Diagnosis and disclosure of a memory problem is associated with quality of life in community based older Australians with dementia

2012 ◽  
Vol 24 (12) ◽  
pp. 1962-1971 ◽  
Author(s):  
Karen E. Mate ◽  
Constance D. Pond ◽  
Parker J. Magin ◽  
Susan M. Goode ◽  
Patrick McElduff ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Function ◽  
Clinical Judgment ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Memory Problem ◽  
People With Dementia

ABSTRACTBackground: Identification of factors associated with quality of life (QoL) in people having dementia will help develop strategies for maintenance and improvement of patient QoL. This study examined the predictors of QoL in a community-dwelling population aged 75 years and over, with or without dementia.Methods: This was a cross-sectional study involving 169 GPs and 2,028 patients. Patients were interviewed to collect information on personal circumstances. Several instruments were administered including the WHOQOL-BREF (quality of life outcome measure), Geriatric Depression Scale, GPAQ (satisfaction with GP care), and the CAMCOG-R (cognitive function). Patients with a CAMCOG-R score < 80 were allocated to the dementia group. GPs provided an independent clinical judgment of cognitive function for each of their participating patients.Results: The dementia group had significantly lower QoL scores in all four domains of the WHOQOL-BREF (all p ≤ 0.002). The GDS score was negatively correlated with all four domains in the non-dementia group and with physical, psychological, and environmental QoL in the dementia group (all p < 0.001). Satisfaction with GP communication was positively associated with psychological QoL in the dementia group and all domains in the non-dementia group. Participants in the dementia group who had been given a diagnosis of a memory problem had significantly higher physical (2.05, 95% CI 0.36 to 3.74) and environmental (2.18, 95% CI 0.72 to 3.64) QoL.Conclusions: Satisfaction with GP communication is associated with a higher QoL in their older patients. Diagnosis and disclosure of memory problems is associated with better QoL in people with dementia. Clinicians should not be deterred from discussing a memory diagnosis and plans for the future with patients.

Suicidal Ideation, Depression and Quality of Life in the Elderly: Study in a Gerontopsychiatric Consultation

2014 ◽  
Vol 17 ◽  
Author(s):  
Carla Ponte ◽  
Vera Almeida ◽  
Lia Fernandes
Keyword(s):  
Quality Of Life ◽  
Suicidal Ideation ◽  
Functional Disability ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
The Elderly ◽  
Health Study ◽  
Cross Sectional

AbstractThe global increase in elderly population all over the world, especially in Portugal, justifies the importance of mental health study in this age group. The aim of this study was to characterize the elderly patients in Gerontopsychiatry Consultation of Centro Hospitalar São João in Porto, related to socio-demographic aspects, physical and global disabilities, depression, suicidal ideation and quality of life, and to explore the association between suicidal ideation, depression, and quality of life and global and functional disability. In this cross-sectional study, 155 patients were recruited consecutively, with a final sample of 75 subjects (59 women and 16 men) without cognitive deficits and a mean age of 72.8 (SD = 6.04). Concerning the depression level measured with the Geriatric Depression Scale (Barreto et al., 2008) it was found that 66.7% presented severe depression and suicidal ideation (M = 41.96, SD = 36.38), a value considered with a potential risk of suicide using the Suicidal Ideation Questionnaire (Ferreira & Castela, 1999). The elderly also perceived their quality of life as low, revealing global disability assessed with the EasyCare- Elderly Assessment (Sousa & Figueiredo, 2000a). A significant positive correlation was also found between depression and suicidal ideation (rs =.71, p < .001), as well as quality of life (rs = .50, p < .001), and suicidal ideation with quality of life (rs = .40, p < .001). The data obtained in this study corroborate the results found in other studies.

scholarly journals Frailty, depression, and quality of life: a study with elderly caregivers

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Letícia Alves de Melo ◽  
Isabela Thaís Machado de Jesus ◽  
Fabiana de Souza Orlandi ◽  
Grace Angélica de Oliveira Gomes ◽  
Marisa Silvana Zazzetta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Short Form ◽  
Statistical Significance ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Elderly Caregivers

ABSTRACT Objective: to analyze the relationship between frailty, depressive symptoms, and quality of life of elderly caregivers of other elderly living in high social vulnerability. Methods: a descriptive, correlational and cross-sectional study conducted with 40 elderly caregivers. A questionnaire to characterize elderly caregivers, the Fried frailty phenotype, the Geriatric Depression Scale (to screen depressive symptoms) and the Short-Form 6 Dimension (to assess quality of life) were used. For data analysis, Student’s t-test, ANOVA, Pearson’s χ2 and Fisher’s exact test were used. Results: most were pre-frail (52.5%) and had no evidence of depressive symptoms (57.5%). They presented, on average, a score of 0.76 (±0.1) in relation to quality of life. Statistical significance was observed between the average scores of quality of life with depressive symptoms (p=0.012) and frailty level (p=0.004). Conclusion: frail elderly caregivers with depressive symptoms had a worse perception of quality of life.

