Self-care management and risk factors for depressive symptoms among elderly outpatients in Taiwan

2011 ◽  
Vol 24 (2) ◽  
pp. 278-287 ◽  
Author(s):  
Yun-Fang Tsai ◽  
Li-Ling Liu ◽  
Hsiu-Hsin Tsai ◽  
Shih-Chi Chung
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Care Management ◽  
Self Care ◽  
Perceived Health ◽  
Income Adequacy ◽  
Perceived Income Adequacy ◽  
Elderly Outpatients ◽  
Depressive Tendency

ABSTRACTBackground: Early detection and appropriate treatment interventions for depressive symptoms in the elderly are important issues for healthcare systems. However, few studies to date have focused on understanding self-care strategies to manage depressive symptoms among elderly people worldwide. The purpose of this study was to explore self-care management strategies and risk factors for depressive symptoms among elderly outpatients in Taiwan.Methods: A convenience sample of elderly persons (≥65 years old; N = 1054) was recruited from outpatient clinics of two hospitals in northern Taiwan.Results: In our sample, the prevalence of depressive tendency was 16.3%. The majority of participants (70.1%) managed depressive symptoms with self-care strategies. The strategy most often used to relieve depressive symptoms was “take a walk.” The main information source for self-care strategies was self-learning. Depressive tendency in this sample was shown by logistic regression analysis to be significantly predicted by gender, marital status, perceived income adequacy, perceived health condition, stroke, and cancer.Conclusion: Elderly people need to be made more aware of strategies to self-manage depressive symptoms. Healthcare providers can decrease/prevent the first risk factor for depressive symptoms (poor perceived health status) by improving elders’ perceived health and promoting their actual health. The second risk factor (poor perceived income adequacy) can be decreased/prevented by carefully assessing patients’ financial situation during clinic visits and providing suitable referral for further assistance.

Abstract 183: Depressive Symptoms and Incident Stroke in Black and White Participants in the REGARDS Study

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Audrey L Austin ◽  
Michael G Crowe ◽  
Martha R Crowther ◽  
Virginia J Howard ◽  
Abraham J Letter ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Racial Differences ◽  
Stroke Risk ◽  
Depression Scale ◽  
Stroke Incidence ◽  
Blacks And Whites ◽  
The Impact

Background and Purpose: Research suggests that depression may contribute to stroke risk independent of other known risk factors. Most studies examining the impact of depression on stroke have been conducted with predominantly white cohorts, though blacks are known to have higher stroke incidence than whites. The purpose of this study was to examine depressive symptoms as a risk factor for incident stroke in blacks and whites, and determine whether depressive symptomatology was differentially predictive of stroke among blacks and whites. Methods: The REasons for Geographic and Racial Differences in Stroke (REGARDS), is a national, population-based longitudinal study designed to examine risk factors associated with black-white and regional disparities in stroke incidence. Among 30,239 participants (42% black) accrued from 2003-2007, excluding those lacking follow-up or data on depressive symptoms, 27,557 were stroke-free at baseline. As of the January 2011 data closure, over an average follow-up of 4.6 years, 548 incident stroke cases were verified by study physicians based on medical records review. The association between baseline depressive symptoms (assessed via the Center for Epidemiological Studies Depression scale, 4-item version) and incident stroke was analyzed with Cox proportional hazards models adjusted for demographic factors (age, race, and sex), stroke risk factors (hypertension, diabetes, smoking, atrial fibrillation, and history of heart disease), and social factors (education, income, and social network). Results: For the total sample, depressive symptoms were predictive of incident stroke. The association between depressive symptoms and stroke did not differ significantly based on race (Wald X 2 = 2.38, p = .1229). However, race-stratified analyses indicated that the association between depressive symptoms and stroke was stronger among whites and non-significant among blacks. Conclusions: Depressive symptoms were an independent risk factor for incident stroke among a national sample of blacks and whites. These findings suggest that assessment of depressive symptoms may warrant inclusion in stroke risk scales. The potential for a stronger association in whites than blacks requires further study.

General, Interpersonal, and Gender Role Specific Risk Factors of Postpartum Depressive Symptoms in Fathers

2019 ◽  
Vol 38 (7) ◽  
pp. 545-567
Author(s):  
Hanne N⊘rr Fentz ◽  
Marianne Simonsen ◽  
Tea Trillingsgaard
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Gender Role ◽  
Postnatal Depression ◽  
Negative Consequences ◽  
Postnatal Depressive Symptoms ◽  
Specific Risk ◽  
Paternal Depressive Symptoms ◽  
Study Results

