Date Published: June 1, 2018
Author(s): Akin Ojagbemi, Taiwo Abiona, Zhehui Luo, Oye Gureje.
•Full functional status does not always follow symptomatic recovery from major depressive disorder in community elder Africans.•In this population, symptomatic recovery from major depressive disorder was associated with younger age, higher education, and healthcare utilization in the past year.•Poorer physical functioning after symptomatic recovery from major depressive disorder was predicted by age over 80 years and lower economic status.•Programmes targeting functional disability in the elderly need to be considered, not only in terms of physical disorders, but also mental health disorders like depression.•Future guidelines for treatment of late-life major depressive disorder should consider rehabilitation for any resulting functional disability
The ISA is a community-based prospective survey of the health and well-being of elderly persons living in communities spread across the Yoruba-speaking southwestern and north-central region of Nigeria, a geographical area inhabited by a population of 25 million at the time of study. The Yorubas are a distinct ethnic group with regard to language, culture, and social organization in Nigeria. Within the context of the country, these regions were relatively better resourced for mental health service, with about three psychiatrists to a population of one million at the time of the study, even though most of these specialists were located in about 6 urban centers.
The key findings of the present study were that despite symptomatic recovery from MDD, physical functioning deteriorated over time. Poorer physical functioning after symptomatic recovery from MDD was predicted by age and economic status.