Article

OBJECTIVE: To evaluate the effect of depression on functional recovery in
geriatric patients who have completed an inpatient rehabilitation program.
DESIGN: Prospective cohort study. SETTING: Inpatient rehabilitation unit of a
university-affiliated geriatric hospital. PARTICIPANTS: Convenience sample of
patients (N=65; mean age, 81.6y; 25 men) admitted to rehabilitation over a
10-month period. Patients >60 years of age who were proficient in English and
capable of providing informed consent were eligible to participate in the study.
INTERVENTIONS: Depression was assessed using both the Geriatric Depression
Scale-short form (GDS-15) and the Patient Health Questionnaire (9-item screen for
depression) (PHQ-9). Measures of well-established predictors of rehabilitation
outcome, which may interact with depression, were also obtained, and multiple
regression linear modeling was used to evaluate the relation between depression
and functional outcome over and above the contribution of these other factors.
MAIN OUTCOME MEASURE:
FIM (Functional Independence Measure) at discharge from the
rehabilitation program. RESULTS: Depression, as assessed by the GDS-15, but not
the PHQ-9, was predictive of functional outcome (standardized beta=-.151, P=.030)
after controlling for other significant predictors, which included baseline
disability, pain, cognition, and educational level. Participation in
recreational, but not physio- or occupational, therapy additionally contributed
to a small amount of variance in the functional outcome. CONCLUSIONS: Our
findings suggest that self-report of depression is an independent predictor of
functional outcome in high-tolerance, short-duration geriatric rehabilitation.
Routine assessment of depressive symptoms in older adults using an instrument
(eg, GDS-15) may help identify those at risk for poorer outcomes in rehabilitation.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS