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Article
Depression Moderates the Frailty–Subjective Health Link among Chinese Near Centenarians and Centenarians
The American Journal of Geriatric Psychiatry
  • Bobo Hi-PoLau, University of Hong Kong
  • Joseph Shiu-KwongKwan, University of Hong Kong
  • Karen Siu-LanCheung, University of Hong Kong
  • Peter Martin, Iowa State University
Document Type
Article
Publication Version
Published Version
Publication Date
9-1-2016
DOI
10.1016/j.jagp.2016.05.014
Abstract

Objective

Very old adults may be physically frail, but they do not necessarily experience poor subjective health. The authors hypothesized that the relationship between frailty and subjective health is moderated by depression for very old people. Methods

In a cross-sectional study, a survey administered was by a face-to-face interview to 129 community-dwelling older adults aged 95–108. Measurements included the five-item FRAIL scale, the Geriatric Depression Scale Short-Form (GDS), and a subjective health rating. Hierarchical multiple regressions were conducted to test the moderation effects, adjusting for age, gender, living arrangement, perceived socioeconomic status, and cognition. Results

The interaction effect between frailty and depression was significant. Inspection of the simple slopes revealed that those who were more depressed had a more negative frailty–subjective health relationship. There was no significant moderation effect for a withdrawal-apathy-vigor dimension of the GDS. Conclusion

Our findings suggest a protective psychological mechanism may enable very old adults to maintain an optimistic view of their health despite their increasing physical and functional limitations.

Comments

This article is published as Lau, Bobo Hi-Po, Joseph Shiu-Kwong Kwan, Karen Siu-Lan Cheung, and Peter Martin. "Depression Moderates the Frailty–Subjective Health Link among Chinese Near Centenarians and Centenarians." The American Journal of Geriatric Psychiatry 24, no. 9 (2016): 753-761. doi: 10.1016/j.jagp.2016.05.014. Posted with permission.

Creative Commons License
Creative Commons Attribution 4.0 International
Copyright Owner
The Authors
Language
en
File Format
application/pdf
Citation Information
Bobo Hi-PoLau, Joseph Shiu-KwongKwan, Karen Siu-LanCheung and Peter Martin. "Depression Moderates the Frailty–Subjective Health Link among Chinese Near Centenarians and Centenarians" The American Journal of Geriatric Psychiatry Vol. 24 Iss. 9 (2016) p. 753 - 761
Available at: http://works.bepress.com/peter-martin/12/