We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Persistence of depressive symptoms and gait speed recovery in older adults after hip fracture.
- Authors
Rathbun, Alan M.; Shardell, Michelle D.; Stuart, Elizabeth A.; Gruber‐Baldini, Ann L.; Orwig, Denise; Ostir, Glenn V.; Hicks, Gregory E.; Hochberg, Marc C.; Magaziner, Jay; Gruber-Baldini, Ann L
- Abstract
<bold>Objective: </bold>Depression after hip fracture in older adults is associated with worse physical performance; however, depressive symptoms are dynamic, fluctuating during the recovery period. The study aim was to determine how the persistence of depressive symptoms over time cumulatively affects the recovery of physical performance.<bold>Methods: </bold>Marginal structural models estimated the cumulative effect of persistence of depressive symptoms on gait speed during hip fracture recovery among older adults (n = 284) enrolled in the Baltimore Hip Studies 7th cohort. Depressive symptoms at baseline and at 2-month and 6-month postadmission for hip fracture were evaluated by using the Center for Epidemiological Studies Depression Scale, and persistence of symptoms was assessed as a time-averaged severity lagged to standardized 3 m gait speed at 2, 6, and 12 months.<bold>Results: </bold>A 1-unit increase in time-averaged Center for Epidemiological Studies Depression score was associated with a mean difference in gait speed of -0.0076 standard deviations (95% confidence interval [CI]: -0.0184, 0.0032; P = .166). The association was largest in magnitude from baseline to 6 months: -0.0144 standard deviations (95% CI: -0.0303, 0.0015; P = 0.076). Associations for the other time intervals were smaller: -0.0028 standard deviations (95% CI: -0.0138, 0.0083; P = .621) at 2 months and -0.0121 standard deviations (95% CI: -0.0324, 0.0082; P = .238) at 12 months.<bold>Conclusion: </bold>Although not statistically significant, the magnitude of the numerical estimates suggests that expressing more depressive symptoms during the first 6 months after hip fracture has a meaningful impact on functional recovery.
- Subjects
MARYLAND; MENTAL depression; HIP fractures; SYMPTOMS; PUBLIC health; DISEASE progression; BONE fractures -- Psychological aspects; COMPARATIVE studies; CONVALESCENCE; BONE fractures; GAIT in humans; HIP joint injuries; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; PSYCHOLOGICAL tests; RESEARCH; EVALUATION research; DISEASE complications
- Publication
International Journal of Geriatric Psychiatry, 2018, Vol 33, Issue 7, p875
- ISSN
0885-6230
- Publication type
journal article
- DOI
10.1002/gps.4864