IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i7p3439-d524527.html
   My bibliography  Save this article

Exploring Factors Associated with Functional Change and Predictors of Participation Improvement—A Two Years Follow-Up on People with Depression

Author

Listed:
  • Wen-Chou Chi

    (Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan
    Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

  • Chia-Feng Yen

    (Department of Public Health, Tzu Chi University, Hualien 97004, Taiwan)

  • Tsan-Hon Liou

    (Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 11031, Taiwan
    Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Kwang-Hwa Chang

    (Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei 11031, Taiwan
    Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan)

  • Hua-Fang Liao

    (School and Graduate Institute of Physical Therapy, National Taiwan University, Taipei 10055, Taiwan)

  • Ya-Li Chang

    (Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Psychiatry, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

Abstract

The purpose of this study is to understand the functional status distribution and to explore the factors associated with changes in functional status and social participation in people with depression using two-year follow-up data. Subjects were selected from the Taiwan Databank of Persons with Disabilities (TDPD) if they had an evaluation date between July 2012 and 31 December 2017. We used data for 1138 individuals with multiple evaluation records and who were diagnosed with depression. The WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) was the primary functional status measure. Other factors selected from the TDPD included social demographic data, living situation, employment status, economic status, and educational level. The results show scores in all dimensions of the WHODAS 2.0 declined over two years, especially in the domains of cognition, household activities, social participation, and total WHODAS 2.0 score. Aging groups showed poor recovery in cognition, getting along with others, and household activities. People living in suburban areas showed poorer recovery than people living in rural and urban areas in cognition, self-care, and general function (total score of WHODAS 2.0). Employment was also strongly associated with functional recovery in household activities, social participation, and general function. The original scores for cognition and getting along with others showed a significant negative relationship with social participation improvement. Our results can be used by policy makers to provide resources and conduct investigations, and by clinicians when making rehabilitation plans.