scholarly journals Prevalence of insomnia and its associated factors among rural elderly: a community based study

2017 ◽  
Vol 6 (1) ◽  
pp. 56 ◽  
Author(s):  
Abdel-Hady El-Gilany ◽  
Nadia Saleh ◽  
Heba Mohamed ◽  
Eman Elsayed
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Healthy Lifestyle ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Athens Insomnia Scale

Background: Insomnia is a common problem among older adults and can lead to several complications affecting the quality of life of elderly people.Aim: To estimate the prevalence of insomnia and its associated factors among community-dwelling elderly.Study design: This is a cross-sectional descriptive study carried out on 1059 elderly living in three villages affiliated to Mansoura District, Egypt. Data collected during an interview included: socio-demographic and clinical features, habits before sleeping, environmental factors that could affect sleeping, the geriatric depression scale and Athens insomnia scale. Logistic regression analysis was done to find out the independent predictors of insomnia.Results: The prevalence of insomnia was 62.1%. The logistic regression revealed that insomnia is less likely among elderly of 75 and more (AOR=0.3) compared to those aged 60-75 years. The risk of insomnia is high among those with depression (AOR=6.4 and 14.6 for mild and moderate/severe depression; respectively), fear of death (AOR=14.7), life stressors (AOR=7.1), presence of musculoskeletal disorders (AOR=5.6), respiratory disorders (AOR=4.5), worry about children (AOR=4.5) and cold bedroom (AOR=2.7).Conclusion: Slightly less than two-thirds of the studied subjects have insomnia, and most of the associated factors are preventable and/or controllable.Recommendations: According to the results of the present study, the following recommendations are suggested: Design educational program for elders to enhance sleep through emphasizing on the importance of sleep hygiene practice, behavioral and non-pharmacological interventions, and healthy lifestyle.

scholarly journals The Relationship Among Leisure Activities, Depression and Quality of Life in Community-Dwelling Elderly Koreans

2020 ◽  
Vol 6 ◽  
pp. 233372142092344
Author(s):  
Eun-Hwa Jeong ◽  
Ji-Hyuk Park
Keyword(s):  
Quality Of Life ◽  
Leisure Activities ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Community Dwelling ◽  
Geriatric Depression ◽  
Leisure Participation ◽  
The Relationship

Objectives: This study aimed to identify the relationship among leisure activities, depression, and quality of life of community-dwelling elderly in Korea. Methods: We assessed 100 community-dwelling older adults. Leisure participation and leisure exploration were assessed by using the leisure participation for the elderly. Depression was measured using the Korean version of the Short Form of Geriatric Depression Scale, and quality of life was assessed using EQ-5D. Statistical analysis was performed using the independent-sample t test, the chi-square test, Spearman correlation analysis, and multiple regression analysis. Results: EQ-5D scores of the depression group were significantly higher ( p < .01). Geriatric Depression Scale (GDS) and EQ-5D scores showed a significant correlation with leisure participation and leisure exploration. Furthermore, leisure satisfaction was a significant factor in depressive symptoms (β = -.320, p < .01). There was a significant correlation between depression or quality of life and leisure activities corresponding to games, social activities, cultural activities, outings, and information and communication. Conclusion: This study showed that leisure participation and leisure exploration of the elderly were significantly related to depression and quality of life. Social, emotional, active, and productive activities were the leisure activities that positively affected depression and quality of life.

scholarly journals Relationship between Quality of Life, Depression, and Participation in Elderly Integrated Health Service Post among Older Adults

2021 ◽  
Vol 11 (2) ◽  
pp. 144-153
Author(s):  
Christine Margaretha ◽  
Widodo Sarjana ◽  
Suharto Suharto ◽  
Innawati Jusup
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Service ◽  
Significant Relationship ◽  
Depression Scale ◽  
Community Dwelling ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Integrated Health

