TY - JOUR T1 - Does Mode of Contact with Different Types of Social Relationships Predict Depression in Older Adults? Evidence from a Nationally Representative Survey JF - Journal of the American Geriatrics Society Y1 - 2015 A1 - Alan R Teo A1 - Choi, Hwajung A1 - Sarah B. Andrea A1 - Marcia A. Valenstein A1 - Jason T Newsom A1 - Dobscha, Steven K. A1 - Zivin, Kara KW - Demographics KW - Health Conditions and Status KW - Healthcare KW - Methodology KW - Retirement Planning and Satisfaction AB - ObjectivesTo determine associations between use of three different modes of social contact (in person, telephone, written or e-mail), contact with different types of people, and risk of depressive symptoms in a nationally representative, longitudinal sample of older adults. DesignPopulation-based observational cohort. SettingUrban and suburban communities throughout the contiguous United States. ParticipantsIndividuals aged 50 and older who participated in the Health and Retirement Survey between 2004 and 2010 (N = 11,065). MeasurementsFrequency of participant use of the three modes of social contact with children, other family members, and friends at baseline were used to predict depressive symptoms (measured using the eight-item Center for Epidemiologic Studies Depression Scale) 2 years later using multivariable logistic regression models. ResultsProbability of having depressive symptoms steadily increased as frequency of in-personbut not telephone or written or e-mail contactdecreased. After controlling for demographic, clinical, and social variables, individuals with in-person social contact every few months or less with children, other family, and friends had a significantly higher probability of clinically significant depressive symptoms 2 years later (11.5 ) than those having in-person contact once or twice per month (8.1 ; P .001) or once or twice per week (7.3 ; P .001). Older age, interpersonal conflict, and depression at baseline moderated some of the effects of social contact on depressive symptoms. ConclusionFrequency of in-person social contact with friends and family independently predicts risk of subsequent depression in older adults. Clinicians should consider encouraging face-to-face social interactions as a preventive strategy for depression. PB - 63 VL - 63 IS - 10 U4 - social isolation/in-person/telephone/face-to-face/e-mail/written/in person/face to face/e mail/GERIATRICS/GERONTOLOGY/TRIAL/RETIREMENT/THERAPY/HEALTH/LONELINESS/NETWORKS/OUTCOMES/GERONTOLOGY/Surveys/Social aspects/Depression, Mental/Older people/Social interaction/Geriatric psychology/Mental depression ER - TY - JOUR T1 - Depression and risk of hospitalization for pneumonia in a cohort study of older Americans. JF - J Psychosom Res Y1 - 2014 A1 - Dimitry S Davydow A1 - Catherine L Hough A1 - Zivin, Kara A1 - Kenneth M. Langa A1 - Wayne J Katon KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - Comorbidity KW - depression KW - Depressive Disorder KW - Female KW - Hospitalization KW - Humans KW - Logistic Models KW - Male KW - Middle Aged KW - Odds Ratio KW - Pneumonia KW - Risk Assessment KW - Risk Factors KW - United States AB -

OBJECTIVE: The aim of this study is to determine if depression is independently associated with risk of hospitalization for pneumonia after adjusting for demographics, medical comorbidity, health-risk behaviors, baseline cognition and functional impairments.

METHODS: This secondary analysis of prospectively collected data examined a population-based sample of 6704 Health and Retirement Study (HRS) (1998-2008) participants>50years old who consented to have their interviews linked to their Medicare claims and were without a dementia diagnosis. The eight-item Center for Epidemiologic Studies Depression Scale and/or International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) depression diagnoses were used to identify baseline depression. ICD-9-CM diagnoses were used to identify hospitalizations for which the principal discharge diagnosis was for bacterial or viral pneumonia. The odds of hospitalization for pneumonia for participants with depression relative to those without depression were estimated using logistic regression models. Population attributable fractions were calculated to determine the extent that hospitalizations for pneumonia could be attributable to depression.

RESULTS: After adjusting for demographic characteristics, clinical factors, and health-risk behaviors, depression was independently associated with increased odds of hospitalization for pneumonia (odds ratio [OR]: 1.28, 95% confidence interval [95%CI]: 1.08, 1.53). This association persisted after adjusting for baseline cognition and functional impairments (OR: 1.24, 95%CI: 1.03, 1.50). In this cohort, 6% (95%CI: 2%, 10%) of hospitalizations for pneumonia were potentially attributable to depression.

CONCLUSION: Depression is independently associated with increased odds of hospitalization for pneumonia. This study provides additional rationale for integrating mental health care into medical settings in order to improve outcomes for older adults.

PB - 77 VL - 77 IS - 6 N1 - Times Cited: 0 0 U1 - http://www.ncbi.nlm.nih.gov/pubmed/25139125?dopt=Abstract U2 - PMC4259844 U4 - Depression/Pneumonia/Hospitalization/Outcome assessment (health care)/health Care Utilization/mental Health ER -