Frailty and depression in centenarians

2017 ◽  
Vol 30 (1) ◽  
pp. 115-124 ◽  
Author(s):  
Oscar Ribeiro ◽  
Natália Duarte ◽  
Laetitia Teixeira ◽  
Constança Paúl
Keyword(s):  
Living Arrangements ◽  
Clinical Signs ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Subjective Health ◽  
Activity Level ◽  
Logistic Regression Models ◽  
Final Sample ◽  
Prevalence Of Depression

ABSTRACTBackground:Physical frailty and depression are common comorbid conditions that have important impact on older adults. Few studies however have examined their co-occurrence in centenarians. This paper explores the relationship between the two conditions and the most characteristic depressive symptoms associated with the frailty syndrome.Methods:Data come from two Portuguese Centenarian Studies. Frailty was measured using Fried's phenotype, which includes at least three clinical signs: exhaustion, weight loss, weakness, slowness, and low physical activity level; the Geriatric Depression Scale was used to assess depression. Descriptive comparison and binary logistic regression models were used for data analysis.Results:The final sample comprised 91 centenarians (mean age = 101.0, SD = 1.3; 85.7% female). From these, 5.5% were classified as robust, 42.9% as pre-frail, and 51.6% as frail. The prevalence of depression in the whole sample was 35.2% (51.1% in frail centenarians; 21.1% in pre-frail centenarians; 0% in robust centenarians). Frail centenarians presented higher risk of depression (OR = 3.92; 95% CI 1.48–10.4) when compared to pre-frail centenarians. Findings from the multivariable model (gender, living arrangements, education, cognition, subjective health, current illness, and functionality) revealed that only subjective health remained significant.Conclusion:It seems that depression is a comorbid clinical independent condition that is frequent in frail and pre-frail centenarians.

scholarly journals Validation of the Tamil version of short form Geriatric Depression Scale-15

2015 ◽  
Vol 6 (03) ◽  
pp. 442-1446 ◽  
Author(s):  
Sonali Sarkar ◽  
Shivananand Kattimani ◽  
Gautam Roy ◽  
K. C. Premarajan ◽  
Siddharth Sarkar
Keyword(s):  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Clinical Interview ◽  
Geriatric Depression ◽  
Early Assessment ◽  
Primary Care Population ◽  
Prevalence Of Depression ◽  
Language Screening

ABSTRACT Background: Local language screening instruments can be helpful in early assessment of depression in the elderly in the community and primary care population. This study describes the validation of a Tamil version of Geriatric Depression Scale (short form 15 [GDS-15] item) in a rural population. Materials and Methods: A Tamil version of GDS-15 was developed using standardized procedures. The questionnaire was applied in a sample of elderly (aged 60 years and above) from a village in South India. All the participants were also assessed for depression by a clinical interview by a psychiatrist. Results: A total of 242 participants were enrolled, 64.9% of them being females. The mean score on GDS-15 was 7.4 (±3.4), while the point prevalence of depression was 6.2% by clinical interview. The area under the receiver-operator curve was 0.659. The optimal cut-off for the GDS in this sample was found at 7/8 with sensitivity and specificity being 80% and 47.6%, respectively. Conclusion: The Tamil version of GDS-15 can be a useful screening instrument for assessment of depression in the elderly population.

scholarly journals Prevalence of depression in residents of gerontology centre in Sarajevo

2012 ◽  
Vol 2 (1) ◽  
pp. 40-45
Author(s):  
Jasmina Mahmutović ◽  
Aida Rudić ◽  
Fatima Jusupović ◽  
Arzija Pašalić ◽  
Refet Gojak
Keyword(s):  
Medical Records ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
Health State ◽  
Mild Depression ◽  
Cross Sectional ◽  
Third Age ◽  
Prevalence Of Depression ◽  
Third Age Of Life

