Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis.

Purpose: Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty...

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Publicado en:Research in Community & Public Health Nursing (RCPHN) Vol. 35; no. 1; pp. 1 - 10
Autores principales: Ji Hye Shin, Gyeong A. Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon
Formato: research tables/charts Journal Article
Publicado: Korean Academy of Community Health Nursing Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
      vid: 35
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      pub: Korean Academy of Community Health Nursing
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        10.12799/rcphn.2023.00381
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        atl: Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis.
      aug:
        au:
          Ji Hye Shin
          Gyeong A. Kang
          Sun Young Kim
          Won Chang Won
          Ju Young Yoon
        affil: Ph.D. Student, College of Nursing, Seoul National University, Seoul, Korea
      sug:
        subj:
          Depression In Old Age
          Frailty Syndrome
          Human South Korea
          South Korea
          Prospective Studies
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Aged
          Aged, 80 and Over
          Funding Source
          Questionnaires
          Scales
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty. Methods: We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model. Results: Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (De-pression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001). Conclusions: We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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