2005). Importance of subsyndromal symptoms of depression in elderly patients. American Journal of Geriatric Psychiatry, 13(7), 597-606.
15. Clare, L. (2003). Managing threats to self: Awareness in early stage Alzheimer's disease. Social Science and Medicine, 57, 1017-1029.
16. Cohen-Mansfield, J. (2003). Consent and refusal in dementia research: Conceptual and practical considerations. Alzheimer Disease and Associated Disorders, 17(Suppl. 1), S17-S25.
17. Cole, M.G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: A systematic review and meta-analysis. American Journal of Geriatric Psychiatry, 160, 1147-1156.
18. De Jong-Gierveld, J., & Van Tilberg, T. (1999). Manual of the loneliness scale. Amsterdam, Netherlands: Vrige Universitait.
19. Duke University Center for the Study of Aging & Human Development (1978). Multidimensional functional assessment: The OARS methodology. Durham, NC: Author.
20. Fiske, A., Gatz, M., & Pedersen, N.L. (2003). Depressive symptoms and aging: The effects of illness and non-health related events. Journal of Gerontology: Psychological Sciences, 58B, P320-P328.
21. Flint, A.J. (2002). The complexity and challenge of nonmajor depression in late life. American Journal of Geriatric Psychiatry, 10(3), 229-232.
22. Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). 'Mini-Mental State': A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
23. Forsell, Y., Palmer, K., & Fratiglioni, L. (2003). Psychiatric symptoms/syndromes in elderly persons with mild cognitive impairment. Data from a cross-sectional study. Acta Neurologica Scandinavica, 107(Supp. 179), 25-28.
24. Gallo, J.J. (2004). Spectrum of depression in late life - Primary study (Abstract); Grant number 5R01MH062210- 04. Retrieved September 6, 2004, from http.//Crisp. cit.nih.gov/crisp/
25. Gallo, J.J., Anthony, J.D., & Muthen, B.O. (1994). Age differences in the symptoms of depression: A latent trait analysis. Journals of Gerontology: Psychological Sciences, 49, P251-P264.
26. Gallo, J.J., & Leibowitz, B.D. (1999). The epidemiology of common late-life mental disorders in the community: Themes for a new century. Psychiatric Services, 50, 1158-1168.
27. Gallo, J.J., & Rabins, P.V. (1999). Depression without sadness: Alternative presentations of depression in late life. American Family Physician, 60(3), 820-826.
28. Gallo, J.J., Rabins, P.V., Lyketsos, C.G., Tien, A.Y., & Anthony, J.C. (1997). Depression without sadness: Functional outcomes of nondysphoric depression in later life. Journal of the American Geriatric Society, 45, 570-578.
29. Gallo, J.J., Rebok, G.W., Tennstedt, S., Wadley, V.G., & Horgas, A. (2003). Linking depressive symptoms and functional disability in late life. Aging and Mental Health, 7, 460-480.
30. Garner, J. (2002). Psychodynamic work and older adults. Advances in Psychiatric Treatment, 8, 128-135.
31. Geiselmann, B., & Bauer, M. (2000). Subthreshold depression in the elderly: Qualitative or quantitative distinction? Comprehensive Psychiatry, 41(2), 32-38.
32. Geiselmann, B., Linden, M., & Helmchen, H. (2001). Psychiatrists' diagnoses of subthreshold depression in old age: Frequency and correlates. Psychological Medicine, 31(1), 51-63.
33. Haringsma, R., Engels, G.I., Beekman, A.T.F., & Spinhoven, P. (2004). The criterion validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a sample of self-referred elders with depressive symptomatology. International Journal of Geriatric Psychiatry, 19(6), 558-563.
34. Holst, G., & Holberg, I.R. (2003). Exploring the meaning of everyday life, for those suffering from dementia. American Journal of Alzheimer's Disease and Other Dementias, 18(6), 359-365.
35. Horowitz, A. (2006). Issues in conducting social work research in aging. In B. Berkman (Ed.), Handbook of social work in health and aging (pp. 989-1000). New York: Oxford University Press.
36. Horowitz, A., Reinhardt, J.P., & Kennedy, G.J. (2005). Major and subthreshold depression among older adults seeking vision rehabilitation services. American Journal of Geriatric Psychiatry, 13(3), 180-187.
37. Judd, L.L., & Akiskal, H.S. (2002). The clinical and public health relevance of current research on subthreshold depressive symptoms to elderly patients. American Journal of Geriatric Psychiatry, 10(3), 233-238.
38. Judd, L.L., Akiskal, H.S., & Paulus, M.P. (1997). The role and clinical significance of subsyndromal depressive symptoms (SSD) in unipolar major depressive disorder. Journal of Affective Disorders, 45, 5-18.
39. Kafonek, S., Ettinger, W.H., Roca, R., Kittner, S., Taylor, N., & German, P.S. (1989). Instruments for screening for depression and Dementia in a long-term care facility. Journal of the American Geriatrics Society, 37(1), 29-34.
40. Knight, B.G. (2004). Psychotherapy with older adults (3rd ed.). Thousand Oaks, CA: Sage.
41. Kumar, A., Lavretsky, H., & Elderkin-Thompson, V. (2004). Nonmajor clinically significant depression in the elderly. In S.P. Roose, & H.A. Sackeim (Eds.), Late-life depression (p. 64). New York: Oxford University Press.
