Frailty and depression in centenarians

Ribeiro, Óscar; Duarte, Natália; Teixeira, Laetitia; Paúl, Constança

doi:10.1017/s1041610217001910

Cited by 41 publications

(62 citation statements)

References 24 publications

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“…The prevalence of depression in a sample of Portuguese centenarians was as high as 51% in frail centenarians, but it was 0% in robust centenarians. 29 This finding is consistent with the high rates of depression-free centenarians in our sample.…”

Section: Discussionsupporting

confidence: 91%

Comparison of Psychosocial Variables Associated With Loneliness in Centenarian vs Elderly Populations in New Zealand

et al. 2018

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Key Points Questions Are centenarians less lonely than elderly people, and if so, are there any demographic and psychosocial differences that may account for this? Findings This cross-sectional study of 73 286 community-dwelling New Zealanders 65 years and older found that centenarians were more likely to be female, widowed, living alone or with relatives, receiving family support, and not depressed compared with those aged 65 to 99 years. Loneliness was significantly less common with older age, and living arrangements, race/ethnicity, marital status, family support, and depression were significantly associated with loneliness. Meaning Knowing the variables associated with loneliness may help our society address risk factors to reduce loneliness in older people.

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Section: Discussionsupporting

confidence: 91%

Comparison of Psychosocial Variables Associated With Loneliness in Centenarian vs Elderly Populations in New Zealand

et al. 2018

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“…SRH has also been linked to frailty and anxiety in centenarians. Ribeiro et al ( 26 ), for instance, found that SRF was the only predictor of depression in frail and pre frail centenarians and that a worse SRH increased the odds of experiencing clinical anxiety ( 41 ). When comparing centenarians with sexagenarians and octogenarians, Quinn et al ( 42 ) found personality and levels of control as unique set of SRH's correlates in the oldest-old group.…”

Section: Discussionmentioning

confidence: 99%

“…Centenarians have been presented as robust and resistant individuals, since they tend to survive, delay, or escape to the major age-related diseases, such as cancer, and cardiovascular diseases among others ( 23 , 24 ). But there are many centenarians living in a frail and morbidity situation as well ( 25 , 26 ). Also great difficulties in sensory domains and basic and instrumental daily living activities (BADL and IADL) have been widely reported in this population [cf.…”

Section: Introductionmentioning

confidence: 99%

Objective vs. Subjective Health in Very Advanced Ages: Looking for Discordance in Centenarians

et al. 2018

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Background: Living beyond 100 years of age is associated with several functional and health constraints but their impact depends on one's perception of the situation. Associations between self-rated health (SRH) with sociodemographic and psychosocial variables have been explored in several studies, revealing that one's health appraisal depends of factors beyond the objective health condition. There is a large body of literature concerning SRH in later life but lack of evidence about centenarians' perception of health and its associated factors, which could increase the available knowledge on the strengths and resources individuals in very advanced ages have for facing daily life limitations.Objective and Methods: This study aims to analyse the relationship between subjective and objective health status in a sample of centenarians (n = 127). Subjective health was assessed by a single-item health measure, and objective health by considering the number of reported diseases and a functional capacity scale (BADL and IADL). Main health characteristics are described as well as examined the association between objective and subjective health.Results: 46.5% of the sample has a good, very good, or excellent appraisal of their own health. SRH was associated (p < 0.05) with BADL and IADL scores and with the total number of diagnosis; when analyzing SRH according to the level of functional capacity, results revealed that most individuals with severe and moderate dependence have a reasonable to excellent SRH (p > 0.05).Conclusion: Having diseases and functional dependence at 100 years old may not mean to have a bad SRH. The high variability in SRH and the discordance between objective and subjective measures are a proof of centenarian's capacity of adaptation and the existence of individual resources, which may be decisive for one' perception and handling of health situation at such an advanced age.

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“…Thirty-one of the 37 studies investigated variables associated with depression in centenarians. Depressive symptoms have been positively associated with poorer rates of physical health (Tafaro et al, 2002), back and neck pain (Hartvigsen and Christensen, 2008), and frailty (Lau et al, 2016;Ribeiro et al, 2018). The effects of poor health on depressive symptoms may be mediated through subjective health, as a negative self-perception of one's health may lead to lower mental well-being (Jang et al, 2004).…”

Section: Prevalence and Predictors Of Depressionmentioning

confidence: 99%

The prevalence and predictors of anxiety and depression in near-centenarians and centenarians: a systematic review

Cheng

Leung

Harrison

et al. 2019

Int. Psychogeriatr.

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Background:Current research on the psychological health of near-centenarians (95−99 years old) and centenarians remains limited. Existing studies have mainly characterized their physical, cognitive, and social health. Results on the anxiety and depression of near-centenarians and centenarians (more than 95 years old) have been mixed with some studies, finding higher rates of anxiety and depression among those older than 95 years and others reporting no difference in rates compared with younger age groups. This study aims to synthesize the existing literature on the prevalence and predictors of anxiety and depression in near-centenarians and centenarians.Method:A systematic review was conducted using Ovid Medline, Embase, PsycINFO, CINAHL, SCOPUS, and the Cochrane database. Common and conflicting findings among the literature were examined.Results:Thirty-eight studies met the inclusion criteria. Six studies examined the prevalence and predictors of anxiety, and 37 studies investigated the prevalence and predictors of depression. Five studies examined both anxiety and depression in the same sample. Prevalence data on anxiety and depression varied significantly, as did comparisons with rates in younger populations. Findings on predictors of anxiety and depression were contradictory.Conclusion:There is a large degree of heterogeneity among studies of centenarians’ psychological status. Findings conflict on the prevalence and predictors of anxiety and depression and rates compared with younger age groups. Variation in findings may result from the different inclusion criteria, sampling methods, and measurement tools. Better harmonization of centenarian study methodologies may improve consistency of findings to aid in developing clinical interventions.

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Frailty and depression in centenarians

Abstract: It seems that depression is a comorbid clinical independent condition that is frequent in frail and pre-frail centenarians.

Cited by 41 publications

References 24 publications

Comparison of Psychosocial Variables Associated With Loneliness in Centenarian vs Elderly Populations in New Zealand

Comparison of Psychosocial Variables Associated With Loneliness in Centenarian vs Elderly Populations in New Zealand

Objective vs. Subjective Health in Very Advanced Ages: Looking for Discordance in Centenarians

The prevalence and predictors of anxiety and depression in near-centenarians and centenarians: a systematic review

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