Short-term persistent depression following hip fracture: A risk factor and target to increase resilience in elderly people

Persistent depression is a risk factor for poor recovery following hip fracture. The purpose of this study was to clarify the relationship between depression and functional recovery at one year and to investigate which characteristics discriminate people who are at greatest risk of poor outcomes. A...

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Bibliographic Details
Published in:Social work research 1999-09, Vol.23 (3), p.187-196
Main Authors: Zimmerman, Sheryl Itkin, Smith, H. David, Gruber-Baldini, Ann, Fox, Kathleen M., Hebel, J. Richard, Kenzora, John, Felsenthal, Gerald, Magaziner, Jay
Format: Article
Language:English
Subjects:
Care and treatment
Construct Validity
Coping
Depression
Depression (Psychology)
Depression in old age
Depressive disorders
Elderly
Elderly people
Fractured hips
Fractures
Gender Discrimination
Geriatrics
Gerontology
Health Problems
hip fracture
Hip fractures
Hip joint
Hospitalization
Illness
Independent Living
Life Satisfaction
Marital Status
Mental depression
Mental health outcomes
Negative Attitudes
Older adults
Older people
Physical Activities
Predisposing factors
Promotion
Psychological aspects
Rehabilitation
Resilience
Risk
risk factor
Self Efficacy
Short term
Social work
Social workers
Symptoms
USA
Validity
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Summary:Persistent depression is a risk factor for poor recovery following hip fracture. The purpose of this study was to clarify the relationship between depression and functional recovery at one year and to investigate which characteristics discriminate people who are at greatest risk of poor outcomes. A total of 272 people ages 65 and older were evaluated in the hospital after hip fracture and followed with standardized measures of affect and physical, instrumental, and social function. Depression was assessed during hospitalization and at two months. Participants who were persistently depressed through two months exhibited poorer recovery than others. It was not possible to differentiate those who remained depressed from those whose depression resolved. Results suggest that persistent depression as a marker for poor recovery generalizes beyond hip fracture.
ISSN:1070-5309
1545-6838
DOI:10.1093/swr/23.3.187