TY  - JOUR
PY  - 2018//
TI  - Impact of falls on depressive symptoms among the oldest old: Results from the AgeQualiDe study
JO  - International journal of geriatric psychiatry
A1  - Hajek, André
A1  - Brettschneider, Christian
A1  - van den Bussche, Hendrik
A1  - Lühmann, Dagmar
A1  - Oey, Anke
A1  - Wiese, Birgitt
A1  - Weyerer, Siegfried
A1  - Werle, Jochen
A1  - Fuchs, Angela
A1  - Pentzek, Michael
A1  - Stein, Janine
A1  - Luck, Tobias
A1  - Bickel, Horst
A1  - Mösch, Edelgard
A1  - Heser, Kathrin
A1  - Wagner, Michael
A1  - Scherer, Martin
A1  - Maier, Wolfgang
A1  - Riedel-Heller, Steffi G.
A1  - König, Hans-Helmut
SP  - 1383
EP  - 1388
VL  - 33
IS  - 10
N2  - OBJECTIVE: The purpose of this study was to examine the impact of falls on depressive symptoms among the oldest old in Germany longitudinally. <br><br>METHODS: Data were used from 2 waves of the multicenter prospective cohort "Study on needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe). This study covers primary care patients ≥85 years (at baseline: n = 547, average age of 88.9 ± 3.0 years; ranging from 85 to 100 years). General practitioner-diagnosed falls were used as explanatory variable. The Geriatric Depression Scale was used as outcome measure. <br><br>RESULTS: Linear fixed effects regressions showed that the occurrence of falls is associated with an increase in depressive symptoms (β = .60, P = .02), whereas changes in marital status, ageing, social support, functional decline (instrumental activity of daily living), cognitive impairment, and an increase in chronic diseases did not affect depressive symptoms. In sensitivity analysis, an increase in depressive symptoms was associated with functional impairment (basic activities of daily living; Barthel index; β = -.04, P = .005). <br><br>CONCLUSIONS: Based on a large, population-based longitudinal study, this study underlined the impact of falls on depressive symptoms and consequently extended previous knowledge about an association between falls and depressive symptoms in the oldest old. Developing strategies to prevent falls might also help to prevent depressive symptoms.<br><br>© 2018 John Wiley & Sons, Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 0885-6230
UR  - http://dx.doi.org/10.1002/gps.4949
ID  - ref1
ER  -