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Age and Depression in a Nationally Representative Sample of Canadians: A Preliminary Look at the National Population Health Survey

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Abstract

There are considerable inconsistencies in the literature concerning the relationship between age and depression. Recently, however, two independent studies in the, U.S. have shown that the distribution is U-shaped with the lowest reported levels of depression at ages 45–49. Three reasons for past inconsistencies are identified and addressed using the 1994 National Population Health Survey by Statistics Canada. Using both a distress scale and a diagnostic measure, a substantially different relationship was found. The prevalence of distress decreased steadily with age until about 65, with only a slight increase afterwards for both males and females. After the introduction of several sociodemographic covariates, however, this relationship was clearly negative. These findings are discussed in terms of future research questions.

Résumé

Il existe des incohérences considérables dans la littérature au sujet de la relation entre l’âge et la dépression. Récemment, toutefois, deux études indépendantes aux É.-U. ont montré que la distribution est de type parabolique et que les taux les plus faibles de dépression se situent entre 45 et 49 ans. Trois raisons expliquant les incohérences passées ont été identifiées et prises en compte à l’aide de l’Enquête nationale sur la santé de la population de 1994 de Statistique Canada. En recourant à une échelle de mesure de la détresse et à une mesure diagnostique, on a fait apparaître une relation substantiellement différente. La prévalence de la détresse décroissait régulièrement avec l’âge jusqu’à 65 ans environ, avec seulement une légère remontée après tant pour les hommes que pour les femmes. Toutefois, après introduction de plusieurs covariables socio-démographiques, cette relation est apparue clairement négative. Les résultats sont discutés du point de vue des futurs travaux de recherche à entreprendre.

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References

  1. Mirowsky J, Ross CE. Age and depression. J Health Soc Behav 1992;33(Sept.):187–205.

    Article  CAS  Google Scholar 

  2. Kessler RC, Foster C, Webster PS, House JS. The relationship between age and depressive symptoms in two national surveys. Psychol Aging 1992;7(1):119–26.

    Article  CAS  Google Scholar 

  3. Turner RJ, Wheaton B, Lloyd DA. The epidemiology of social stress. Am Sociol Rev 1995;60(Feb.):104–25.

    Article  Google Scholar 

  4. Murrell SA, Himmerlfarb S, Wright K. Prevalence of depression and its correlates in older adults. Am J Epidemiol 1983;117:173–85.

    Article  CAS  Google Scholar 

  5. Schwab JJ, Holzer CE, Warheit GJ. Depressive symptomatology and age. Psychosomatics 1973;14:135–41.

    Article  CAS  Google Scholar 

  6. Warheit GJ, Holzer CE, Schwab J. An analysis of social class and racial differences in depressive symptomatology: A community study. J Health Soc Behav 1973;14:291–99.

    Article  CAS  Google Scholar 

  7. Gurland B, Kuriansky J, Sharpe L, et al. The Mind and Mood of Aging: Mental Health Problems of the Community Elderly in New York and London. New York: Hawthorne Press, 1983.

    Google Scholar 

  8. Comstock GW, Helsing KJ. Symptoms of depression in two communities. Psychol Med 1976;6:551–63.

    Article  CAS  Google Scholar 

  9. Frerichs RR, Aneshensel CS, Clark VA. Prevalence of depression in Los Angeles County. Am J Epidemiol 1981;113:691–99.

    Article  CAS  Google Scholar 

  10. Husaini BA, Neff JA, Stone RH. Psychiatric impairment in rural communities. J Community Psychol 1979;7:137–46.

    Article  CAS  Google Scholar 

  11. Dean A, Ensel WM. Socially structured depression in men and women. Res Community Mental Health 1983;3:113–39.

    Google Scholar 

  12. Eaton WE, Kessler LG. Rates of symptoms of depression in a national sample. Am J Epidemiol 1981;114:528–38.

    Article  CAS  Google Scholar 

  13. Levitt EE, Lubin B. Depression: Concepts, Controversies, and Some New Facts. New York: Springer, 1975.

    Google Scholar 

  14. Feinson MC. Aging and mental health: Distinguishing myth from reality. Res Aging 1985;7:155–74.

    Article  CAS  Google Scholar 

  15. Feinson MC, Thoits PA. The distribution of distress among elders. J Gerontol 1986,41:225–33.

    Article  CAS  Google Scholar 

  16. Newman JP. Aging and depression. Psychol Aging 1989;4(2)150–65.

    Article  Google Scholar 

  17. Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Arch Gen Psychiatry 1994;51:8–19.