Background: Older adults are susceptible to worsened quality of life (QOL) and depression due to aging. Elderly integrated health service post (EIHSP) is community-based health care that aims to improve older adults’ health; however, not all older adults participate in this health service.Purpose: This study was conducted to assess the relationship between the QOL, depression level, and older adults’ participation in EIHSP.Methods: A cross-sectional study was carried out among 102 older adults in a community-dwelling area in Semarang, Indonesia. Respondents were recruited using a total sampling technique. QOL was assessed by the WHOQOL-BREF questionnaire, while the level of depression was assessed by Geriatric Depression Scale (GDS) questionnaires. Descriptive statistics, Spearman, and Sommers’ d tests were used to analyze the data.Results: Higher participation in EIHSP significantly affected QOL on every domain (general quality of life, physical, psychological, social relationship, and environmental domains) with p<0.05. This study also showed that participation in EIHSP had a significant relationship with depression levels (p=0.002). Furthermore, higher depression levels significantly affected QOL on every domain (p<0.05).Conclusion: This study showed that older adults’ participation in EIHSP had a significant relationship with QOL and depression. Community nurses can promote the utilization of EIHSP among older adults for better physical and mental health. Future studies should investigate these relationships in a larger sample size.

scholarly journals Implicações da depressão na qualidade de vida do idoso: estudo seccional

2022 ◽  
Vol 21 (1) ◽  
pp. 433-472
Author(s):  
Edison Vitório de Souza Júnior ◽  
Diego Pires Cruz ◽  
Cristiane dos Santos Silva ◽  
Randson Souza Rosa ◽  
Bianca de Moura Peloso-Carvalho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Death And Dying ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Calidad De Vida

Objective: To analyze the association between depressive symptoms and quality of life in older adults. Method: Cross-sectional study carried out between July and October, in 2020, with 596 older adults who answered three instruments, namely: bio-sociodemographic, Geriatric Depression Scale and WHOQOL-Old. Data were analyzed using Chi-square, Kruskal-Wallis, Spearman correlation and linear regression tests, considering a 95% confidence interval (p<0.05). Results: Depressive symptoms were negatively and statistically significantly associated with all facets of quality of life: sensory abilities (β= -1.922 [CI95%= -2.328 – -1.517]); autonomy (β= -2.410 [CI95%= -2.755 - -2.064]); past, present and future activities (β= -3.534 [CI95%= -3.879 – -3.189]); social participation (β= -3.436 [CI95%= -3.816 – -3.056]); death and dying (β= -2.260 [CI95%= -2.792 – -1.728]) and intimacy (β= -3.547 [CI95%= -3,900 – -3.194]). Conclusion: The presence of depressive symptoms is negatively associated with the quality of life of older adults, thus requiring interventions in this area. Objetivo: Analizar la asociación entre sintomatología depresiva y calidad de vida de adultos mayores.Método: Estudio transversal realizado entre julio y octubre de 2020 con 596 personas mayores que respondieron a tres instrumentos: biosociodemográfico, Escala de Depresión Geriátrica y WHOQOL-Old. Los datos se analizaron mediante pruebas de Chi-cuadrado, Kruskal-Wallis, correlación de Spearman y regresión lineal, considerando un intervalo de confianza del 95% (p<0,05).Resultados: La sintomatología depresiva se asoció de forma negativa y estadísticamente significativa con todas las facetas de la calidad de vida: habilidades sensoriales (β= -1,922 [IC95%= -2,328 – -1,517]); autonomía (β= -2,410 [IC95%= -2,755 – -2,064]); actividades pasadas, presentes y futuras (β= -3,534 [IC95%= -3,879 – -3,189]); participación social (β= -3,436 [IC95%= -3,816 – -3,056]); muerte y morir (β= -2,260 [IC95%= -2,792 – -1,728]) e intimidad (β= -3,547 [IC95%= -3,900 – -3,194]).Conclusión: La presencia de sintomatologías depresivas se asocia negativamente con la calidad de vida de las personas mayores, por lo que requiere intervenciones en este ámbito. Objetivo: Analisar a associação entre ecesitando ía ecesitan e qualidade de vida de idosos. Método: Estudo seccional realizado entre julho e outubro de 2020 com 596 idosos que responderam três instrumentos: biosociodemográfico, Escala de Depressão Geriátrica e WHOQOL-Old. Os dados foram analisados com os testes de Qui-quadrado, Kruskal-Wallis, correlação de Spearman e regressão linear, considerando um intervalo de confiança de 95% (p<0,05). Resultados: A sintomatologia depressiva se associou de forma negativa e estatisticamente significante com todas as facetas da qualidade de vida: habilidades sensoriais (β= -1,922 [IC95%= -2,328 – -1,517]); autonomia (β= -2,410 [IC95%= -2,755 – -2,064]); atividades passadas, presentes e futuras (β= -3,534 [IC95%= -3,879 – -3,189]); participação social (β= -3,436 [IC95%= -3,816 – -3,056]); morte e morrer (β= -2,260 [IC95%= -2,792 – -1,728]) e intimidade (β= -3,547 [IC95%= -3,900 – -3,194]). Conclusão: : A presença de sintomatologias depressivas está associada negativamente à qualidade de vida dos idosos, necessitando, portanto, de intervenções nessa área.

