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Systematic Review on the Relationship between Depressive Symptoms and Activities of Daily Living in Cognitively Intact Older Adults.

Purpose: The purpose of this study was to examine the direction and strength of the relationships between depressive symptoms and Activities of Daily Living (ADLs) among older, cognitively intact adults as reported in observational studies. Methods: A systematic review and meta-analysis were conduct...

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Published in:Korean Journal of Adult Nursing Vol. 31; no. 1; pp. 1 - 14
Main Authors: Myoungjin Kwon, Sun-Ae Kim, Kawoun Seo
Format: meta analysis research systematic review tables/charts Journal Article
Published: Korean Society of Adult Nursing Feb2019
Online Access:View this record in EBSCOhost
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        12254886
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      jtl: Korean Journal of Adult Nursing
      issn: 12254886
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    pubinfo:
      dt: Feb2019
      vid: 31
      iid: 1
      pid: 69073
      pub: Korean Society of Adult Nursing
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        134863301
        134863301
        134863301
        10.7475/kjan.2019.31.1.1
        134863301
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        atl: Systematic Review on the Relationship between Depressive Symptoms and Activities of Daily Living in Cognitively Intact Older Adults.
      aug:
        au:
          Myoungjin Kwon
          Sun-Ae Kim
          Kawoun Seo
        affil: Assistant Professor, Department of Nursing, Daejeon University, Daejeon, Korea
      sug:
        subj:
          Depression In Old Age
          Activities of Daily Living In Old Age
          Community Living In Old Age
          Human
          Systematic Review
          Meta Analysis
          Aged
          PubMed
          Embase
          Psycinfo
          Cochrane Library
          CINAHL Database
          Medline
          Data Analysis Software
          Checklists
          Descriptive Statistics
          Funding Source
          Aged: 65+ years
      ab: Purpose: The purpose of this study was to examine the direction and strength of the relationships between depressive symptoms and Activities of Daily Living (ADLs) among older, cognitively intact adults as reported in observational studies. Methods: A systematic review and meta-analysis were conducted to search the existing published observational studies in five electronic databases. PubMed, EMBASE, PsycINFO, the Cochrane library, CINAHL, and Medline were used from June 2005 to June 2015. The search strategies all used MeSH terms. Studies reporting r-values between depressive symptoms and the ADLs of older adults were included in the meta-analysis. Overall effect size was computed, and subgroup/moderation analysis was then performed. Results: 16 studies involving 7,184 older adults were identified, and no publication bias was found. The overall effect size was moderate, with a value of -.28. The strength of the effect size was moderated by sample residence type. Conclusion: From the meta-analysis results, it was concluded that the strength of the relationship between depressive symptoms and ADLs was significant. The relationship showed a negative direction in all included studies. Therefore, various nursing intervention programs should be developed to increase the ADL related to depression according to the cognitive status and the residence status of the elderly by nurses.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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