Introduction: Paternal postnatal depression has significant negative consequences for the family and child. Still, only little attention has been paid to potential unique risk factors of depression in fathers and the theoretical grounding of such research is sparse. Method: This study examined prenatal risk factors derived from three theoretical models: the cognitive vulnerability-stress model, the interpersonal model, and the gender role risk model of paternal postnatal depression. The sample consisted of 211 expectant fathers, of whom 5.7% scored above the clinical cut-off on the Edinburgh Postnatal Depression Scale, and 235 mothers were included as a reference group. Participants filled in questionnaires during pregnancy and four months postpartum. Results: The study results suggest that prenatal depressive score is the strongest risk factor for both paternal and maternal postnatal depressive symptoms. In addition, childhood separation from parents, unemployment, financial strain, and doubts about having the child were unique risk factors for paternal depressive symptoms, while lower marital satisfaction was a unique risk factor for maternal depression. Discussion: These findings highlight that beyond the strong role of prenatal depressive symptoms for both genders, specific risk factors for father depression exist. This may be informative to health care professionals in increasing the reach and prevention of depression in new fathers.

scholarly journals Completed Suicide With Violent and Non-violent Methods by the Elderly in Rural China: A Psychological Autopsy Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Rong-Ting Zhu ◽  
Zhen-Yu Ma ◽  
Cun-Xian Jia ◽  
Liang Zhou
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Life Events ◽  
Suicide Prevention ◽  
Rural Areas ◽  
Rural China ◽  
Psychological Autopsy ◽  
Elderly Individuals ◽  
Completed Suicide

Background: Late-life suicide is a severe public health problem in rural China; however, knowledge regarding the specific characteristics and risk factors for completed suicide via violent and non-violent methods among elderly individuals in rural China is limited.Methods: Subjects aged 60 years or older were selected from rural areas in Shandong, Hunan, and Guangxi provinces in China. This study was a 1:1 matched case-control design conducted by using the psychological autopsy method.Results: According to the univariate analyses, the presence of mental disorder, higher degree of depression, loneliness, lack of social support, hopelessness, impulsivity, and increased quantity of life events were associated with suicide in both violent and non-violent methods. For violent suicide, another risk factor was the lack of pesticides at home. For non-violent suicide, other risk factors were not currently married, family suicide history, and alcohol use disorder (P < 0.05). Variables that remained in the logistic regression model were the severity of depressive symptoms for both violent and non-violent suicide. For non-violent suicide, the degree of hopelessness was another independent risk factor. In addition, violent suicides were more likely to lack pesticides at home, choose the spring season and have an increased quantity of life events than those who died by suicide via non-violent methods.Conclusion: The major risk factor for both violent and non-violent suicide was the severity of depressive symptoms. Suicide prevention measures that focus on depression among this vulnerable population are urgently needed. Moreover, the characteristics of suicides via violent methods differed from those via non-violent methods among elderly individuals. Suicide prevention efforts should be tailored to the specific characteristics of the different suicide methods utilized by older adults in rural areas.

Sleep disturbance and depression in adolescence: an integrative review of literature

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Janaína M. G. F. Tolêdo ◽  
Jessica Fernanda de Oliveira Lima Batista ◽  
Maria Carlla A. Lyra ◽  
Marco Aurélio de V. C. Júnior ◽  
Marcos André M. dos Santos ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Sleep Disorders ◽  
Health Problem ◽  
Public Health Problem ◽  
Integrative Review ◽  
Review Of Literature ◽  
Inclusion Criteria

AbstractThis study investigated the association between sleep disorders and depression in adolescents, PubMed/MedLine, SciELO and Lilacs databases were consulted, with an interval of 7 years (2013–2019), in English, Portuguese and Spanish. An integrative review was carried out where after analyzing the inclusion criteria, 616 articles were selected for reading titles and abstracts and 94 of these were selected for full reading. After the full reading, 15 articles were elected to be part of this review. Results show that both sleep disorders are risk factors for depression, as depression can be a risk factor for sleep disorders. Insomnia was the most frequent sleep disorder in adolescence, besides being considered a public health problem. It is concluded that sleep disorders and depressive symptoms are associated and present with great frequency in the adolescent public.

scholarly journals Conduct problems and depressive symptoms in association with problem gambling and gaming: A systematic review

2020 ◽  
Vol 9 (3) ◽  
pp. 497-533 ◽  
Author(s):  
Jérémie Richard ◽  
Émilie Fletcher ◽  
Stephanie Boutin ◽  
Jeffrey Derevensky ◽  
Caroline Temcheff
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Problem Gambling ◽  
Problem Behaviors ◽  
Conduct Problems ◽  
Health Care Providers ◽  
Care Providers ◽  
Externalizing And Internalizing Problems

