The Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression

Hazell, C., Smith, Helen E and Jones, C. 2019. The Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression. Clinical Medicine Insights: Psychiatry. 10. https://doi.org/10.1177/1179557319885634

TitleThe Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression
TypeJournal article
AuthorsHazell, C., Smith, Helen E and Jones, C.
AbstractObjectives: Depression in older adults is assessed using measures validated in the general adult population. However, such measures may be inappropriate in the elderly due to the similarities between ageing and the symptoms of depression. This article discusses whether these measures are fit for the purpose and the implications of using inappropriate tools. Methods: A commentary on measuring depression in older adults. Results: Depression symptoms may be mistaken for signs of ageing. Several measures of depression include items that may have a physical cause and thus generate measurement error. Those studies that have assessed the psychometric properties of depression measures in older adults have failed to conduct appropriate assessments of discriminant validity. Discussion: Research is needed to determine whether the conceptual similarity between some symptoms of depression and the effects of ageing translate to factorial similarity. If so, there may be a need for a specific depression measure for older adults that prioritises psychological symptoms.
JournalClinical Medicine Insights: Psychiatry
Journal citation10
ISSN1179-5573
Year2019
PublisherSage
Publisher's version
License
CC BY-NC 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1177/1179557319885634
Publication dates
Published online27 Nov 2019
FunderDunhill Medical Trust

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