P1-070: EFFECTS OF MULTI-DOMAIN COGNITIVE TRAINING ON COGNITIVE PERFORMANCE, DEPRESSIVE SYMPTOMS, AND QUALITY OF LIFE IN COMMUNITY-DWELLING ELDERLY

ABSTRACTBackground:Depression is closely associated with quality of life (QOL) in older adults. Being elderly and exhibiting mild depressive symptoms may not lead to a depression diagnosis, but these attributes are clinically important. However, the extent to which these factors influence QOL and its determinants in older adults remains unclear.Methods:Questionnaires were administered to people aged 65 years or older at community senior centers in Taiwan to collect socio-demographic information and to assess results from the brief version of the World Health Organization's Quality of Life instrument (WHOQOL-BREF), Modified Barthel Index (MBI), 15-item Geriatric Depression Scale (GDS), and Mini-Mental State Examination (MMSE). Levels of depressive symptoms were classified as no depressive symptoms (NDS), lower level of depressive symptoms (LLDS), and higher level of depressive symptoms (HLDS), corresponding to GDS = 0, 1≦GDS≦5, and GDS>5, respectively. Multiple linear regression analyses were conducted to assess associations between the WHOQOL-BREF and its covariates for different levels of depressive symptoms.Results:A total of 454 older adults participated. The GDS and MBI scores significantly affected the WHOQOL-BREF physical and psychological domain scores in the LLDS group. Gender influenced the WHOQOL-BREF scores in the NDS group, and increased age demonstrated protective effects on the three domains in the HLDS group. Moreover, the association between the WHOQOL-BREF and its covariates varied for different levels of depressive symptoms.Conclusions:Treatment for depressive symptoms is of high priority, and early recognition of and appropriate intervention for mild depressive symptoms may improve community-dwelling older adults’ QOLs.

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Depression, social support, executive functioning, functionality, and quality of life in institutionalized elderly people

Psychology Community & Health ◽

10.5964/pch.v8i1.337 ◽

2020 ◽

Vol 8 (1) ◽

pp. 288-302

Author(s):

Anabela Ribeiro ◽

Beatriz Rosa ◽

Jorge Oliveira ◽

Paulo Lopes

Keyword(s):

Quality Of Life ◽

Social Support ◽

Depressive Symptoms ◽

Executive Functioning ◽

Cognitive Performance ◽

Social Isolation ◽

Cognitive Flexibility ◽

Neuropsychological Tests ◽

Daily Living

Aim Our aim was to study the executive functioning, functionality, and quality of life of institutionalized old aged persons and to determine the potential roles of self-reported depression and satisfaction with social support on these domains. Method The sample comprised 36 volunteers (13 males and 23 females) aged between 71 and 94 years. The measures used consisted of well-established battery of neuropsychological tests. A comparative study was performed. Results Participants with depressive symptoms shown impaired executive functioning. Cognitive flexibility, functionality in instrumental activities of daily living, and quality of life are more affected in participants with higher levels of depression that also report higher levels of satisfaction with social support. Conclusion This result is intriguing and may highlight the relevance of considering not only depression, but also factors related to social isolation and loneliness in the explanation of cognitive performance, functionality, and quality of life.

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308 Depressive symptoms and quality of life in heart failure patients compared with community dwelling elderly

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(07)60185-4 ◽

2007 ◽

Vol 6 (1) ◽

pp. 67-68

Author(s):

I LESMANLEEGTE ◽

T JAARSMA ◽

R SANDERMAN ◽

H HILLEGE ◽

D VANVELDHUISEN

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Depressive Symptoms ◽

Community Dwelling ◽

Heart Failure Patients

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Predictors of self- and caregiver-rated quality of life for people with dementia living in the community and in nursing homes in northern Taiwan

International Psychogeriatrics ◽

10.1017/s1041610214002506 ◽

2014 ◽

Vol 27 (5) ◽

pp. 825-836 ◽

Cited By ~ 13

Author(s):

Hsiu-Li Huang ◽

Li-Chueh Weng ◽

Yu-Hsia Tsai ◽

Yi-Chen (Yulanda) Chiu ◽

Kang-Hua Chen ◽

...

