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

https://doi.org/10.1177/0898264319852835

Article information

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

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