AbstractBackground and aimsBehavioral addictions such as gambling and gaming disorder are significant public health issues that are of increasing importance to policy makers and health care providers. Problem gambling and gaming behaviors have been identified as being associated with externalizing and internalizing problems, with theoretical models suggesting that both conduct problems and depressive symptoms may be significant risk factors in the development of problem gambling and gaming. As such, the purpose of this systematic review is to provide an overview of research identifying the relationship between conduct problems, depressive symptoms and problem gambling and gaming among adolescents and young adults.MethodsSystematic literature searches in accordance with PRISMA guidelines found 71 eligible studies that met the inclusion criteria, 47 for problem gambling, 23 for problem gaming and one for both problem behaviors.ResultsBased on cross-sectional evidence, both problem gambling and gaming are consistently concurrently associated with conduct problems and depressive symptoms. Longitudinal evidence appears to be clearer for conduct problems as a risk factor for problem gambling, and depressive symptoms as a risk factor for problem gaming. However, both risk factors appear to increase the risk for these problem behaviors.Discussion and ConclusionsResults from the literature review suggest that problem gambling and gaming are associated with the presence of conduct problems and depressive symptoms, with the potential of sharing common etiological factors. Additional research is necessary to confirm these longitudinal relationships with an emphasis on investigating the interaction of both early conduct problems and depressive symptoms.

scholarly journals PREVALENCE AND RISK FACTORS FOR DEPRESSION IN OLDER WOMEN IN TAIF. KSA.

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Suheir A. M. Sayed
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Older Women ◽  
Social Problem ◽  
Elderly Women ◽  
Community Sample ◽  
Study Participant ◽  
Depression Symptoms

Background: There is more to depression than just feeling sad or blue. It is a prevalent but extreme mood disorder which requires care. It causes serious symptoms, such as sleeping, eating, and working, that influence how you feel, think, and handle daily activities1. Depression among older adults is a common concern, but it is NOT a natural part of aging Aims: To assess the prevalence of depressive symptoms and to determine the risk factors of depression in a community sample of older women in Taif city, Saudi Arabia. Methods and Material: A cross-sectional, community survey. A structured questionnaire was designed based on a review of the literature. It includes five parts Socio-demographic data, Social, Physical, Financial, and Spiritual Risk factors, questionnaire was randomly distributed through a direct interview with a sample of old women living in Taif, their ages ranged from 60 and 79 years, responded people were 300. Results: Out of 300 females respondent there were a common age group (60 -64) years with the percentage of (38%), most of the participants were secondary school education  (46 %), and Most of them were widows (49.3%), In my search, I found more than half of study participant had depression (58.3%)  and the most risk factor led to depression was a social problem (46.6%) the physical problems were the second factor leading to depression symptoms, (34.6%), especially diabetes mellitus  (16.7%), only( 12.2%) had financial problems, and very few have had a spiritual problem (6.6%), there was a statistically significant association between a social problem and depression symptoms ( P = .033), with no significant relation between advance age (P = .530),  level of education and depression symptoms, ( P = .809). Conclusion: The depressive symptom was prevalent among community resident old women, a social and marital status it leading causes to the occurrence of depression and the growing old does not affect the prevalence of depression. my results should encourage community nurses to adopt a brief instrument such as GDS-15 and CGA to early screen depressive symptoms. Future studies are needed to identify the appropriate measures to treat elderly women in the recent community with depressive symptom and their impact on her function and health outcomes. Keywords: depression symptoms, risk factor, prevalence, Taif city, Saudi Arab

scholarly journals Characteristics of Individuals with Dry Eye Symptoms without Clinical Diagnosis: Analysis of a Web-Based Survey

2019 ◽  
Vol 8 (5) ◽  
pp. 721 ◽  
Author(s):  
Ryutaro Yamanishi ◽  
Miki Uchino ◽  
Motoko Kawashima ◽  
Yuichi Uchino ◽  
Norihiko Yokoi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Diagnosis ◽  
Dry Eye ◽  
Care Management ◽  
Self Care ◽  
Visual Display ◽  
Web Based ◽  
Visual Display Terminal ◽  
Related Quality ◽  
One Year

Currently, the available treatment for dry eye disease (DED) varies. The present study aimed to investigate the characteristics of undiagnosed DED and patient-based self-care management for DED based on a web-based survey performed for Tear’s Day in Japan; 1030 participants (301 women) responded; 155 participants (72 women) had a clinical diagnosis of DED. We defined undiagnosed DED (n = 116; 54 women) as those with DED symptoms, as evaluated by a frequently used questionnaire despite not having a clinical diagnosis. A multivariate adjusted model indicated that younger age (odds ratio (OR), 0.97 for each one-year decrease; 95% confidence interval (CI), 0.95–0.99), female sex (OR, 2.12; 95% CI, 1.28–3.50), and prolonged visual display terminal usage (OR, 1.12; 95% CI, 1.04–1.21) were risk factors for undiagnosed DED. To investigate the efficacy of self-care management for DED, a sub-analysis was conducted. The number of self-care methods used was significantly higher among women than men. For undiagnosed DED, those with less than three self-care methods had a significantly worse Dry Eye-related Quality-of-Life Score compared with those with diagnosed DED. This study revealed risk factors for undiagnosed DED; individuals with those risk factors need to be clinically assessed and should not rely solely on self-care.

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