scholarly journals 168 Exploring Physical Activity and Sleep in Community-dwelling People with Dementia and their Association with Cognitive Function and Quality of Life

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Aine Mahon ◽  
Ruairi Kirwan ◽  
Laura Mackey ◽  
Estefanía Guisado-Fernández ◽  
Brian Caulfield ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cognitive Function ◽  
Sleep Disturbances ◽  
Sleep Time ◽  
Positive Influence ◽  
Community Dwelling ◽  
Activity Levels ◽  
People With Dementia

Abstract Background The incidence of dementia has reached epidemic levels, both globally and here in Ireland. Many adults with dementia living in the community remain inactive with some also suffering from sleep disturbances. There is evidence to suggest sufficient exercise and sleep can have a positive influence on cognition also. In this study, we explore: physical activity levels sleep patterns, of community dwelling people with dementia and explore the association they have on: cognitive functionquality of life. Methods Each individual was assigned a Withings-Go wrist-watch to wear over a period of 3 months which measured their: daily steps takentime in deep sleeptime in light sleep.total sleep each night MMSE and DEM QoL were used to measure cognitive function and quality of life respectively. Assessed at: baseline & after 3 months. This data was coded and analysed using Microsoft Excel and SPSS. Results An RHO = 0.617 was detected between the DEMQoL scores and the mean steps taken over the last 5 days of data collection. An RHO = -0.127 was detected between steps and sleep time which implied that as steps increased, sleep time was reduced with the opposite being applicable also. The average total sleep time for the sample was 08:03:00 (hh:mm:ss) while the average daily steps taken by the group was 3,266 steps. Conclusion People with dementia living in the community were found to be physically inactive. This study has displayed that increased levels of physical activity can show signs of an improved self-perceived quality of life. This study was a correlational study and causality was not investigated. The association we have identified may provide support and foundation for future studies that explore causal components.

scholarly journals Physiological Levels of Melatonin Relate to Cognitive Function and Depressive Symptoms: The HEIJO-KYO Cohort

2015 ◽  
Vol 100 (8) ◽  
pp. 3090-3096 ◽  
Author(s):  
Kenji Obayashi ◽  
Keigo Saeki ◽  
Junko Iwamoto ◽  
Nobuhiro Tone ◽  
Kunihiko Tanaka ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
Confidence Interval ◽  
Depressed Mood ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional

Context: In contrast with randomized controlled trials, observational studies have suggested that physiological levels of melatonin are reduced in patients with dementia or depression, but the relationship has not been evaluated in large populations. Objective: The objective was to determine the relationships between physiological levels of melatonin and cognitive function and depressive symptoms. Design and Participants: A cohort of 1105 community-dwelling elderly individuals was enrolled in this cross-sectional study (mean age, 71.8 ± 7.1 y). Measures: Urinary 6-sulfatoxymelatonin excretion (UME) and Mini-Mental State Examination (MMSE; n = 935) and Geriatric Depression Scale (GDS; n = 1097) scores were measured as indices of physiological melatonin levels, cognitive function, and depressive symptoms, respectively. Results: With increases in UME quartiles, the prevalence of cognitive impairment (MMSE score ≤ 26) and depressed mood (GDS score ≥ 6) significantly decreased (P for trend = .003 and .012, respectively). In multivariate logistic regression models, after adjusting for confounders such as age, gender, socioeconomic status, physical activity, and sleep/wake cycles, higher UME levels were significantly associated with lower odds ratios (ORs) for cognitive impairment and depressed mood (ORs: Q1 = 1.00; Q2 = 0.88 and 0.76; Q3 = 0.66 and 0.85; Q4 = 0.67 and 0.53; P for trend = .023 and .033, respectively). In addition, the highest UME group showed a significantly lower OR for depressed mood than the lowest UME group (Q4 vs Q1: OR, 0.53; 95% confidence interval, 0.32–0.89; P = .033). UME levels above the median value were significantly associated with a lower OR for cognitive impairment, even after further adjustment for depressive symptoms (OR = 0.74; 95% confidence interval, 0.55–0.99; P = .043). Conclusions: Significant associations of higher physiological melatonin levels with lower prevalence of cognitive impairment and depressed mood were revealed in a large general elderly population. The association between physiological melatonin levels and cognitive function was independent of depressive symptoms.

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