eprintid: 10141916 rev_number: 15 eprint_status: archive userid: 608 dir: disk0/10/14/19/16 datestamp: 2022-01-14 09:05:34 lastmod: 2022-05-20 15:47:37 status_changed: 2022-01-14 09:05:34 type: article metadata_visibility: show creators_name: Nakamura, CA creators_name: Scazufca, M creators_name: Peters, TJ creators_name: Fajersztajn, L creators_name: Van de Ven, P creators_name: Hollingworth, W creators_name: Araya, R creators_name: Moreno-Agostino, D title: Depressive and subthreshold depressive symptomatology among older adults in a socioeconomically deprived area in Brazil ispublished: pub divisions: UCL divisions: B16 divisions: B14 divisions: J81 keywords: depression, low- and middle-income country, older adult, primary healthcare, subthreshold depression note: This research was funded in whole, or in part, by the Wellcome Trust (MR/R006229/1). For the purpose of open access, the author has applied a CC BY public copyright licence to any Author Accepted Manuscript version arising from this submission. abstract: Depressive and subthreshold depressive symptomatology are common but often neglected in older adults. / Objective: This study aimed to assess rates of depressive and subthreshold depressive symptomatology, and the characteristics associated, among older adults living in a socioeconomically deprived area of Brazil. / Methods: This study is part of the PROACTIVE cluster randomised controlled trial. 3356 adults aged 60+ years and registered in 20 primary health clinics were screened for depressive symptomatology with the Patient Health Questionnaire-9 (PHQ-9). Depressive status was classified according to the total PHQ-9 score and the presence of core depressive symptoms (depressed mood and anhedonia) as follows: no depressive symptomatology (PHQ-9 score 0–4, or 5–9 but with no core depressive symptom); subthreshold depressive symptomatology (PHQ-9 score 5–9 and at least one core depressive symptom); and depressive symptomatology (PHQ-9 score ≥ 10). Sociodemographic information and self-reported chronic conditions were collected. Relative risk ratios and 95% CIs were obtained using a multinomial regression model. / Results: Depressive and subthreshold depressive symptomatology were present in 30% and 14% of the screened sample. Depressive symptomatology was associated with female gender, low socioeconomic conditions and presence of chronic conditions, whereas subthreshold depressive symptomatology was only associated with female gender and having hypertension. / Conclusions: Depressive and subthreshold depressive symptomatology is highly prevalent in this population registered with primary care clinics. Strategies managed by primary care non-mental health specialists can be a first step for improving this alarming and neglected situation among older adults. date: 2022-02 date_type: published publisher: WILEY official_url: https://doi.org/10.1002/gps.5665 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1908541 doi: 10.1002/gps.5665 lyricists_name: Moreno Agostino, Dario lyricists_id: DMORE92 actors_name: Moreno Agostino, Dario actors_id: DMORE92 actors_role: owner full_text_status: public publication: International Journal of Geriatric Psychiatry volume: 37 number: 2 pages: 8 issn: 1099-1166 citation: Nakamura, CA; Scazufca, M; Peters, TJ; Fajersztajn, L; Van de Ven, P; Hollingworth, W; Araya, R; Nakamura, CA; Scazufca, M; Peters, TJ; Fajersztajn, L; Van de Ven, P; Hollingworth, W; Araya, R; Moreno-Agostino, D; - view fewer <#> (2022) Depressive and subthreshold depressive symptomatology among older adults in a socioeconomically deprived area in Brazil. International Journal of Geriatric Psychiatry , 37 (2) 10.1002/gps.5665 <https://doi.org/10.1002/gps.5665>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10141916/1/Depressive%20and%20subthreshold%20depressive%20symptomatology%20in%20older%20adults%20-%20Accepted%20manuscript.pdf