AIMS: To investigate the relationship between depression and self-care behaviors in older individuals with multimorbidity. DESIGN: Cross-sectional study. Data were collected between April 2017-June 2019. METHODS: Patients were enrolled from community and outpatient settings and included if they were ≥65 years, affected by heart failure, diabetes mellitus or chronic obstructive pulmonary disease and at least another chronic condition. They were excluded if they had dementia and/or cancer. Patient Health Questionnaire-9 was used to measure depression and Self-Care of Chronic Illness Inventory was used to measure self-care maintenance, monitoring and management. The relationship between depression and self-care was evaluated by performing two sets of univariate analyses, followed by multivariate and step-down analyses. The second set was performed to control for the number of chronic conditions, age and cognitive function. RESULTS: The sample (N=366) was mostly female (54.2%), with a mean age of 76.4 years. Most participants (65.6%) had mild to very severe depressive symptoms. Preliminary analysis indicated a significant negative association between depression and self-care maintenance and monitoring and a significant negative association between depression and multivariate self-care. Step-down analysis showed that self-care maintenance was the only dimension negatively associated with depression, even after controlling for the number of chronic conditions, age and cognitive function. CONCLUSION: In multimorbid populations, depression is more likely to be associated with self-care maintenance than the other self-care dimensions. Therefore, self-care maintenance behaviors (e.g. physical activity and medication adherence) should be prioritized in assessment and focused on when developing interventions targeting depressed older adults with multimorbidity. IMPACT: The results of this study may help guide clinical practice. In patients with depressive symptoms, self-care maintenance behaviors should be assessed first, as a potential first indicator of poor self-care.

Iovino, P., De Maria, M., Matarese, M., Vellone, E., Ausili, D., Riegel, B. (2020). Depression and self-care in older adults with multiple chronic conditions: A multivariate analysis. JOURNAL OF ADVANCED NURSING, 76(7), 1668-1678 [10.1111/jan.14385].

Depression and self-care in older adults with multiple chronic conditions: A multivariate analysis

Ausili, Davide
Penultimo
;
2020

Abstract

AIMS: To investigate the relationship between depression and self-care behaviors in older individuals with multimorbidity. DESIGN: Cross-sectional study. Data were collected between April 2017-June 2019. METHODS: Patients were enrolled from community and outpatient settings and included if they were ≥65 years, affected by heart failure, diabetes mellitus or chronic obstructive pulmonary disease and at least another chronic condition. They were excluded if they had dementia and/or cancer. Patient Health Questionnaire-9 was used to measure depression and Self-Care of Chronic Illness Inventory was used to measure self-care maintenance, monitoring and management. The relationship between depression and self-care was evaluated by performing two sets of univariate analyses, followed by multivariate and step-down analyses. The second set was performed to control for the number of chronic conditions, age and cognitive function. RESULTS: The sample (N=366) was mostly female (54.2%), with a mean age of 76.4 years. Most participants (65.6%) had mild to very severe depressive symptoms. Preliminary analysis indicated a significant negative association between depression and self-care maintenance and monitoring and a significant negative association between depression and multivariate self-care. Step-down analysis showed that self-care maintenance was the only dimension negatively associated with depression, even after controlling for the number of chronic conditions, age and cognitive function. CONCLUSION: In multimorbid populations, depression is more likely to be associated with self-care maintenance than the other self-care dimensions. Therefore, self-care maintenance behaviors (e.g. physical activity and medication adherence) should be prioritized in assessment and focused on when developing interventions targeting depressed older adults with multimorbidity. IMPACT: The results of this study may help guide clinical practice. In patients with depressive symptoms, self-care maintenance behaviors should be assessed first, as a potential first indicator of poor self-care.
Articolo in rivista - Articolo scientifico
age; chronic obstructive pulmonary disease; cognition; depression; diabetes mellitus; heart failure; multimorbidity; multiple chronic conditions; self-care
English
13-apr-2020
2020
76
7
1668
1678
none
Iovino, P., De Maria, M., Matarese, M., Vellone, E., Ausili, D., Riegel, B. (2020). Depression and self-care in older adults with multiple chronic conditions: A multivariate analysis. JOURNAL OF ADVANCED NURSING, 76(7), 1668-1678 [10.1111/jan.14385].
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/271133
Citazioni
  • Scopus 27
  • ???jsp.display-item.citation.isi??? 20
Social impact