Soutien social et symptômes dépressifs au sein des personnes âgées

Author(s):  
Philippe Landreville ◽  
Philippe Cappeliez

ABSTRACTThere is great interest in identifying psychological and social variables associated with depressive symptoms in older adults. The goal of this article is to review the literature on the relationship between social support and depressive symptoms in the elderly and to identify the mechanisms involved in this relationship. The review indicates that both structural and functional dimensions of social support are inversely related to depressive symptoms in elderly persons. In addition, there is evidence supporting both the main effect model and the buffering effect model of social support. It is unclear, however, whether observation of these effects depends on the type of measure used to assess social support. A better understanding of the relationship between social support and depression requires the consideration of more precise dimensions of social support as well as the nature of the Stressors experienced by older people.

1995 ◽  
Vol 10 (4) ◽  
pp. 273-283 ◽  
Author(s):  
Julie L. Crouch ◽  
Joel S. Milner ◽  
John A. Caliso

This study investigated the extent to which an interactional model, relative to a main effect model, predicts the relationship between childhood physical abuse, perceived social support, and various aspects of socioemotional functioning in adult women. The results indicated that perceived social support during childhood was significantly related to subsequent levels of adult depression, trait anxiety, and child abuse potential in a manner consistent with a main effect model. Childhood history of physical abuse was related only to adult child abuse potential. Implications and study limitations are discussed.


2012 ◽  
Vol 20 (4) ◽  
pp. 677-684 ◽  
Author(s):  
Tábatta Renata Pereira de Brito ◽  
Sofia Cristina Iost Pavarini

The objective of this study was to identify the relationship between social support and the functional capacity of elderly persons with cognitive alterations. It is a descriptive, cross-sectional and quantitative study. The subjects were 101 elderly persons registered in Family Health Centers whose performance in the Mini-Exam for Mental Status was below a certain specified level in a previous study. The Medical Outcomes Study questionnaire, Katz Index and Pfeffer Questionnaire were applied. The dimensions of material, affective, emotional, informational and positive social interaction support resulted in an average final score of 74.32 points, indicating a better level of material and affective support in relation to the other dimensions of support. There was a statistically significant correlation between emotional support and the Katz Index. Knowledge about this relationship favors the development of a nursing care pathway for the elderly which is capable of maintaining their functional capacity and ensuring satisfactory social relations.


Author(s):  
Ash Genaidy

Background The elderly multi-morbid patient is at high risk of adverse outcomes with COVID-19 complications, and in the general population, the development of incident AF is associated with worse outcomes in such patients. We therefore investigated incident AF risks in a large prospective population of elderly patients with/without incident COVID-19 cases and baseline cardiovascular/non-cardiovascular multi-morbidities. We used two approaches: main-effect modeling and secondly, a machine-learning (ML) approach accounting for complex dynamic relationships. Methods We studied a prospective elderly US cohort of 280592 patients from medical databases in a 8-month investigation of new COVID19 cases. Incident AF outcomes were examined in relationship to diverse multi-morbid conditions, COVID-19 status and demographic variables, with ML accounting for the dynamic nature of changing multimorbidity risk factors. Results Multi-morbidity contributed to the onset of confirmed COVID-19 cases with cognitive impairment (OR 1.69; 95%CI 1.52-1.88), anemia (OR 1.41; 95%CI 1.32-1.50), diabetes mellitus (OR 1.35; 95%CI 1.27-1.44) and vascular disease (OR 1.30; 95%CI 1.21-1.39) having the highest associations. A main effect model (C-index value 0.718) showed that COVID-19 had the highest association with incident AF cases (OR 3.12; 95%CI 2.61-3.710, followed by congestive heart failure (1.72; 95%CI 1.50-1.96), then coronary artery disease (OR 1.43; 95%CI 1.27-1.60) and valvular disease (1.42; 95%CI 1.26-1.60). The ML algorithm demonstrated improved discriminatory validity incrementally over the statistical main effect model (training: C-index 0.729, 95%CI 0.718-0.740; validation: C-index 0.704, 95%CI 0.687-0.72). Calibration of ML based formulation was satisfactory and better than the main-effect model. Decision curve analysis demonstrated that the clinical utility for the ML based formulation was better than the ‘treat all’ strategy and the main effect model. Conclusion COVID-19 status has major implications for incident AF in a cohort with diverse cardiovascular/non-cardiovascular multi-morbidities. Our approach accounting for dynamic multimorbidity changes had good prediction for incident AF amongst incident COVID19 cases.


2021 ◽  
Vol VI (II) ◽  
pp. 36-43
Author(s):  
Umara Rauf ◽  
Uzma Sarwar ◽  
Rafit Saheed

The purpose of this research is to investigate the association of perceived social support (PSS) and depression in middle and older aged people. A random sample of 126 elderly persons, age between 40 years to 75 years, were selected from different areas of Karachi. A demographic data sheet was administered along with study scales. To explore the relationship, correlation coefficient and linear regression were applied. Findings revealed a significant negative relationship between perceived social support and depression (p<.000) in middle and older-aged adults and in male and female middle and older-aged adults, respectively. Further, the analysis revealed that PSS has the potential to bring .09%, .10%, and .06% change in depression among the whole sample and among elderly males and females. Provision and utilization of adequate support systems for the elderly can be beneficial in treating emotional problems and enhance the well-being of this population.


1989 ◽  
Vol 28 (4) ◽  
pp. 239-249 ◽  
Author(s):  
Linda L. Viney ◽  
Yvonne N. Benjamin ◽  
Carol Preston

Mourning and reminiscence are therapeutic processes common in therapeutic work with the elderly. However, a theoretical explanation of why they are effective has been lacking. Personal construct theory accounts for both in terms of the search of elderly persons for validation of their construct systems. In this article, this explanation of the parallel psychotherapeutic processes is explored, together with relevant information from the literature on mourning and reminiscence. Therapeutic case studies illustrate the characteristics of the two processes and the relationship between them.


Author(s):  
Nathan L. Linsk

A substantial and increasing number of people have developed HIV infections in their later years, most associated with male-to-male sexual contact or blood transfusions, although transmission also occurs through substance users and unsafe heterosexual activity. Human service practitioners need to become sensitive to the needs of elderly people and their families who are affected by HIV/AIDS. Prevention may be incorporated as part of initial engagement and assessment of elderly persons, and service packages may be developed for older persons who are infected or provide care for HIV-infected persons. Issues of confidentiality, social support, family care, and nondiscrimination are critical concerns in serving this population.


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