Unrecognized depression in community-dwelling elderly persons in Istanbul

2004 ◽  
Vol 17 (2) ◽  
pp. 303-312 ◽  
Author(s):  
Isin Baral Kulaksizoglu ◽  
Hakan Gürvit ◽  
Aslihan Polat ◽  
Hande Harmanci ◽  
Sibel Cakir ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Old Age ◽  
Depressive Disorders ◽  
Demographic Data ◽  
Depression Scale ◽  
Developed Countries ◽  
Community Dwelling ◽  
Elderly Persons ◽  
Depressed Group ◽  
Old Age Depression

Objective: Depression, one of the most prevalent psychiatric disorders, causes disability and reduces quality of life. Rates of clinical depression in community samples of older adults range between 1–16%. Most studies of old age depression have been conducted in developed countries. The present study was conducted to determine the prevalence of depressive disorders among Turkish elderly in an urban community.Method: This study was carried out in the Kadiköy district of Istanbul. The sample for the cross-sectional part of the study was 1067 individuals age 70 or older, randomly selected from population registries. Geriatric Depression Scale (GDS), Mini-mental State Examination (MMSE) scores and demographic data were obtained by face-to-face home interviews. The data were analyzed using regression analysis for each variable.Results: The study group consisted of 623 (61%) females and 395 (39%) males. The mean age was 74.8 years, with 63% of subjects aged 70–74, 29% between 75–84 years old and 8% aged 85 and above. Sixteen percent (n=163) of the total group scored 14 or higher on the GDS. Only 9% of the depressed group were on antidepressant medication. Logistic regression analysis indicated that significant predictors for higher scores GDS scores were: illiteracy, aged 75–79 yrs, female sex and having 4 or more children.Conclusion: Depression is a common but unrecognized and thus untreated problem among the elderly population in Turkey. While gender and age are unmodifiable, education level and multiparity can be altered. Education of caregivers and medical staff about old age depression may increase its rate of detection and facilitate improved treatment.

scholarly journals Association between Neighborhood Environment and Quality of Sleep in Older Adult Residents Living in Japan: The JAGES 2010 Cross-Sectional Study

2020 ◽  
Vol 17 (4) ◽  
pp. 1398
Author(s):  
Michiko Watanabe ◽  
Yugo Shobugawa ◽  
Atsushi Tashiro ◽  
Asami Ota ◽  
Tsubasa Suzuki ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Environmental Factors ◽  
Sleep Quality ◽  
Low Income ◽  
Depression Scale ◽  
Living Environment ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Poor Sleep

Poor sleep is associated with lifestyle, however, few studies have addressed the association between sleep quality and the neighborhood environment. This study aimed to investigate the associations between living environment factors and sleep quality in older people. Participants were community-dwelling people aged ≥65 years who participated in the 2010 Japanese Gerontological Evaluation Study. The data of 16,650 people (8102 men, 8548 women) were analyzed. Sleep quality (good or poor) was evaluated using a self-administered questionnaire. Multilevel Poisson regression analysis stratified by depressive status (measured by the Geriatric Depression Scale-15 [GDS]) was conducted with sleep quality as the dependent variable and social and physical environmental factors as explanatory variables. The 12,469 non-depressive respondents and 4181 depressive respondents were evaluated. The regression analysis indicated that non-depressive participants slept better if they lived in environments with few hills or steps (prevalence ratio [PR] = 0.75, 95% CI: 0.56–0.9) and with places where they felt free to drop in (PR = 0.51, 95% CI: 0.26–0.98). For depressive participants, these associations were not evident. Living alone, poor self-rated health, low income, and unemployment were associated with poor sleep quality. In addition to support with these individual factors, improving environmental factors at the neighborhood level may improve the sleep quality of community-dwelling older adults.

Impact of illiteracy on depression symptomatology in community-dwelling older adults

2014 ◽  
Vol 26 (10) ◽  
pp. 1669-1678 ◽  
Author(s):  
Byung-Soo Kim ◽  
Dong-Woo Lee ◽  
Jae Nam Bae ◽  
Sung Man Chang ◽  
Shinkyum Kim ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Reading Ability ◽  
Reference Group ◽  
Short Form ◽  
Depression Scale ◽  
Community Dwelling ◽  
Elderly Persons ◽  
Elderly Individuals ◽  
Depression Symptomatology ◽  
The Impact

