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Impact of depression on disablement in late middle aged and older persons: results from the Longitudinal Aging Study Amsterdam

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  • van Gool, Coen H.
  • Kempen, Gertrudis I. J. M.
  • Penninx, Brenda W. J. H.
  • Deeg, Dorly J. H.
  • Beekman, Aartjan T. F.
  • van Eijk, Jacques Th. M.

Abstract

The main pathway of the disablement process consists of four consecutive phases: Pathology (presence of disease/injury), Impairments (dysfunctions/structural abnormalities), Functional Limitations (restrictions in basic physical/mental actions), and Disability (difficulty doing activities of daily life, ADL). This study determines the presence of the main pathway of disablement in a cohort aged 55 years and older and examines whether progression of the main pathway of disablement is accelerated in the presence of depression. Based on baseline (T1) and two three-year follow-up interviews (T2 and T3) from the Longitudinal Aging Study Amsterdam (LASA) in a population-based cohort of 1110 Dutch persons, we first analysed the intermediate effect of the different consecutive phases of the disablement process by means of multiple regression, adjusted for covariates. Then, depression was used as interaction term in multiple regression analyses linking the consecutive phases of the disablement process. We found that Impairments mediated the association between Pathology and Functional Limitations, and that Functional Limitations mediated the association between Impairments and Disability. Depression significantly modified the associations between Pathology and subsequent Impairments, and between Functional Limitations and subsequent Disability. In sum, the main pathway of the disablement process was identified in our sample. In addition, we found an accelerating effect of depression, particularly in the early and late stages of the model. Reduction of depression may help slow down the process of disablement for persons who find themselves in those stages of the model.

Suggested Citation

  • van Gool, Coen H. & Kempen, Gertrudis I. J. M. & Penninx, Brenda W. J. H. & Deeg, Dorly J. H. & Beekman, Aartjan T. F. & van Eijk, Jacques Th. M., 2005. "Impact of depression on disablement in late middle aged and older persons: results from the Longitudinal Aging Study Amsterdam," Social Science & Medicine, Elsevier, vol. 60(1), pages 25-36, January.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:1:p:25-36
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    References listed on IDEAS

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    1. Peek, M. Kristen & Ottenbacher, Kenneth J. & Markides, Kyriakos S. & Ostir, Glenn V., 2003. "Examining the disablement process among older Mexican American adults," Social Science & Medicine, Elsevier, vol. 57(3), pages 413-425, August.
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    4. Elia E. Femia & Steven H. Zarit & Boo Johansson, 2001. "The Disablement Process in Very Late Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(1), pages 12-23.
    5. Lamb, Vicki L., 1996. "A cross-national study of quality of life factors associated with patterns of elderly disablement," Social Science & Medicine, Elsevier, vol. 42(3), pages 363-377, February.
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    Cited by:

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    2. Thomas Barnay & Sandrine Juin, 2014. "Does care to dependent elderly people living at home increase their mental health?," TEPP Working Paper 2014-06, TEPP.
    3. Lorraine J. Phillips, 2015. "Retirement Community Residents’ Physical Activity, Depressive Symptoms, and Functional Limitations," Clinical Nursing Research, , vol. 24(1), pages 7-28, February.
    4. Sandrine Juin, 2016. "Care for dependent elderly people : dealing with health and financing issues," Erudite Ph.D Dissertations, Erudite, number ph16-02 edited by Thomas Barnay.

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