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Journal of Geriatric Psychiatry and Neurology, Vol. 17, No. 2, 93-98 (2004)
DOI: 10.1177/0891988704264738
© 2004 SAGE Publications

The Relationship Between Functional Disability and Depressive Mood in Japanese Older Adult Inpatients

Joji Onishi, MD

Department of Geriatrics, Nagoya University Graduate School of Medicine, Japan

Hiroyuki Umegaki, MD, PhD

Department of Geriatrics, Nagoya University Graduate School of Medicine, Japan

Yusuke Suzuki, MD, PhD

Department of Geriatrics, Nagoya University Graduate School of Medicine, Japan

Katsuhiko Uemura, MA

Department of Interpersonal Communication, Aichi Shukutoku University Graduate School of Communication Studies

Masafumi Kuzuya, MD, PhD

Department of Geriatrics, Nagoya University Graduate School of Medicine, Japan

Akihisa Iguchi, MD, PhD

Department of Geriatrics, Nagoya University Graduate School of Medicine, Japan

Depression is commonly found in older adult patients and is often associated with handicaps. The authors administered the Comprehensive Geriatric Assessment (CGA), including basic activities of daily living (BADL), instrumental activities of daily living (IADL), Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS)-15, and a socioenvironmental questionnaire to 198 patients who were admitted to Nagoya University Hospital, to examine the relationship between depressive mood and various physical and socioenvironmental outcomes. The overall GDS-15 score was correlated with the BADL and IADL. The factor analysis extracted 4 factors from the GDS-15 subscales. The factors labeled "loss of morale and hope" and "memory loss and reduction of social activity" were highly correlated with both ADLs, social variables, and the MMSE score. The results reveal that factor analysis of GDS-15 will help in understanding the etiology of depressive mood, thereby contributing to better therapeutic approaches.

Key Words: depressive mood • Geriatric Depression Scale • Comprehensive Geriatric Assessment • factor analysis


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J. Onishi, Y. Suzuki, H. Umegaki, H. Endo, T. Kawamura, and A. Iguchi
A Comparison of Depressive Mood of Older Adults in a Community, Nursing Homes, and a Geriatric Hospital: Factor Analysis of Geriatric Depression Scale
J Geriatr Psychiatry Neurol, March 1, 2006; 19(1): 26 - 31.
[Abstract] [PDF]