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Depressive and subthreshold depressive symptomatology among older adults in a socioeconomically deprived area in Brazil

Nakamura, CA; Scazufca, M; Peters, TJ; Fajersztajn, L; Van de Ven, P; Hollingworth, W; Araya, R; (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. Green open access

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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.

Type: Article
Title: Depressive and subthreshold depressive symptomatology among older adults in a socioeconomically deprived area in Brazil
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/gps.5665
Publisher version: https://doi.org/10.1002/gps.5665
Language: English
Additional information: 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.
Keywords: depression, low- and middle-income country, older adult, primary healthcare, subthreshold depression
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10141916
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