AbstractBackground:In many countries, illiteracy rates among aged people are quite high. However, only few studies have specifically investigated the impact of illiteracy on depression.Methods:Data for 1,890 elderly individuals (aged ≥65 years) were obtained from a nationwide dementia epidemiological study conducted in South Korea. Based on their reading ability, the participants were divided into three groups: totally illiterate, partially illiterate, and literate. The Korean version of the Geriatric Depression Scale – Short Form (SGDS-K) was used to detect depression (cut-off score = 8). Multivariate logistic regression analyses were used to assess the association between illiteracy and depression. To explore clinical features of depression in illiterate people, we performed logistic regression to calculate odds ratios of positive responses (or negative responses to reverse-coded items) for each SGDS-K item using literate individuals as the reference group.Results:Totally illiterate participants had 2.41 times the odds and partially illiterate individuals had 1.59 times the odds of being depressed compared with literate participants after controlling for other variables. Compared with literate individuals, illiterate elderly persons were at increased odds for responding negatively to the majority of SGDS-K items, including “having memory problems,” “others are better off than me,” and “feeling worthless” even after controlling for various demographic and clinical factors.Conclusions:Illiteracy in elderly individuals was associated with a higher rate and increased severity of depression. Illiteracy negatively affected depression symptomatology, especially factors associated with self-esteem. Therefore, clinicians should carefully monitor for the presence of depression in illiterate elderly adults.

scholarly journals Selected sociodemographic and clinic alpredictors of the clock drawing test performance in Polish community dwelling seniors

2020 ◽  
Vol 21 (4) ◽  
pp. 187-190
Author(s):  
Paula Chibowska ◽  
◽  
Katarzyna Nowicka-Sauer ◽  
Emilia J. Sitek ◽  
◽  
...  
Keyword(s):  
Regression Analysis ◽  
Depression Scale ◽  
Community Dwelling ◽  
Elderly Subjects ◽  
Short Version ◽  
Cognitive Screening ◽  
Clock Drawing Test ◽  
Clock Drawing ◽  
Drawing Test ◽  
Wu Method

Objectives: The clock drawing test (CDT) is a commonly used cognitive screening test. The purpose of this study was to investigate the effect of selected sociodemographic, clinical and lifestyle factors on the CDT performance in the Polish elderly population. Methods: CDT performance was assessed in 399 elderly subjects randomly selected out of all participants of a nationwide study on aging, PolSenior2, who met the inclusion criteria. CDT was scored using the Manos–Wu method. The short version of the Geriatric Depression Scale (15-item GDS) was used as a mood measuring tool. Results: Our study revealed a significant relationship between CDT performance and age. Multivariate regression analysis demonstrated also that interactions between reading newspapers and gender and between playing games and GDS score were independent predictors of an incorrect CDT. Of note, even though years of education were related to the CDT score (0–10) in the correlation analysis, education did not predict the global CDT score in the regression analysis. Conclusions: Advanced age was related to incorrect CDT performance. Engagement in some leisure activities may predict the CDT score, while global CDT performance, as assessed by the Manos–Wu method, is relatively unaffected by education.

Cognitive deficits in unipolar old-age depression: a population-based study

2013 ◽  
Vol 44 (5) ◽  
pp. 937-947 ◽  
Author(s):  
A. Pantzar ◽  
E. J. Laukka ◽  
A. R. Atti ◽  
J. Fastbom ◽  
L. Fratiglioni ◽  
...  
Keyword(s):  
Cognitive Performance ◽  
Old Age ◽  
Cognitive Deficits ◽  
Processing Speed ◽  
Unipolar Depression ◽  
Population Based ◽  
Cognitive Test ◽  
Elderly Persons ◽  
Mild Depression ◽  
Old Age Depression

BackgroundThere is substantial variability in the degree of cognitive impairment among older depressed persons. Inconsistencies in previous findings may be due to differences in clinical and demographic characteristics across study samples. We assessed the influence of unipolar depression and severity of depression on cognitive performance in a population-based sample of elderly persons aged ⩾60 years.MethodEighty-nine persons fulfilled ICD-10 criteria for unipolar depression (mild, n = 48; moderate, n = 38; severe, n = 3) after thorough screening for dementia (DSM-IV criteria), psychiatric co-morbidities and antidepressant pharmacotherapy. Participants (n = 2486) were administered an extensive cognitive test battery.ResultsModerate/severe unipolar depression was associated with poorer performance on tasks assessing processing speed, attention, executive function, verbal fluency, episodic memory and vocabulary. Mild depression was associated with poorer performance in processing speed, and few differences between mild and moderate/severe depression were observed. No association between depression and short-term memory, general knowledge or spatial ability was observed. Increasing age did not exacerbate the depression-related cognitive deficits, and the deficits remained largely unchanged after excluding persons in a preclinical phase of dementia. Furthermore, depression-related cognitive deficits were not associated with other pharmacological treatments that may affect cognitive performance.ConclusionsCognitive deficits in unipolar old-age depression involve a range of domains and the cognitive deficits seem to follow the spectrum of depression severity. The finding that mild depression was also associated with poorer cognitive functioning underscores the importance of detecting mild depression in elderly persons.