Suggested Citation

  • Wen-Chou Chi & Chia-Feng Yen & Tsan-Hon Liou & Kwang-Hwa Chang & Hua-Fang Liao & Ya-Li Chang, 2021. "Exploring Factors Associated with Functional Change and Predictors of Participation Improvement—A Two Years Follow-Up on People with Depression," IJERPH, MDPI, vol. 18(7), pages 1-9, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3439-:d:524527
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/7/3439/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/7/3439/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Aleksej Bukov & Ineke Maas & Thomas Lampert, 2002. "Social Participation in Very Old Age," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(6), pages 510-517.
    2. Wen-Chou Chi & Kwang-Hwa Chang & Reuben Escorpizo & Chia-Feng Yen & Hua-Fang Liao & Feng-Hang Chang & Hung-Yi Chiou & Sue-Wen Teng & Wen-Ta Chiu & Tsan-Hon Liou, 2014. "Measuring Disability and Its Predicting Factors in a Large Database in Taiwan Using the World Health Organization Disability Assessment Schedule 2.0," IJERPH, MDPI, vol. 11(12), pages 1-14, November.
    3. Levasseur, M. & Cohen, A.A. & Dubois, M.-F. & Généreux, M. & Richard, L. & Therrien, F.-H. & Payette, H., 2015. "Environmental factors associated with social participation of older adults living in metropolitan, urban, and rural areas: The NuAge study," American Journal of Public Health, American Public Health Association, vol. 105(8), pages 1718-1725.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ai-Wen Hwang & Chia-Feng Yen & Hua-Fang Liao & Wen-Chou Chi & Tsan-Hon Liou & Ben-Sheng Chang & Ting-Fang Wu & Lin-Ju Kang & Shu-Jen Lu & Rune J. Simeonsson & Tze-Hsuan Wang & Gary Bedell, 2020. "Structural Validity of an ICF-Based Measure of Activity and Participation for Children in Taiwan’s Disability Eligibility Determination System," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    2. Levasseur, Mélanie & Richard, Lucie & Gauvin, Lise & Raymond, Émilie, 2010. "Inventory and analysis of definitions of social participation found in the aging literature: Proposed taxonomy of social activities," Social Science & Medicine, Elsevier, vol. 71(12), pages 2141-2149, December.
    3. Zhenhua Zheng & Hong Chen & Liu Yang, 2019. "Transfer of Promotion Effects on Elderly Health with Age: From Physical Environment to Interpersonal Environment and Social Participation," IJERPH, MDPI, vol. 16(15), pages 1-15, August.
    4. Chi Zhang & Yinan Zhao & Xi Chen & Xiaoyang Li & Qingcai Liu & Ruotong Peng & Yifei Chen & Hui Feng, 2023. "Trajectories of Social Participation and Its Predictors in Older Adults: Based on the CLHLS Cohorts from 2002 to 2018," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    5. Giovanis, Eleftherios & Akdede, Sacit Hadi, 2023. "Cultural Integration of First-Generation Immigrants: Evidence from European Union Countries," MPRA Paper 117259, University Library of Munich, Germany.
    6. Yuki Soma & Ayane Sato & Kenji Tsunoda & Naruki Kitano & Takashi Jindo & Takumi Abe & Tomohiro Okura, 2021. "Relationships between Participation in Volunteer-Managed Exercises, Distance to Exercise Facilities, and Interpersonal Social Networks in Older Adults: A Cross-Sectional Study in Japan," IJERPH, MDPI, vol. 18(22), pages 1-11, November.
    7. Viniece Jennings, 2019. "Social Cohesion and City Green Space: Revisiting the Power of Volunteering," Challenges, MDPI, vol. 10(2), pages 1-4, September.
    8. Le Yang & Jingmin Cheng & Hongman Wang, 2021. "Place of Residence and Cognitive Function in Older Adults in China: The Mediating Role of Social Participation," IJERPH, MDPI, vol. 19(1), pages 1-10, December.
    9. M. Kauppi & K. C. Prakash & M. Virtanen & J. Pentti & V. Aalto & T. Oksanen & M. Kivimäki & J. Vahtera & S. Stenholm, 2021. "Social relationships as predictors of extended employment beyond the pensionable age: a cohort study," European Journal of Ageing, Springer, vol. 18(4), pages 491-501, December.
    10. Kazushige Ide & Taishi Tsuji & Satoru Kanamori & Seungwon Jeong & Yuiko Nagamine & Katsunori Kondo, 2020. "Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    11. Nor Hana Ahmad Bahuri & Hussein Rizal & Mas Ayu Said & Phyo Kyaw Myint & Tin Tin Su, 2022. "Active Ageing Awareness and Quality of Life among Pre-Elder Malaysian Public Employees," IJERPH, MDPI, vol. 19(15), pages 1-19, July.
    12. Daichi Okabe & Taishi Tsuji & Masamichi Hanazato & Yasuhiro Miyaguni & Nao Asada & Katsunori Kondo, 2019. "Neighborhood Walkability in Relation to Knee and Low Back Pain in Older People: A Multilevel Cross-Sectional Study from the JAGES," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    13. Chen, Jen-Hao & Lauderdale, Diane S. & Waite, Linda J., 2016. "Social participation and older adults' sleep," Social Science & Medicine, Elsevier, vol. 149(C), pages 164-173.
    14. Chia-Ying Kuo & Tsan-Hon Liou & Kwang-Hwa Chang & Wen-Chou Chi & Reuben Escorpizo & Chia-Feng Yen & Hua-Fang Liao & Hung-Yi Chiou & Wen-Ta Chiu & Jo-Ting Tsai, 2015. "Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0," IJERPH, MDPI, vol. 12(4), pages 1-12, April.
    15. Ana Virgolino & Francisco Antunes & Osvaldo Santos & Andreia Costa & Margarida Gaspar de Matos & Cristina Bárbara & Manuel Bicho & Cátia Caneiras & Raquel Sabino & Maria Sofia Núncio & Olga Matos & Ri, 2020. "Towards a Global Perspective of Environmental Health: Defining the Research Grounds of an Institute of Environmental Health," Sustainability, MDPI, vol. 12(21), pages 1-24, October.
    16. Sohn, Sung Yun & Joo, Won-tak & Kim, Woo Jung & Kim, Se Joo & Youm, Yoosik & Kim, Hyeon Chang & Park, Yeong-Ran & Lee, Eun, 2017. "Social network types among older Korean adults: Associations with subjective health," Social Science & Medicine, Elsevier, vol. 173(C), pages 88-95.
    17. Aïda Solé-Auró & Bruno Arpino, 2024. "Gender inequalities in social club participation in Europe: the role of women’s empowerment at the country level," Quality & Quantity: International Journal of Methodology, Springer, vol. 58(4), pages 3655-3672, August.
    18. Roberto Falanga & Andreas Cebulla & Andrea Principi & Marco Socci, 2020. "The Participation of Senior Citizens in Policy-Making: Patterning Initiatives in Europe," IJERPH, MDPI, vol. 18(1), pages 1-21, December.
    19. He, Sylvia Y. & Cheung, Yannie H.Y. & Tao, Sui, 2018. "Travel mobility and social participation among older people in a transit metropolis: A socio-spatial-temporal perspective," Transportation Research Part A: Policy and Practice, Elsevier, vol. 118(C), pages 608-626.
    20. Elena Dragioti & Björn Gerdle & Lars-Åke Levin & Lars Bernfort & Huan-Ji Dong, 2021. "Association between Participation Activities, Pain Severity, and Psychological Distress in Old Age: A Population-Based Study of Swedish Older Adults," IJERPH, MDPI, vol. 18(6), pages 1-14, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3439-:d:524527. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.