Depression and self-reported functional status in older primary care patients.
Depression and self-reported functional status in older primary care patients.
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DOI：
10.1176/appi.ajp.158.3.416
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发表时间：
2001-03
期刊：
影响因子：
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通讯作者：
Paula A. Sinclair;J. Lyness;D. A. King;C. Cox;E. Caine
中科院分区：
文献类型：
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作者：
Paula A. Sinclair;J. Lyness;D. A. King;C. Cox;E. Caine
目的研究抑郁症是否与功能障碍的过度报道有关。方法从基层医疗机构招募304名60岁以上的老年患者。测量方法包括主考员对抑郁症诊断和医疗负担的评分，以及自我报告和主考员评定的功能评估。在将审查员评定的功能作为协变量添加到分析中后，使用多元回归技术来确定抑郁与自我报告功能的独立关联。结果抑郁症的诊断与自我报告的角色功能较差有关，无论患者将残疾归因于身体原因还是情感原因。抑郁并不独立地与自我报告的身体功能较差有关。结论临床医生和研究人员应认识到抑郁症会混淆功能性残疾的自我报告和归因。
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.