Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Depression Predicts Functional Outcome in Geriatric Inpatient Rehabilitation (2017) |
Auteurs : | Saba Shahab ; Diana-Felicia Nicolici ; Alva Tang |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/3, 2017) |
Article en page(s) : | pp. 500-507 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dépression ; Loisirs ; Participation des patients ; Récréation ; Rééducation et réadaptation ; Sujet âgé |
Mots-clés: | Aged ; Patient participation ; Treatment outcome ; Résultat thérapeutique |
Résumé : |
Objective To evaluate the effect of depression on functional recovery in geriatric patients who have completed an inpatient rehabilitation program. Design Prospective cohort study. Setting Inpatient rehabilitation unit of a university-affiliated geriatric hospital. Participants Convenience sample of patients (N=65; mean age, 81.6y; 25 men) admitted to rehabilitation over a 10-month period. Patients >60 years of age who were proficient in English and capable of providing informed consent were eligible to participate in the study. Interventions Depression was assessed using both the Geriatric Depression Scale-short form (GDS-15) and the Patient Health Questionnaire (9-item screen for depression) (PHQ-9). Measures of well-established predictors of rehabilitation outcome, which may interact with depression, were also obtained, and multiple regression linear modeling was used to evaluate the relation between depression and functional outcome over and above the contribution of these other factors. Main Outcome Measure FIM (Functional Independence Measure) at discharge from the rehabilitation program. Results Depression, as assessed by the GDS-15, but not the PHQ-9, was predictive of functional outcome (standardized beta=−.151, P=.030) after controlling for other significant predictors, which included baseline disability, pain, cognition, and educational level. Participation in recreational, but not physio- or occupational, therapy additionally contributed to a small amount of variance in the functional outcome. Conclusions Our findings suggest that self-report of depression is an independent predictor of functional outcome in high-tolerance, short-duration geriatric rehabilitation. Routine assessment of depressive symptoms in older adults using an instrument (eg, GDS-15) may help identify those at risk for poorer outcomes in rehabilitation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316304129 |