Introduction: Depressive disorder, as a major problem of public health, takes high fourth place in its prevalence in general population, and is considered to be the second most frequent health problem of femalepopulation. Depression is the most frequent mental problem of persons in their third age of life. The aim of this study is to evaluate prevalence of depression and establish the ratio between the current number ofdiagnosed and of unrecognised depression among the residents of Gerontology Centre in Sarajevo.Methods: This is a cross-sectional, descriptive, and analytical study undertaken throughout May and June 2011 on the sample of 150 residents of “The Gerontology Centre“ in Sarajevo that were above 65 years of age. The following instruments were used for the research: the Geriatric Depression Scale (GDS), modified questionnaire consisting of two parts (general data and data related to health state), and the medical records of the residents. For statistic analysis of data was used the SPSS program for Windows.Results: According to GDS, prevalence of depression was 65.3%, out of which mild depression occurred in 46.7% cases and severe depression in 18.7%. The prevalence of verified (diagnosed) depression was 11.3per cents.Conclusions: According to the GD scale, unrecognised depressions seem to be almost six times more frequent (65.3:11%) than is the case with depressions diagnosed in medical records of the protégées of theGerontology Centre in Sarajevo. Timely recognition of depression and its treating in institutions for protection of health of persons in third age of life can substantially improve the quality of life of these patients.

scholarly journals Predicting Successful Aging in a Population-Based Sample of Georgia Centenarians

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Jonathan Arnold ◽  
Jianliang Dai ◽  
Lusine Nahapetyan ◽  
Ankit Arte ◽  
Mary Ann Johnson ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
At Risk ◽  
Chronic Diseases ◽  
Successful Aging ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Population Based ◽  
Control Group ◽  
Geriatric Depression ◽  
Prevalence Of Depression

Used a population-based sample (Georgia Centenarian Study, GCS), to determine proportions of centenarians reaching 100 years as (1) survivors (43%) of chronic diseases first experienced between 0–80 years of age, (2) delayers (36%) with chronic diseases first experienced between 80–98 years of age, or (3) escapers (17%) with chronic diseases only at 98 years of age or older. Diseases fall into two morbidity profiles of 11 chronic diseases; one including cardiovascular disease, cancer, anemia, and osteoporosis, and another including dementia. Centenarians at risk for cancer in their lifetime tended to be escapers (73%), while those at risk for cardiovascular disease tended to be survivors (24%), delayers (39%), or escapers (32%). Approximately half (43%) of the centenarians did not experience dementia. Psychiatric disorders were positively associated with dementia, but prevalence of depression, anxiety, and psychoses did not differ significantly between centenarians and an octogenarian control group. However, centenarians were higher on the Geriatric Depression Scale (GDS) than octogenarians. Consistent with our model of developmental adaptation in aging, distal life events contribute to predicting survivorship outcome in which health status as survivor, delayer, or escaper appears as adaptation variables late in life.

scholarly journals Screening for depressive symptoms in older adults in the Family Health Strategy, Porto Alegre, Brazil

2014 ◽  
Vol 48 (3) ◽  
pp. 368-377 ◽  
Author(s):  
Eduardo Lopes Nogueira ◽  
Leonardo Librelotto Rubin ◽  
Sara de Souza Giacobbo ◽  
Irenio Gomes ◽  
Alfredo Cataldo Neto
Keyword(s):  
Older Adults ◽  
Community Health ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Family Health ◽  
Severe Depression ◽  
Female Gender ◽  
Geriatric Depression ◽  
Self Rated Health ◽  
Prevalence Of Depression

OBJECTIVE To analyze the prevalence of depression in older adults and associated factors. METHODS Cross-sectional study using a stratified random sample of 621 individuals aged ≥ 60 from 27 family health teams in Porto Alegre, RS, Southern Brazil, between 2010 and 2012. Community health agents measured depression using the 15-item Geriatric Depression Scale. Scores of ≥ 6 were considered as depression and between 11 and 15 as severe depression. Poisson regression was used to search for independent associations of sociodemographic and self-perceived health with both depression and its severity. RESULTS The prevalence of depression was 30.6% and was significantly higher in women (35.9% women versus 20.9% men, p < 0.001). The variables independently associated with depression were: female gender (PR = 1.4, 95%CI 1.1;1.8); low education, especially illiteracy (PR = 1.8, 95%CI 1.2;2 6); regular self-rated health (OR = 2.2, 95%CI 1.6;3.0); and poor/very poor self-rated health (PR = 4.0, 95%CI 2.9;5.5). Except for education, the strength of association of these factors increases significantly in severe depression. CONCLUSIONS A high prevalence of depression was observed in the evaluations conducted by community health agents, professionals who are not highly specialized. The findings identified using the 15-item Geriatric Depression Scale in this way are similar to those in the literature, with depression more associated with low education, female gender and worse self-rated health. From a primary health care strategic point of view, the findings become still more relevant, indicating that community health agents could play an important role in identifying depression in older adults.

