Depressive symptoms in people with late effects of polio and the association with sociodemographic and disability-related factors.
cross_sectional · Level IV
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- Record sourced from PubMed, PMID 41216862.
- Also identified by DOI 10.1002/pmrj.70049.
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Abstract
Late effects of polio (LEoP) is a progressive condition leading to a lifelong disability that can affect mental health. There is limited knowledge of depressive symptoms and associated factors in people with LEoP. To assess the occurrence of depressive symptoms in people with LEoP and explore the association with sociodemographic and disability-related factors. Cross-sectional survey. University hospital outpatient clinic. Eighty-one people (mean age 73 years, 49% women) with LEoP. Swedish versions of the 20-item Geriatric Depression Scale (GDS-20), the Self-reported Impairments in Persons with late effects of Polio (SIPP) scale, and the Reintegration to Normal Living Index (RNL-I). The participants responded to a postal survey including the GDS-20 and questionnaires about sociodemographic factors (gender, age, marital status) and disability-related factors (SIPP, mobility, RNL-I). To determine factors associated with depressive symptoms (GDS-20, dependent variable), univariable and two separate multivariable logistic regression models were created, comprising sociodemographic and disability-related factors, respectively. Thirty-five people (43%) had a GDS score of six points or more, indicating suspected depression. In the model with sociodemographic factors, only marital status was significant (p = .001) with an odds ratio (OR) of 5.53 (95% confidence interval [CI], 1.97-15.54). In the model with disability-related factors, self-reported impairments and perceived participation remained significant, with self-reported impairments having the highest OR (OR, 1.49; 95% CI, 1.18-1.88). Overall, disability-related factors had a larger explanatory value (Nagelkerke R<sup>2</sup> 0.73) for suspected depression than sociodemographic factors (Nagelkerke R<sup>2</sup> 0.24). The relatively high occurrence of suspected depression in people with LEoP implies that screening for depression is important. It remains to be determined if rehabilitation interventions targeting disability-related factors can affect mental health in people with LEoP.