{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:47:35Z","timestamp":1785415655515,"version":"3.56.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"unspecified","delay-in-days":131,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Camb. prisms Glob. ment. health"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Depression commonly coexists with cardiovascular diseases (CVDs) in older adults, worsening functional outcomes, medication adherence and survival. In Nigeria, nationally representative data on depression among older adults with CVD are scarce. This study aimed to determine the prevalence of depression, identify key factors associated with depression and examine psychosocial and clinical correlates among older Nigerians receiving CVD care. A hospital-based cross-sectional study was conducted (March 2024\u2013July 2025) across 12 tertiary hospitals representing Nigeria\u2019s six geopolitical zones. A total of 918 adults aged \u226560\u00a0years with confirmed CVD were recruited using multistage sampling. Depression and functional status were assessed using a culturally adapted Depression Assessment Questionnaire incorporating the GDS-15 and Lawton IADL Scale. Data were analyzed using chi-square tests and multivariate logistic regression. Depressive symptoms were prevalent in 89.7% of participants. Independent factors associated with depression included age\u00a0\u2265\u00a070\u00a0years (AOR\u00a0=\u00a02.55), Christian affiliation (AOR\u00a0=\u00a04.65), alcohol use (AOR\u00a0=\u00a02.98), CVD duration \u22655\u00a0years (AOR\u00a0=\u00a05.68), comorbidities (AOR\u00a0=\u00a02.49) and medication dependence (AOR\u00a0=\u00a09.10). Living with family was protective. Sex, education, residence, smoking and functional status were not significant factors associated with depression. Depression is highly prevalent among older Nigerians with CVD. Integrating routine depression screening and psychosocial support into cardiovascular care is urgently needed.<\/jats:p>","DOI":"10.1017\/gmh.2026.10218","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:13:43Z","timestamp":1778577223000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Burden of depression among older Nigerian adults receiving outpatient cardiovascular disease care: A hospital-based cross-sectional study"],"prefix":"10.1017","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2882-5413","authenticated-orcid":false,"given":"Uchenna Cosmas","family":"Ugwu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01sn1yx84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Nigeria Nsukka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agatha Nneka","family":"Obayi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01sn1yx84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Nigeria Nsukka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuka Mackson","family":"Jones","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01sn1yx84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Nigeria Nsukka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osmond Chukwuemeka","family":"Ene","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01sn1yx84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Nigeria Nsukka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"S2054425126102180_r17","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/9.3_Part_1.179"},{"key":"S2054425126102180_r6","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1503"},{"key":"S2054425126102180_r23","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1300\/J018v05n01_09","article-title":"Geriatric depression scale (GDS): Recent evidence and development of a shorter version","volume":"5","author":"Sheikh","year":"1986","journal-title":"Clinical Gerontologist"},{"key":"S2054425126102180_r7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-292"},{"key":"S2054425126102180_r1","first-page":"e52847","article-title":"Prevalence of depression among older adults visiting the primary healthcare centers in Jizan City, Saudi Arabia: An analytical cross-sectional 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The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial licence (http:\/\/creativecommons.org\/licenses\/by-nc\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e107"}}