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Anhedonia and anergia predict mortality in older Australians living in residential aged care.

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Title: Anhedonia and anergia predict mortality in older Australians living in residential aged care.
Authors: Greenfield, L., Mathews, S., Toukhsati, S. R.
Source: Aging & Mental Health. Mar2022, Vol. 26 Issue 3, p614-622. 9p. 3 Charts, 2 Graphs.
Subjects: Causes of death, Statistics, Anhedonia, Confidence intervals, Medical care for older people, Regression analysis, Residential care, Descriptive statistics, Kaplan-Meier estimator, Survival analysis (Biometry), Questionnaires, Fatigue (Physiology), Elder care, Proportional hazards models, Old age
Geographic Terms: Australia
Abstract: Depression is common in older adults and is linked to morbidity and mortality. The aim of this study was to investigate whether specific symptoms of depression (dysphoria, anhedonia and anergia) predicted mortality in older Australian Aged Care residents. Eighty older adults (M = 83.16 ± 7.14) without cognitive impairment residing in 14 Residential Aged Care facilities located in Melbourne, Australia, completed the 15-item Geriatric Depression Scale—Short Form (GDS-15) and the Standardized Mini Mental State Examination. Residential Aged Care facilities provided the primary end-point of all-cause mortality at follow-up (M = 5.4 years ± 0.1). Univariate Kaplan-Meier survival curves and Cox Proportional Hazards regression analyses were used to evaluate whether symptoms of depression predicted all-cause mortality, with known prognostic factors controlled. The results indicated that anhedonia (Hazard Ratio = 2.931 [95% CI 1.278–6.722], p =.011) and anergia (Hazard Ratio = 2.783 [95% CI 1.065–7.276], p =.037) were associated with almost a threefold increased risk of mortality in older adults living in RAC in adjusted analyses. Dysphoria did not predict mortality. These findings advance understanding of the mortality risks of anhedonia and anergia in an understudied population. Symptoms of anhedonia and anergia should be targeted for screening in older adults living in Aged Care to increase the detection and potential for referral to treatment for depressive presentation. [ABSTRACT FROM AUTHOR]
Copyright of Aging & Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Anhedonia and anergia predict mortality in older Australians living in residential aged care.
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  Data: <searchLink fieldCode="AR" term="%22Greenfield%2C+L%2E%22">Greenfield, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Mathews%2C+S%2E%22">Mathews, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Toukhsati%2C+S%2E+R%2E%22">Toukhsati, S. R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Aging+%26+Mental+Health%22">Aging & Mental Health</searchLink>. Mar2022, Vol. 26 Issue 3, p614-622. 9p. 3 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Depression is common in older adults and is linked to morbidity and mortality. The aim of this study was to investigate whether specific symptoms of depression (dysphoria, anhedonia and anergia) predicted mortality in older Australian Aged Care residents. Eighty older adults (M = 83.16 ± 7.14) without cognitive impairment residing in 14 Residential Aged Care facilities located in Melbourne, Australia, completed the 15-item Geriatric Depression Scale—Short Form (GDS-15) and the Standardized Mini Mental State Examination. Residential Aged Care facilities provided the primary end-point of all-cause mortality at follow-up (M = 5.4 years ± 0.1). Univariate Kaplan-Meier survival curves and Cox Proportional Hazards regression analyses were used to evaluate whether symptoms of depression predicted all-cause mortality, with known prognostic factors controlled. The results indicated that anhedonia (Hazard Ratio = 2.931 [95% CI 1.278–6.722], p =.011) and anergia (Hazard Ratio = 2.783 [95% CI 1.065–7.276], p =.037) were associated with almost a threefold increased risk of mortality in older adults living in RAC in adjusted analyses. Dysphoria did not predict mortality. These findings advance understanding of the mortality risks of anhedonia and anergia in an understudied population. Symptoms of anhedonia and anergia should be targeted for screening in older adults living in Aged Care to increase the detection and potential for referral to treatment for depressive presentation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Aging & Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=155469323
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13607863.2021.1872491
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 614
    Subjects:
      – SubjectFull: Causes of death
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Anhedonia
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Medical care for older people
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Residential care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Kaplan-Meier estimator
        Type: general
      – SubjectFull: Survival analysis (Biometry)
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Fatigue (Physiology)
        Type: general
      – SubjectFull: Elder care
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: Australia
        Type: general
    Titles:
      – TitleFull: Anhedonia and anergia predict mortality in older Australians living in residential aged care.
        Type: main
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            NameFull: Greenfield, L.
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            NameFull: Mathews, S.
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            NameFull: Toukhsati, S. R.
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            – D: 01
              M: 03
              Text: Mar2022
              Type: published
              Y: 2022
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              Value: 13607863
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              Value: 26
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            – TitleFull: Aging & Mental Health
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