Atf. Beekman et al., THE ASSOCIATION OF PHYSICAL HEALTH AND DEPRESSIVE SYMPTOMS IN THE OLDER POPULATION - AGE AND SEX-DIFFERENCES, Social psychiatry and psychiatric epidemiology, 30(1), 1995, pp. 32-38
Physical health and depression are closely related in the elderly. Thi
s has been found in both cross-sectional and longitudinal studies. In
this study the relation between four aspects of physical health and de
pressive symptom levels were studied in a community-based sample of ol
der inhabitants of a small town in the Netherlands (n = 224). Results
indicated that depression as measured with the CES-D is sufficiently d
ifferent from physical health to be distinguished from it, and that it
is sufficiently related to physical health to be relevant for further
study. The more subjective measures of physical health used in this s
tudy (pain and subjective health) appeared to have a much stronger rel
ation with depression than the more objective health measures (chronic
diseases and functional limitations). Physical health and aspects of
the social environment such as marital status appeared to have indepen
dent effects on mood. In this study these effects were moderated by ag
e and sex. In women and the young-old (55-64) none of the associations
between physical health and depression were significant. In men and t
he old-old (75 +) all associations were highly significant.