Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. National Taiwan University Hospital / 醫學院附設醫院 (臺大醫院)
  4. Gender differences in the relationship between depression and cardiac autonomic function among community elderly
 
  • Details

Gender differences in the relationship between depression and cardiac autonomic function among community elderly

Journal
International Journal of Geriatric Psychiatry
Journal Volume
25
Journal Issue
3
Pages
314-322
Date Issued
2010
Author(s)
HSI-CHUNG CHEN  orcid-logo
Yang C.C.H.
Kuo T.B.J.
Su T.-P.
Chou P.
DOI
10.1002/gps.2341
URI
2-s2.0-76649104041
https://scholars.lib.ntu.edu.tw/handle/123456789/548556
Abstract
Objective: The mechanism underlying the differential effect of depression on morbidity and mortality in men and women remains unknown. This survey was designed to examine gender effects on the relationship between depressive symptoms and cardiac autonomic function among community dwelling elderly. Methods: Six hundred and six randomly selected community-dwelling elderly men and women ?65 years of age were enrolled. Depressive symptoms were assessed with the Hospital Anxiety and Depression Scale. Cardiac autonomic function was evaluated by measuring heart rate variability (HRV) parameters. Frequency-domain indices of HRV were obtained. Results:Among the subjects, 58.4% were male with a mean age of 77.9 years. Stratified analyses by gender revealed a dose-response association between depressive symptoms and lower cardiac vagal control among elderly males ( p=0.003). Male subjects with mild depressive symptoms (depression scores: 5-6) showed prominent cardiac sympathetic predominance compared with the reference group (depression scores:<5) ( p=0.005). In contrast, these findings did not exist among elderly females. Conclusions: The association of depressive symptoms with poor cardiac vagal control and sympathetic predominance was more robust among elderly males than females. This finding may help explain gender differences in the association of depression with morbidity and mortality. Copyright ? 2009 John Wiley & Sons, Ltd.
Subjects
Depression; Elderly; Gender difference; Heart rate variability
SDGs

[SDGs]SDG3

Other Subjects
adrenergic system; aged; article; autonomic nervous system; depression; female; geriatrics; health survey; heart function; heart rate variability; Hospital Anxiety and Depression Scale; human; major clinical study; male; morbidity; mortality; sex difference; vagus tone; Aged; Aged, 80 and over; Analysis of Variance; Anxiety; Depression; Depressive Disorder; Female; Heart Rate; Humans; Male; Psychiatric Status Rating Scales; Sex Factors; Statistics, Nonparametric; Taiwan
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science