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Am J Psychiatry. 2001 Mar;158(3):416-9.

Depression and self-reported functional status in older primary care patients.

Author information

  • 1Laboratory of Depression and Medical Comorbidity, Program in Geriatrics and Neuropsychiatry, Department of Psychiatry, University of Rochester School of Medicine, NY, USA.

Abstract

OBJECTIVE:

The authors' goal was to examine whether depression is associated with overreporting of functional disability.

METHOD:

The subjects were 304 patients 60 years old or older who were recruited from primary care settings. Measures included examiner ratings of depression diagnosis and medical burden and self-reported and examiner-rated functional assessments. Multiple regression techniques were used to determine the independent association of depression with self-reported function after examiner-rated function was added to the analysis as a covariate.

RESULTS:

Depression diagnosis was associated with poorer self-reported role functioning, whether the patient attributed the disability to physical or emotional causes. Depression was not independently associated with poorer self-reported physical functioning.

CONCLUSIONS:

Clinicians and researchers should recognize that depression can confound the self-reporting and attribution of functional disability.

PMID:
11229982
[PubMed - indexed for MEDLINE]
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