scholarly journals Depression among ethnic minority elderly in the Central Highlands, Vietnam

2020 ◽  
Vol 7 (2) ◽  
pp. 205510292096723
Author(s):  
Nguyen Hoang Lan ◽  
Nguyen Thi Thu Thuy
Keyword(s):  
Ethnic Minority ◽  
Stressful Life Events ◽  
Linear Regression Analysis ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Multivariate Linear Regression Analysis ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Ethnic Minority Elderly

This cross-sectional study is to examine the prevalence of depression and associated factors among 110 ethnic minority elderly in Kon Tum city, Vietnam. Depression was assessed using 30-items Geriatric Depression Scale. Multivariate linear regression analysis was employed to identify factors associated with depression. The prevalence of depression among participants was 25.5%. All were classified as mild depression level. Depression was significantly associated with age, gender, educational level, chronic diseases, stressful life events in the past 12 months, and family history of depression. These risk factors can help formulate effective public health programs to improve mental health among ethnic minority elderly.

scholarly journals Symptoms of Depression are Common in Patients With Idiopathic Normal Pressure Hydrocephalus

Neurosurgery ◽  
2015 ◽  
Vol 78 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Hanna Israelsson ◽  
Per Allard ◽  
Anders Eklund ◽  
Jan Malm
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
Normal Pressure ◽  
Population Based ◽  
Depression Score ◽  
Idiopathic Normal Pressure Hydrocephalus ◽  
Symptoms Of Depression ◽  
Prevalence Of Depression

ABSTRACT BACKGROUND: If patients with idiopathic normal pressure hydrocephalus (INPH) also have depression, this could have important clinical ramifications in assessment and management of their cognitive function and response to shunting. In many dementias, depression is overrepresented, but the prevalence of depression in shunted patients with INPH is unknown. OBJECTIVE: The objective of this case-control study was to assess the prevalence of symptoms of depression in shunted INPH patients compared with population-based controls. METHODS: INPH patients consecutively shunted from 2008 to 2010 in Sweden were analyzed. Patients remaining after inclusion (within 60-85 years and not having dementia, ie, mini-mental state examination ≥23) had a standardized visit to their healthcare provider and answered an extensive questionnaire. Age- and sex-matched population-based controls underwent the same procedure. Symptoms of depression were assessed using the Geriatric Depression Scale 15 (suspected depression defined as ≥5 points, suspected severe depression as ≥12 points). This study is part of the INPH-CRasH study. RESULTS: One hundred seventy-six INPH patients and 368 controls participated. After adjustment for age, sex, cerebrovascular disease, and systolic and diastolic blood pressure, patients had a higher mean depression score (patients: 4.9 ± 3.7 SD, controls: 1.9 ± 2.3 SD; OR 1.4, 95% CI 1.3-1.6, P &lt; .001), more patients had suspected depression (46% vs 13%, OR 6.4, 95% CI 3.8-10.9, P &lt; .001), and more patients had suspected severe depression (7.3% vs 0.6%, OR 14.4, 95% CI 3.0-68.6, P &lt; .005). CONCLUSION: Symptoms of depression are overrepresented in INPH patients compared with the population, despite treatment with a shunt. Screening for depression should be done in the evaluation of INPH patients in order to find and treat a coexisting depression.

scholarly journals Prevalence and determinants of depression in geriatric women in an urban slum area of Mumbai suburbs

