OBJECTIVE: Most research examining age as a risk factor for depression
has been based on cross-sectional data. To investigate the effect of aging
on rates of depression prospectively, the authors used two waves of data
from a panel study of community residents 50 years old and older. METHOD:
Data on symptoms of major depressive episodes were examined for the 1994
and 1995 cohorts of the Alameda County Study. The authors examined age,
gender, marital status, education, financial strain, chronic medical
conditions, functional impairment, cognitive problems, life events,
neighborhood problems, social isolation, and social support. Depression was
measured with 12 items covering DSM-IV diagnostic criteria for major
depressive episodes. RESULTS: Point prevalence of major depressive episodes
was 8.7% in 1994 and 9.0% in 1995. Among the subjects 60 years old and
older, there was a tendency toward higher prevalence in 1995. The highest
prevalence rates in 1994 and in 1995 were among those 80 years old and
older. Subjects who were depressed in 1994 were at greater risk for
depression in 1995. When the effects of age and other psychosocial risk
factors in 1994 were controlled, there were no significant age effects on
depression in 1995. Multivariate analyses demonstrated that the initial age
effects were due mainly to chronic health problems and functional
impairment. Gender, chronic health conditions, problems with activities of
daily living, cognitive problems, neighborhood problems, and social
isolation in 1994 all were significant predictors of depression in 1995.
CONCLUSIONS: Healthy, normally functioning older adults are at no greater
risk for depression than younger adults. What seem to be age- related
effects on depression are attributable to physical health problems and
related disability.
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