    Article  CAS  Google Scholar 

  18. Mirowsky J. The advantages of indexes over diagnoses in scientific assessment. In: Avison WR, Gotlib IH (Eds.), Stress and Mental Health: Contemporary Issues and Prospects for the Future. New York: Plenum Press, 1994;261–90.

    Chapter  Google Scholar 

  19. Berkman LF, Berkman CS, Kasl S, et al. Depressive symptoms in relation to physical health and functioning in the elderly. Am J Epidemiol 1986;124:372–88.

    Article  CAS  Google Scholar 

  20. Himmelfarb S. Age and sex differences in mental health of older persons. J Consult Clin Psychol 1984;52:844–56.

    Article  CAS  Google Scholar 

  21. Ensel WM. Measuring depression: The CES-D scale. In: Dean LA, Ensel WM (Eds.), Social Support, Life Events and Depression. San Diego, CA: Academic Press, 1986;51–70.

    Chapter  Google Scholar 

  22. Jorm AF. Sex and age differences in depression: A quantitative synthesis of published research. Aust NZJ Psychiatry 1987;21:46–53.

    Article  CAS  Google Scholar 

  23. Robins LN, Reiger DA. Psychiatric Disorders in America: The Epidemiological Catchment Area Study. New York: The Free Press, 1991.

    Google Scholar 

  24. Weissman MM, Bruce ML, Leaf PJ, et al. Affective disorders. In: Robins LN, Regier DA (Eds.), Psychiatric Disorders in America: The Epidemiological Catchment Area Study. New York: The Free Press, 1991;53–80.

    Google Scholar 

  25. Jonas BS, Wilson RW. Negative mood and urban versus rural residence: Using proximity metropolitan statistical areas as an alternative measure of residence. Advance data from vital and health statistics; 281. Hyattsville, MD: National Center for Health Statistics, 1997.

  26. Kovess V, Murphy HB, Tousignant M. Urban-rural comparisons of depressive disorders in French Canada. J Nerv Ment Dis 1987;175(8):457–66.

    Article  CAS  Google Scholar 

  27. Vega WA, Rumbaut RG. Ethnic minorities and mental health. Annu Rev Sociol 1991;17:351–83.

    Article  Google Scholar 

  28. Beaudet MP. Depression. Health Reports 1996;Spring7(4):11–22.

    CAS  PubMed  Google Scholar 

  29. Statistics Canada. National Population Health Survey. Public Use Microdata File User Documentation. Ottawa, 1996.

    Google Scholar 

  30. Statistics Canada. Income Distributions by Size in Canada. Ottawa: Ministry of Supply and Services, 1980.

    Google Scholar 

  31. Statistics Canada. Rebasing Low Cut-Offs to 1978. Technical Reference Paper (Cat No. 8-3302-519). Ottawa: Minister of Supply and Services, 1983.

    Google Scholar 

  32. Simonsick EM. Personal health habits and mental health in a national probability sample. Am J Prev Med 1991;7(6):425–37.

    Article  CAS  Google Scholar 

  33. Cohen S, Schwartz JE, Bromet EJ, Parkinson DK. Mental health, stress and poor health behaviors in two community samples. Prev Med 1991;20:306–15.

    Article  CAS  Google Scholar 

  34. Ensel WM, Lin N. The life stress paradigm and psychological distress. J Health Soc Behav 1991;32:321–41.

    Article  CAS  Google Scholar 

  35. Wheaton B. Sampling the stress universe. In: Avison WR, Gotlib IH (Eds.), Stress and Mental Health: Contemporary Issues and Prospects for the Future. New York: Plenum Press, 1994;77–114.

    Chapter  Google Scholar 

  36. Turner RJ, Noh S. Physical disability and depression: A longitudinal analysis. J Health Soc Behav 1988;29:23–37.

    Article  CAS  Google Scholar 

  37. Turner RJ, Marino F. Social support and social structure: A descriptive epidemiology. J Health Soc Behav 1994;35:193–212.

    Article  CAS  Google Scholar 

Download references

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Support provided to Terrance J. Wade by a Fellowship from the Ontario Ministry of Health, Health Research Personnel Development Program, and to John Cairney by a Fellowship from the Social Science and Humanities Research Council of Canada. Financial assistance was also provided by the Centre for Health and Well-Being.

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Wade, T.J., Cairney, J. Age and Depression in a Nationally Representative Sample of Canadians: A Preliminary Look at the National Population Health Survey. Can J Public Health 88, 297–302 (1997). https://doi.org/10.1007/BF03403892

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  • DOI: https://doi.org/10.1007/BF03403892

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