2017 ◽  
Vol 4 (9) ◽  
pp. 3135
Author(s):  
Manissha Srivastav ◽  
Yogita Bavaskar ◽  
Ravindra Choudhary ◽  
S. Agrawal
Keyword(s):  
Elderly Women ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Gender Disparity ◽  
Slum Area ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Lifespan have increased worldwide. Increasing lifespan has brought in its wake, a host of non-communicable diseases. Worldwide, depression affects more women than men and it is also one of the morbidities amenable to treatment. Due to numerous socio-economic and cultural reasons, geriatric women in India bear the brunt of depressive ailments. Coupled with the lack of economic independence and gender disparity, this affliction and the affected both have remained in the shadows. The objective of the study was to assess the prevalence of depression and to study the association between some determinants of depression among geriatric women.Methods: A community based cross sectional study was conducted among geriatric women in an urban slum area. 336 women were included in the study. Mental health status in geriatric sample was studied by using 30 point geriatric depression scale. Results: Out of 336 total subjects, 171 (50.89%) were suffering from depression out of which 88 (26.19%) were showing mild depression and 83 (24.70%) were suffering from major depression. Marital status, unemployed status, economic dependency, lack of regular exercise, presence of addictions was found to be the risk factors for the depression. Conclusions: There was a high prevalence of depression in elderly women therefore Geriatric counseling and screening centers are to be established at health care institutes. 

scholarly journals Associates of prevalence of depression among urban elderly of Kendujhar district: a study in Odisha, India

2021 ◽  
Vol 8 (5) ◽  
pp. 2331
Author(s):  
Debasmita Barik ◽  
Bharati Panda
Keyword(s):  
Urban Area ◽  
Family Income ◽  
Demographic Data ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Family Type ◽  
Leg Pain ◽  
Record Keeping ◽  
Prevalence Of Depression ◽  
Socio Demographic Factors

Background: There is wide variation in the estimated prevalence of depressive disorder among older in India. The estimated prevalence of depression in India is ranging from 6 to 80% depending on various factors of population studies. The present research is an attempt to assess the factors associated with depression among elderly in urban area.Methods: A descriptive study was carried out among older in urban area of Kendujhar district of Odisha, India with sample size 150 by random sampling method. A pre-structured questionnaire containing socio-demographic data sheet and geriatric depression scale (GDS) was used.Results: The overall depressive symptom among elderly was reported to be 66%. Socio-demographic factors such as 70-75 age group, female sex, illiteracy, low education, widowhood and no personal income were significantly associated with depression (p<0.05), where no significant association existed between depression and family income as well as family type. The results showed high significant association of meditation, yoga and exercise with depression. Activity such as marketing and record keeping were positively associated with depression (p<0.05), where no significant association of depression with gardening, cooking and cleaning (p>0.05). Health problems such as weakness, leg pain, knee pain and medical illnesses such as cataract and tuberculosis were positively associated with depression. The findings show depression was not significantly associated with gardening, cooking, cleaning back pain, shoulder pain, headache and asthma (p>0.05).Conclusions: A majority of participants are having depression (66%). There is need to identify and diagnose the problems of aged in urban area and start treatment earlier as possible.

scholarly journals Prevalence of depression among elderly population in rural South India

2020 ◽  
Vol 7 (6) ◽  
pp. 2377
Author(s):  
Vivin Vincent ◽  
Jeevithan Shanmugam ◽  
Shanmugapriya Duraisamy ◽  
Padmavathy Loganathan ◽  
Vijay Ganeshkumar ◽  
...  
Keyword(s):  
Rural Areas ◽  
South India ◽  
Tertiary Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
The Elderly ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Depression among elderly is the commonest psychiatric disorder however it is commonly misdiagnosed and under treated. Most of the time it is considered as part of aging process rather than a treatable condition. Diagnosing depression in the elderly is often difficult as a result of presence of cognitive impairment as well as reluctance and denial by the elderly and their family members. Objective of the study was to estimate the prevalence of depression among elderly rural population in South India.  Methods: A community based cross sectional study was conducted over a period of 2 months among 575 elderly people aged 60 years and above in the rural field practice area of a tertiary care hospital in south India using a pre validated Geriatric Depression Scale. Data entered and analysed using MS Excel.Results: 77.56% of the study participants were found to be depressed. Among them 74.66% were mild depressive and 25.34% had severe depression. Depression was common in elderly males as compared to females. The prevalence of depression was higher in those who live single and those living with their children without their spouse and those with co morbidities.Conclusions: Prevalence of depression among elderly is high in rural areas. It also increases as the age increases. Early identification and timely intervention would promote healthy old age.

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