The structure of late-life depressive symptoms across a 20-year span: a taxometric investigation.
The structure of late-life depressive symptoms across a 20-year span: a taxometric investigation.
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DOI:
10.1037/a0018514
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发表时间:
2010-03
影响因子:
3.7
通讯作者:
Moos, Rudolf H.
中科院分区:
文献类型:
--
作者:
Holland, Jason M.;Schutte, Kathleen K.;Brennan, Penny L.;Moos, Rudolf H.
Past studies of the underlying structure of depressive symptoms have yielded mixed results, with some studies supporting a continuous conceptualization and others supporting a categorical one. However, no study has examined this research question with an exclusively older adult sample, despite the potential uniqueness of late-life depressive symptoms. In the present study, the underlying structure of late-life depressive symptoms was examined among a sample of 1289 individuals across three waves of data collection spanning 20 years. A taxometric methodology was employed using indicators of depression derived from the Research Diagnostic Criteria. Maximum eigenvalue (MAXEIG) analyses and inchworm consistency tests generally supported a categorical conceptualization and identified a group that was primarily characterized by thoughts about death/suicide. However, compared to a categorical depression variable, depressive symptoms treated continuously were generally better predictors of relevant criterion variables. These findings suggest that thoughts of death and suicide may characterize a specific type of late-life depression, yet a continuous conceptualization still typically maximizes the predictive utility of late-life depressive symptoms.
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