Control of Depression Improves Quality of Life in Community-Dwelling Older
Adults with Mild Physical Disability
Yu-Chen Chang1,2 and Jung-Der Wang3,4*
1Division of Community Health, Chia-Yi Christian Hospital, Chia-Yi, Taiwan
2Department of Geriatrics, Chia-Yi Christian Hospital, Chia-Yi, Taiwan
3Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
4Departments of Internal Medicine and Occupational and Environmental Medicine, National Cheng Kung University, Tainan, Taiwan
- *Corresponding Author:
- Jung-Der Wang
Department of Public Health, College of Medicine, National Cheng Kung University
University Rd, Tainan 70101, Taiwan
Tel: 886-6-2353535 ext 5600
Received date: November 04, 2016; Accepted date: January 24, 2017; Published date: January 30, 2017
Citation: Chang YC, Wang JD (2017) Control of Depression Improves Quality of Life in Community-Dwelling Older Adults with Mild Physical Disability. Int J Phys Med
Rehabil 5:389. doi: 10.4172/2329-9096.1000389
Copyright: © 2017 Chang YC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Depression; Older adults; Mediation; Physical disability
In apparently healthy adults, chronic health conditions such as hypertension, diabetes, or mild problems in the neck or back do not
seem to influence the quality of life as much as depression [1,2].
Physiologically most organ-systems of a human body begin to lose
some function after adulthood [3,4]. In older adults, single or multiple
mild symptoms or functional impairment may result from a
combination of different chronic health conditions. Therefore, instead
of focusing on curing respective diseases, improving the physical
function and quality of life (QOL) should be a high priority in caring
for older adults [5,6].
Physical function impairment or physical disability is very common
in older adults and may affect QOL even more than chronic conditions
[1,7]. Varying levels of depressive symptoms affect the relationship
between QOL and its determining factors in older adults .
Furthermore, the association between physical function (Activities of
Daily Living score ≥ 60) and QOL may be mediated by depressive
symptoms in community-dwelling older adults . This result, on an
individual level, implies that older adults with mild physical disability
may not necessarily suffer from poor QOL. It also indicates that
control and/or prevention of depressive symptoms, along with
restoration of physical function, is crucial in improving QOL. For the
general population, this study suggests that the efforts to improve QOL
would be more effective if depression could be properly managed
amongst community-dwelling older adults. A cohort study with long-term
follow-up will be required for further corroboration.
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