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Is the naturalistic course of depression in older people related to received support over time? Results from a longitudinal population‐based study

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International Journal of Geriatric Psychiatry

Published online on

Abstract

Objectives To test the interrelation of the naturalistic course of depression in older people with long‐term support received. Design Longitudinal cohort study. Methods A sample of 277 adults age 55–85 years participating in the Longitudinal Aging Study Amsterdam, with clinically relevant depressive symptoms at baseline (scores ≥16 on the Center for Epidemiological Studies Depression Scale) were followed up over a period of 13 years. General estimating equations were used to examine the relation between depression course and emotional/instrumental support received over time. In addition, partner status, gender, and age were tested as modifiers. Results A 2‐way interaction between depression courses types and time showed significant differences in instrumental support received over time in older people with a late‐life depression. Three‐way interactions showed that associations between depression course and support variables were modified by gender and partner status. Conclusion Both men and singles, with a chronic course of depression may be at risk to lose emotional and instrumental support over time. Professional attention is needed to prevent a chronic course of late‐life depression, and to preserve personal social networks. Copyright © 2016 John Wiley & Sons, Ltd.