This combination of covariates may account for the

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This combination of covariates may account for the biological difference between parents who suffered from depressive symptoms. Those elderly persons who suffered from major depression were 3.61 times (Table 1) more likely to experience the disorder if their biological mother had been reported as having depressive symptoms. Conversely, those who suffered from the disorder were only 1.58 times (Table 1) more likely to suffer if their biological father had been reported as having depressive symptoms. Elderly females represented 802 (72%) of the elderly sample (n=1057), which expressed diagnosable major depression. Given the female representation in the sample, it is understandable that the implications of a biological mother having depressive symptoms may be more influenced than that of a biological father having depressive symptoms. Conversely, the elderly prevalence rates of major depression significantly decline once the elderly person has exceeded 85 years of age (Table 1). The literature suggests that self-rated overall health and depressive symptoms were related to life satisfaction in women, whereas widowhood was significantly associated with lower life satisfaction among me (Berg et al., 2006). Life satisfaction is different for elderly women as it is for elderly men while the bereavement process has potentially taken place or the effects of DSI/I are less likely in this population range as chronic illness is more likely. Feelings of depression within the previous four weeks were significant at all four levels as compared to having no depressive symptoms during the previous four weeks (Table 1). Those who experienced depressive symptoms over the previous four weeks at least “most of the time” were more than six times (OR 6.05 LBL 4.07 UBL 8.99) more likely to suffer from major depression than those who report no depressive symptoms over the past four weeks. This finding would suggest that the elderly population is relatively aware of their own mental status as it relates to depression and a gap in care exists. Generally, the gap in care occurs within the primary care setting since most care within the United States is foremost initially established within the primary care setting. Previous articles suggest that the Patient Health Questionnaire (PHQ-9) is a valid measurement of depression as compared to more costly and timely testing (Lowe et al., 2004) while such administration of the PHQ-9 has also measure reliable when it was administered over the phone (Pinto-Meza et al., 2005). Moreover, another article suggests that
Journal of Business and Behavioral SciencesTwentieth Anniversary Issue 151 the PHQ-9 could even complement or replace more costly interview assessments as a lifetime measure (Cannon et al., 2007). As identified, primary care settings are the most optimal environment in which identification of elderly depression could be established. Previous literature refers to both the undertreatment of depression within the elderly as well as the

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