42. Lavretsky, H., & Kumar, A. (2002). Clinically significant non-major depression - Old concepts, new insights. American Journal of Geriatric Psychiatry, 10(3), 239-255.
43. Lewinsohn, P.M., Solomon, A., Seeley, J.R., & Zeiss, A. (2000). Clinical implications of 'subthreshold' depressive symptoms. Journal of Abnormal Psychology, 109(2), 345-351.
44. Lyness, J.M., King, D.A., Cox, C., Yoediono, Z., & Caine, E.D. (1999). The importance of subsyndromal depression in older primary care patients: Prevalence and associated functional disability. Journal of the American Geriatrics Society, 47(6), 647-652.
45. Lyons, J.S., Strain, J.J., Hammer, J.S., Ackerman, A.D., & Fulop, G. (1989). Reliability, validity, and temporal stability of the geriatric depression scale in hospitalized elderly. International Journal of Psychiatry in Medicine, 19(2), 203-209.
46. National Institute of Mental Health (NIMH) (2007). Older adults: Depression and suicide facts. Retrieved November 13, 2008, from http://www.nimh.nih.gov/ health/publications/older-adults-depression-and- suicidefacts. shtml
47. Newman, J.P., Klein, M.H., Jensen, J.E., & Essex, M.J. (1996). Depressive symptom experience among older women: A comparison of alternative measurement approaches. Psychology and Aging, 11, 112-126.
48. Olfson, M., Broadhead, W.E., Weissman, M.M., Leon, A.C., Farber, L., Hoven, C., et al. (1996). Subthreshold psychiatric symptoms in a primary care group practice. Archives of General Psychiatry, 53, 880-886.
49. Parmelee, P.A., Katz, I., & Lawton, M.P. (1991). The relationship of pain to depression among institutionalized aged. Journal of Gerontology: Psychological Sciences, 46, 15-21.
50. Parmelee, P.A., Harralson, T.L., Smith, L.A., & Schumacher, H.R. (2007). Necessary and discretionary activities in knee osteoarthritis: Do they mediate the paindepression relationship?. Pain Medicine, 8, 449-461.
51. Pett, M.A., Lackey, N.R., & Sullivan, J.J. (2003). Making sense of factor analysis. Thousand Oaks: Sage.
52. Pinquart, M., & Sorensen, S. (2001). Influences on loneliness in older adults: A meta-analysis. Basic and Applied Psychology, 23(4), 245-268.
53. Rabheru, K. (2004). Special issues in the management of depression in older patients. The Canadian Journal of Psychiatry, 49(Suppl. 1), 41S-50S.
54. Rapaport, M.H., Judd, L.L., Schettler, P.J., Yonkers, K.A., Thase, M.E., Kupfer, D.J., et al. (2002). A descriptive analysis of minor depression. American Journal of Psychiatry, 159(4), 637-643.
55. Royall, D.R. (2004). The 'Subsyndromal' syndromes of aging. Journal of the American Geriatrics Society, 52(3), 463-465.
56. Schoevers, R.A., Beekman, A.T.F., Deeg, D.J.H., Geerlings, M.I., Jonker, C., & van Tilburg, W. (2000). Risk factors for depression in later life; results of a prospective community based study (AMSTEL). Journal of Affective Disorders, 59, 127-137.
57. Seidlitz, L., Lyness, J.M., Conwell, Y., Duberstein, P.R., & Cox, C. (2001). Profile of discrete emotions in affective disorders in older primary care patients. Gerontologist, 41(5), 643-651.
58. Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22-33.
59. Shvartzman, P., Weiner, Z., Vardy, D., Friger, M., Sherf, M., & Biderman, A. (2005). Health services utilization by depressive patients identified by the MINI questionnaire in a primary care setting. Scandinavian Journal of Primary Health Care, 23(1), 18-25.
60. Sokal, R.R., & Rohlf, F.J. (1995). Biometry: The principles and practice of statistics in biological research (3rd ed.). New York: W.H. Freeman and Co.
61. Turvey, C.L., Carney, C., Arndt, S., Wallace, R.B., & Herzog, R. (1999). Conjugal loss and syndromal depression in a sample of elders aged 70 years or older. American Journal of Geriatric Psychiatry, 156, 1596-1601.
62. Watson, L.C., Lewis, C.L., Kistler, C.E., Amick, H.R., & Boustani, M. (2004). Can we trust depression screening instruments in healthy 'old-old' adults? International Journal of Geriatric Psychiatry, 19(3), 278-285.
63. Welsh, K.A., Breitner, J.C.S., & Magruderhabib, K.M. (1993). Detection of dementia in the elderly using telephone screening of cognitive status. Neuropsychiatry Neuropsychology and Behavioral Neurology, 6(2), 103-110.
64. Woehr, J.L., & Goldstein, M. (2003). Geriatric nonmajor depression symptoms: Dysthymia, subsyndromal depression, and other nonmajor depressive disorders in the elderly. In J.M. Ellison, & S. Verma (Eds.), Depression in later life: A multi-disciplinary psychiatric approach (pp. 79-107). New York: Marcel Dekker.
65. Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale - A preliminaryreport. Journal of Psychiatric Research, 17(1), 37-49.