scholarly journals Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

2020 ◽  
Vol 17 (18) ◽  
pp. 6549
Author(s):  
Camilla Wahida Norazman ◽  
Siti Nur’Asyura Adznam ◽  
Rosita Jamaluddin
Keyword(s):  
Multinomial Logistic Regression ◽  
Short Form ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Cognitive Status ◽  
Community Dwelling ◽  
Geriatric Syndrome ◽  
Elderly Persons ◽  
Frailty Syndrome ◽  
Urban Living

Frailty is a multidimensional syndrome, which is a worldwide concern within the field of geriatrics due to the aggravating effect on the physical and mental functions of the elderly. This study aimed to determine the prevalence and risk factors of the frailty syndrome among urban-living community-dwelling elderly in Malaysia. A cross-sectional study was conducted among 301 community-dwelling elders. Frailty status was assessed using the Fried phenotype criteria. Depressive symptoms were assessed using the Geriatric Depression Scale (M-GDS-14), whereas the functional abilities and cognitive status were measured using the Lawton Instrumental Activities of Daily Living (Lawton IADL) scale and the Mini-Mental State Examination (MMSE-M), respectively. Malnutrition risk was observed through the abridged version (Short Form) of the Mini Nutritional Assessment (MNA-SF). Multinomial logistic regression analysis was employed to determine the significant predictors of the frailty syndrome. Three hundred and one elderly persons engaged in this study, with a mean age of 67.08 ± 5.536 ranging between 60 to 84 years old. The prevalence values of frailty and pre-frail were 15.9% and 72.8%, respectively, in which women appeared to be at a higher risk of frailty. The multivariate model revealed that frailty could be predicted from an increase in age, lower household income, being at risk of malnutrition, wasting (low skeletal muscle mass), and high serum C-reactive protein (CRP) level. A holistic approach is suggested for managing the frailty syndrome as it involves a decline in the multiple components of the geriatric syndrome.

scholarly journals Advanced Activities of Daily Living (AADLs) and cognitive performance in community-dwelling elderly persons: Data from the FIBRA Study - UNICAMP

2016 ◽  
Vol 19 (1) ◽  
pp. 7-20 ◽  
Author(s):  
Giovana Sposito ◽  
Anita Liberalesso Neri ◽  
Mônica Sanches Yassuda
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Depressive Symptoms ◽  
Activities Of Daily Living ◽  
Cognitive Performance ◽  
Daily Living ◽  
Family Income ◽  
Community Dwelling ◽  
Multivariate Linear Regression Analysis ◽  
Elderly Persons

Objective The aim of this study was to investigate the relationship between participation in advanced activities of daily living (AADLs) and cognitive performance in community-dwelling elderly persons. Method The data presented is drawn from the population-based study entitled Frailty Profile of Elderly Brazilians (FIBRA-Unicamp). The sample comprised 2,549 older adults without cognitive impairments suggestive of dementia. Data was collected relating to socio-demographic characteristics (sex, age, years of education and family income), health status (number of diseases and depressive symptoms), cognitive performance (Mini-Mental State Examination - MMSE) and self-reported social, physical and intellectual AADLs. Results Mean MMSE scores were significantly higher among men, younger individuals and those with more years of education, higher income, fewer diseases and fewer depressive symptoms. Multivariate linear regression analysis and hierarchical regression analysis showed that years of education, family income and participation in intellectual AADLs were positively associated with cognitive performance. Conclusion The findings suggest that these factors may have a protective role in cognitive aging and that participation in intellectual AADLs can represent a feasible strategy for the promotion of mental health among older adults.

scholarly journals Depressive disorders and comorbidities among the elderly: a population-based study

2016 ◽  
Vol 19 (1) ◽  
pp. 95-103 ◽  
Author(s):  
Anne Christie Timm González ◽  
Zuleide Maria Ignácio ◽  
Luciano Kurtz Jornada ◽  
Gislaine Zilli Réus ◽  
Helena Mendes Abelaira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Episode ◽  
Depressive Disorders ◽  
Demographic Data ◽  
The Elderly ◽  
Current Smoker ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Double Depression ◽  
A Current

