Deans' stroke musings: Seven-Year Trajectories of Depressive Symptoms and Their Predictors Among Older Americans

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, June 11, 2019

Seven-Year Trajectories of Depressive Symptoms and Their Predictors Among Older Americans

Your doctor should know what the predictors of depressive trajectories are and protocols to prevent that in the stroke population. I bet the best prevention would be 100% recovery. HOW FUCKING LONG BEFORE YOUR DOCTOR REALIZES THAT AND CONTACTS RESEARCHERS TO DO THAT 100% RECOVERY?

Seven-Year Trajectories of Depressive Symptoms and Their Predictors Among Older Americans

Xiaoling Xiang, PhD, MSW

First Published June 6, 2019 Research Article

Abstract

Objective: This study examined the trajectories of depressive symptoms and associated factors in older adults using an enhanced group-based trajectory modeling.
Method: The study sample consisted of 7,573 adults aged ≥65 years from the National Health and Aging Trends Study (Rounds 1-7). Depressive trajectories were estimated using a group-based trajectory modeling accounting for nonrandom attrition.
Results: A four-trajectory model including “persistently low” (77.7%), “increasing” (7.9%), “declining,” (5.5%), and “persistently high” (8.9%) was the best fit using methods accounting for nonrandom attrition. In comparison, methods not accounting for attrition estimated that only 3.2% of older adults were on the “persistently high” trajectory. There were significant differences in depressive trajectories by age, race/ethnicity, sex, physical, and cognitive functioning, and social connections.
Discussion: Persistently high depressive symptoms affected a larger proportion of older adults than previously estimated. Depression had a more long-term and increasing course in the oldest-old.

Keywords group-based trajectory modeling, nonrandom attrition, late-life depression