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Milton-Cole, Rhian, Ayis, Salma, O'Connell, Matthew D. L., Smith, Toby 
ORCID: https://orcid.org/0000-0003-1673-2954 and Sheehan, Katie Jane
(2022)
Trajectories of depressive symptoms among older adults and in adults with hip fracture: Analysis from the English Longitudinal Study of Ageing.
The Journal of Gerontology: Medical Sciences, 77 (12).
2453–2458.
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Abstract
Background: This study aimed to determine trajectories of depressive symptoms among older adults in England, overall and for those with hip fracture. The study aimed to explore the differential characteristics of each trajectory identified. Methods: Analysis of adults aged 60 years or more (n=7,050), including a hip fracture subgroup (n = 384), from the English Longitudinal Study of Ageing. Latent class growth mixture modelling was completed. Depressive symptom prevalence was estimated at baseline. Chi-squared tests were completed to compare baseline characteristics across trajectories. Results: Three trajectories of depressive symptoms (no, mild, and moderate-severe) were identified overall and for those with hip fracture. The moderate-severe trajectory comprised 13.7% and 7% of participants for overall and hip fracture populations, respectively. The proportion of participants with depressive symptoms in the moderate-severe trajectory was 65.4% and 85.2% for overall and hip fracture populations, respectively. Depressive symptoms were stable over time, with a weak trend towards increasing severity for the moderate-severe symptom trajectory. Participants in the moderate-severe symptom trajectory were older, more likely to be female, live alone and had worse health measures than other trajectories (p < 0.001). Conclusions: Older adults, and those with hip fracture, follow one of three trajectories of depressive symptoms which are broadly stable over time. Depressive symptoms’ prevalence was higher for those with hip fracture and, when present, the symptoms were more severe than the overall population. Results suggest a role of factors including age, gender, and marital status in depressive symptoms trajectories.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding: This work forms part of a PhD studentship that is funded as a host contribution to a UKRI Future Leaders Fellowship (Grant Ref: MR/S032819/1). |
| Uncontrolled Keywords: | depressive symptoms,depression,trajectories,hip fracture,hip fracture,depression,depressive symptoms,trajectories,geriatrics and gerontology,ageing ,/dk/atira/pure/subjectarea/asjc/2700/2717 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 02 Sep 2022 03:19 |
| Last Modified: | 19 Oct 2023 03:24 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/87680 |
| DOI: | 10.1093/gerona/glac182 |
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