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Depressive Symptoms ◽

Demographic Variables ◽

Community Dwelling ◽

Key Factors ◽

Dyadic Relationship ◽

Dementia Severity ◽

People With Dementia

ABSTRACTBackground:Factors affecting quality of life (QOL) ratings for people with dementia (PWD) have been well studied, but few studies have examined the effect of residence on PWD- and caregiver-rated QOL for PWDs. We designed this study to determine the factors related to PWD- and caregiver-rated QOL in dementia as well as factors related to the discrepancy in these ratings.Methods:For this cross-sectional study, we analyzed data from a convenience sample of 106 PWD-family caregiver dyads (58 community-dwelling dyads and 48 nursing-home dyads). PWDs’ data included socio-demographic variables, QOL (assessed by the Quality of Life-Alzheimer's Disease [QOL-AD] scale), cognition, dementia severity, depression, comorbidities, and quality of the dyadic relationship. Caregivers’ data included socio-demographic variables, depressive symptoms, and mutuality of the dyadic relationship.Results:QOL-AD scores were lower when rated by caregivers than by PWDs. The key factors positively related to both PWD- and caregiver-rated QOL for PWDs were fewer PWD depressive symptoms and higher quality of the PWD-caregiver relationship. The key factors related to the discrepancy in PWD- and caregiver-rated QOL in dementia were PWD residence in a nursing home and lower dementia severity, as well as higher caregiver depression, being an adult child caregiver, and lower caregiver-PWD mutuality.Conclusion:Caregiver-rated QOL for PWDs and the discrepancy in rated QOL were significantly associated with PWD residence. If caregiver-rated QOL is needed, the effect of residence of PWD should be taken into consideration. Caregivers’ depressive status and mutuality with PWD must be also carefully assessed.

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109 Impact of Transport Mode on Psychosocial Wellbeing in Community-dwelling Adults Aged ≥50 years: Results from TILDA

Age and Ageing ◽

10.1093/ageing/afz103.64 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii17-iii65

Author(s):

Orna Donoghue ◽

Christine McGarrigle ◽

Rose Anne Kenny

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Public Transport ◽

Interaction Analysis ◽

Community Dwelling ◽

Transport Mode ◽

Positive Effects ◽

Psychosocial Wellbeing ◽

Independent Travel

Abstract Background Older adults with access to a car report increased social participation, better quality of life and better mental health. Existing research often compares the car to public transport, however we hypothesise that individuals who drive themselves or are driven by spouses have better outcomes compared to those driven by family or friends or taking public transport. This study examined how differences in transport mode affect psychosocial wellbeing in community-dwelling adults aged ≥50 years in Ireland. Methods Data were collected from 8092 adults during wave 1 of The Irish Longitudinal Study on Ageing (TILDA), a nationally representative cohort study. Participants indicated their most frequent mode of transport: car, car (driven by partner/spouse), car (driven by family/friends/taxi), public transport. Regression analysis was used to examine associations between transport mode with depressive symptoms, quality of life and loneliness. Results 89.8% of adults travel most frequently by car with 72.2% driving themselves. Driving was independently associated with lower depressive symptoms (beta=-1.9, 95% CI: -2.59, -1.30, p<0.001) and loneliness (beta =-0.45, 95% CI: -0.70, -0.21, p<0.001) and better quality of life OR=4.11, 95% CI: 3.13, 5.08, p<0.001) compared to relying on lifts from family/friends/taxi. Being driven by a spouse/partner or taking public transport were also associated with more positive effects although to a lesser extent. Interaction analysis showed that men who regularly travelled by public transport had higher loneliness scores than women (beta=0.67, 95% CI: 0.16, 1.18, p<0.05). Conclusion Most adults aged ≥50 years in Ireland rely on the car for transport. Driving, being driven by a spouse/partner or taking public transport are associated with better psychosocial wellbeing compared to being driven by others, highlighting the importance or independent travel, whether by car or public transport. Opportunities to support this should be considered when planning the future transport needs of ageing populations.

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Changes in Cognition, Depression and Quality of Life after Carotid Stenosis Treatment

Current Neurovascular Research ◽

10.2174/1567202616666190129153409 ◽

2019 ◽

Vol 16 (1) ◽

pp. 47-62 ◽

Cited By ~ 1

Author(s):

Elina Pucite ◽

Ildze Krievina ◽

Evija Miglane ◽

Renars Erts ◽

Dainis Krievins ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Cognitive Function ◽

