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Hopefulness Predicts Mortality Outcome in Elderly

Int J Geriatr Psychiatry; ePub 2017 Feb 10; Zhu, et al

Baseline hopefulness predicts mortality outcome among the homebound elderly in the community, a recent study found. Identifying elderly individuals who are depressed with hopelessness and providing early intervention may improve the mortality rate. Researchers conducted a secondary analysis of data from a community sample of 1,034 adults, aged ≥60 years. The Center for Epidemiologic Studies Depression Scale was used to evaluate the mood symptoms and feeling of hopefulness at baseline. The death data were collected within an 8-year follow-up period. They found:

  • In the 8-year follow-up period, frequency of feeling hopeful, but not other individual depressive symptoms, was associated with mortality rate.
  • The mortality rate among those who always, sometimes, and rarely felt hopeful were 21.6%, 26.4%, and 35.7%, respectively.
  • Logistic regression also confirmed that individuals who rarely feel hopeful had higher odds of decease within the 8-year follow-up period than those who always felt hopeful after adjusting for age and medical conditions.

Citation:

Zhu AQ, Kivork C, Vi L, et al. The association between hope and mortality in homebound elders. [Published online ahead of print February 10, 2017]. Int J Geriatr Psychiatry. doi:10.1002/gps.4676.

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