Objective The present study assessed the prevalence of depressive disorders and associated factors in a sample of elderly persons in the south of Santa Catarina. Methods A cross-sectional study based on population data was performed, evaluating 1021 elderly individuals aged between 60 and 79 years. Home interviews were carried out using the Portuguese version of the Mini International Neuropsychiatric Interview (MINI), in order to collect demographic data, information on hypertension and reports of acute myocardial infarction. The disorders studied were current depressive episode, dysthymia and a comorbidity of a depressive episode and dysthymia, representing double depression. The comparison of mean age and prevalence was made with the t-test and other associations were analyzed using the Chi-squared test. Results The prevalence of depression was 26.2%, while 5.5% of the sample suffered from dysthymia and 2.7% experienced double depression. Risk factors for depression were: nine or more years of schooling [PR = 1.44 (1.17 to 1.77); p <0.05] and being a current smoker [OR = 1.63 (1.30-2.05); p <0.05]. Dysthymia was associated with the male gender [OR = 6.46 (3.29 to 12.64); p <0.05], reports of hypertension [OR = 2.55 (1.53 to 4.24); p <0.05] and being either a current [OR = 1.86 (1.02 to 3.42); p <0.05] or past or former [OR = 2.89 (1.48 to 5.65); p <0.05] smoker. The same risk factors as for dysthymia were found for double depression: male [OR = 4.21 (1.80 to 9.81); p <0.05], reports of hypertension [OR = 8.11 (3.32 to 19.80); p <0.05], and being either a current [OR = 5.72 (1.64 to 19.93); p <0.05] or past [PR = 13.11 (3.75 to 45.86); p <0.05] smoker. Conclusions The present study shows that depressive disorders are a common phenomenon among the elderly. The results not only corroborated with other studies, but found slightly higher levels of depressive disorders among the elderly population.

scholarly journals Elderly depression: unnoticed public health problem in India- a study on prevalence of depression and its associated factors among people above 60 years in a semi urban area in Chennai

2017 ◽  
Vol 4 (9) ◽  
pp. 3468
Author(s):  
Yogesh Mohan ◽  
Timsi Jain ◽  
S. Krishna ◽  
A. Rajkumar ◽  
Sathvika Bonigi
Keyword(s):  
Elderly Population ◽  
Short Form ◽  
Demographic Data ◽  
Depression Scale ◽  
Public Health Problem ◽  
The Elderly ◽  
Elderly Persons ◽  
Mild Depression ◽  
Age Related ◽  
Prevalence Of Depression

Background: Worldwide proportion of elderly population is expected to double from current 12% to 22% by 2050. This growth in elderly population inevitably leads to increase in age related diseases such as depression and serious constrains on quality of life among them. As depression frequently manifest with somatic symptoms like tension, headache and heaviness, etc., most of the elderly persons visit non psychiatry outpatient services seeking relief for their symptoms.Methods: A cross sectional study was done in the field practice area of Saveetha Medical College and Hospital. Geriatric depression scale (GDS) short form was used to measure the level of depression in geriatric population. Structured questionnaire was used in order to assess their physical health, socio-demographic data and social support. Elderly mobility scale was used to measure the level of physical dependency. Proportion and chi-square were used for analysis.Results: Prevalence of depression was found to be 76%. Among depressed elderly 47% had mild depression, 28% had moderate depression and 25% were suffering from severe depression. Severity of depression was also found to be significantly more among those who had lost their life partner and those who were physically dependent on others.Conclusions: Prevalence of depression in the elderly was found to be high moreover none of the elderly were diagnosed to be depressed. Steps like screening for depression among elderly should be undertaken to diagnose the cases of depression, they should be treated and also be given proper counseling sessions to reduce their levels of depression. 

scholarly journals Older Portuguese And Mexican Adults And Sexual Well-Being? A Cross-Cultural Qualitative Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 909-909
Author(s):  
Sofia von Humboldt ◽  
Neyda Ma Mendoza-Ruvalcaba ◽  
José Alberto Ribeiro-Gonçalves ◽  
Gail Low ◽  
Isabel Leal
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Old Age ◽  
Demographic Data ◽  
Self Care ◽  
Well Being ◽  
Structured Interview ◽  
Cross Cultural ◽  
Community Dwelling

Abstract Objectives Sexual well-being (SWB) refers to the subjective emotional and cognitive evaluation of the quality of the individual's sexuality, it plays a relevant role in quality of life and health promotion on old age and has cross-cultural implications. The aim of this study is to analyse comparatively the perspectives of older adults on their SWB in Portugal and Mexico. Methods Data were collected from 86 Portuguese and 80 Mexican community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were inquired about their perceptions on what contributes to their sexual well-being. Socio-demographic data were also enquired. Content analysis was used to identify key themes. Results Outcomes indicated eight themes: eroticism, supportive relationship, positive self-concept, health and self-care, romance, active life, tenderness and care, and no pain and no pregnancy restrictions, for both samples. Eroticism was the most frequent theme reported by Portuguese participants (31.4%) and health and self-care were the most frequent theme reported by Mexican participants (26.5%). Conclusions The empirical results of this study indicated that SWB is strongly influenced by socio-cultural and psychosocial values. This cross-cultural comparison between Portugal and Mexico contributes to understand this concept in old age with different perspectives and place a scenario for future culture-adapted interventions and comprehensive policies. Keywords: Mexican, older adults; Portuguese; qualitative study; sexual well-being

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