Carotid Artery ◽

Carotid Stenosis ◽

Cognitive Performance ◽

Best Medical Treatment ◽

Significant Difference ◽

Kendall’S W

Background:Although several studies have evaluated the change of cognitive performance after severe carotid artery stenosis, the results still remain elusive. The objective of this study was to assess changes in cognitive function, depressive symptoms and Health Related Quality of Life (HRQoL) after carotid stenosis revascularisation and Best Medical Treatment (BMT).Methods:Study involved 213 patients with ≥70% carotid stenosis who underwent assessment of cognitive function using Montreal Cognitive Assessment scale (MoCA), depressive symptoms - using Patient Health Questionnaire-9 (PHQ-9) and HRQoL - using Medical Outcome Survey Short Form version 2 (SF-36v2). The assessment was performed before and at 6 and 12 months followup periods in patients who had Carotid Endarterectomy (CEA), Carotid Artery Stenting (CAS) or received BMT only.Results:Improvement in the total MoCA scores was observed after 6 and 12 months (p<0.001, Kendall's W=0.28) in the CEA group. In the CAS group - after 12 months (p=0.01, Kendall's W=0.261) whereas in the BMT group - no significant changes (p=0.295, Kendall's W=0.081) were observed. Reduction of depressive symptoms was not found in any of the study groups. Comparing mean SF-36v2 scores in the CEA group, there was no significant difference in any of 10 subscales. Likewise in the CAS group - no significant difference in 9 of 10 subscales (p=0.028, η2=0.343) was observed. Three subscales worsened in the BMT group during the 1-year follow-up period.Conclusion:Patients with severe carotid stenosis who underwent revascularisation enhanced their cognitive performance without exerting significant change of depressive symptoms. Preoperative HRQoL may be maintained for at least one year in the CEA group.

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1370: The impact of depressive symptoms and quality of life in HF patients compared with community dwelling elderly

European Journal of Cardiovascular Nursing ◽

10.1016/j.ejcnurse.2007.01.064 ◽

2007 ◽

Vol 6 (1_suppl) ◽

pp. 40-40

Author(s):

Ivonne Lesman-Leegte ◽

Tiny Jaarsma ◽

Robbert Sanderman ◽

Hans L. Hillege ◽

Dirk J. Van Veldhuisen

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Community Dwelling ◽

The Impact

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Analysis of life quality and prevalence of cognitive impairment, anxiety, and depressive symptoms in older adults

Estudos de Psicologia (Campinas) ◽

10.1590/1982-02752017000200007 ◽

2017 ◽

Vol 34 (2) ◽

pp. 261-268 ◽

Cited By ~ 3

Author(s):

Michele Marinho da SILVEIRA ◽

Mirna Wetters PORTUGUEZ

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Cognitive Performance ◽

Depression Scale ◽

World Health ◽

Depression Symptoms ◽

World Health Organization Quality

Abstract The development of anxiety, depressive symptoms, and a decrease in cognitive performance can affect older adults’ quality of life. The objective of this cross-sectional study was to analyze quality of life and determine the prevalence of cognitive impairment, anxiety, and depression symptoms in senior center participants. A total of 120 older adults living in the city of Passo Fundo, RS, Brazil, participated in this study. The convenience sampling technique was used. All participants answered questions relative to socio-demographic variables, quality of life (World Health Organization Quality of Life-Bref), cognitive performance (Addenbrooke’ Cognitive Examination), and emotional state (Geriatric Depression Scale and Beck Anxiety Inventory). The prevalence of anxiety, depressive symptoms, and cognitive impairment were low indicating satisfactory quality of life of the older adults investigated.

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Psychiatric disturbances in patients undergoing open-heart surgery

Middle East Current Psychiatry ◽

10.1186/s43045-019-0004-9 ◽

2019 ◽

Vol 26 (1) ◽

Author(s):

Osama Younes ◽

Reham Amer ◽

Hosam Fawzy ◽

Gamal Shama

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Cognitive Performance ◽

Heart Surgery ◽

Psychiatric Symptoms ◽

Open Heart Surgery ◽

Open Heart ◽

Adult Intelligence Scale ◽

Quality Of Life Scale

Abstract Background Emotional and behavioral problems have been noted in a considerable number of patients after open-heart surgery. However, great discrepancy exists in the literature regarding the frequency and the course of psychiatric symptoms, cognitive performance, and quality of life among those patients. This prospective study was designed to assess the pre- and postoperative psychiatric profile, as well as the quality of life of patients undergoing open-heart surgery. Methods One hundred patients who were prepared for cardiac surgery and met our selection criteria were recruited in this study. Each patient was subjected to the Hospital Anxiety and Depression Scale, the Mini-Mental State Examination with selective subtests of Wechsler Adult intelligence scale, and the Short Form 36 questionnaire to assess psychiatric symptoms, cognitive performance, and quality of life respectively. Assessment was done for each of the evaluated items before surgery as well as at 1 week and 6 months postoperatively. Results The anxiety and depressive symptoms were significantly lower at 6 months postoperatively than preoperatively. The cognitive performance declined after 1 week, then improved significantly at the 6-month follow-up. The quality of life scale was significantly lower preoperatively than after surgery. Conclusions Anxiety and depressive symptoms, which occurred in substantial percentage of patients undergoing open-heart surgery, were gradually improved with time. Cognitive functions showed early deterioration with significant improvement at 6 months. Psychiatric problems had an adverse impact on patients’ quality of life which raised the importance of psychiatric consultation before and after cardiac surgeries to shorten recovery time.

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