scholarly journals Reported Needs and Depressive Symptoms Among Older Adults Entering Long-Term Services and Supports

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Eleanor Rivera ◽  
Karen B Hirschman ◽  
Mary D Naylor
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Unmet Needs ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Social Activities ◽  
Cross Sectional ◽  
Services And Supports

Abstract Background and Objectives Long-term services and supports (LTSS) are vital for older adults with physical and cognitive disabilities. LTSS can be provided in settings such as nursing homes, assisted living, or via community-based services. During the transition to LTSS, older adults are at risk of increased depressive symptoms. In addition, older adults may identify unmet needs despite having access to new LTSS resources. The goal of this study was to examine the factors associated with increased depressive symptoms among a pool of older adults, with a focus on change in reported needs after starting LTSS. Research Design and Methods This cross-sectional analysis of a cohort study included 352 older adults new to LTSS (R01AG025524). The outcome of depressive symptoms was measured using the Geriatric Depression Scale—Short Form. Reported needs included supportive equipment, devices, transportation, and social activities. Bivariate and linear regression modeling using change in needs 3 months later were performed. Results Depressive symptoms were present among 40% of the LTSS recipients at enrollment and 3 months. At baseline, 29% of LTSS recipients reported a need for supportive equipment, 30% for transportation, and 23% for social activities. After 3 months, an average of 12% of LTSS recipients’ needs were met, 13% of LTSS recipients’ needs persisted, and 11% of LTSS recipients reported new needs. Depressive symptoms 3 months later were higher for those who reported persistent unmet needs compared with those who reported no needs at all, controlling for functional status and LTSS type. Discussion and Implications The transition to LTSS is a vulnerable time for older adults. Assessing the need for equipment, transportation, and social activities during this period may identify opportunities to improve the lives and emotional status of this population.

scholarly journals Watching sports and depressive symptoms among older adults: a cross-sectional study from the JAGES 2019 survey

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Taishi Tsuji ◽  
Satoru Kanamori ◽  
Ryota Watanabe ◽  
Meiko Yokoyama ◽  
Yasuhiro Miyaguni ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mail Survey ◽  
Prevalence Ratio ◽  
Average Frequency ◽  
Evaluation Study ◽  
Cross Sectional Study ◽  
Cross Sectional

AbstractThe current study investigated the relationship between the frequency of watching sports and depressive symptoms among older adults. This study used cross-sectional data from the Japan Gerontological Evaluation Study, a nationwide mail survey of 21,317 older adults. Depressive symptoms were defined as a Geriatric Depression Scale score of ≥ 5. Participants were queried regarding the average frequency at which they watched sports on-site and via TV/Internet over the past year. Among the 21,317 participants, 4559 (21.4%) had depressive symptoms, while 4808 (22.6%) and 16,576 (77.8%) watched sports on-site and via TV/Internet at least once a year, respectively. Older adults who watched sports on-site a few times/year (prevalence ratio, 0.70; 95% confidence interval, 0.65–0.74) or 1–3 times/month (0.66, 0.53–0.82) were less likely to have depressive symptoms compared to non-spectators after adjusting for frequency of playing sports, exercise activities, and other potential confounders. Meanwhile, a dose–response relationship was confirmed for watching via TV/Internet (prevalence ratio of 0.86, 0.79, and 0.71 for a few times/year, 1–3 times/month, and ≥ 1 time/week, respectively). This study suggested that watching sports on-site or via TV/Internet, regardless of whether they regularly engage in sports, may reduce the risk of depressive symptoms among older adults.

scholarly journals Identifying the Factors Related to Depressive Symptoms Amongst Community-Dwelling Older Adults with Mild Cognitive Impairment

2019 ◽  
Vol 16 (18) ◽  
pp. 3449 ◽  
Author(s):  
Dan Song ◽  
Doris S.F. Yu ◽  
Polly W.C. Li ◽  
Qiuhua Sun
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Mild Cognitive Impairment ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Increased Risk ◽  
Community Dwelling Older Adults

High-level depressive symptoms have been reported in individuals with mild cognitive impairment (MCI), resulting in increased risk of progression to dementia. However, studies investigating the correlates of depressive symptoms among this population are scarce. This study aimed to investigate the significant socio-demographic, lifestyle-related and disease-related correlates of depressive symptoms among this cohort. Cross-sectional data were obtained from a sample of 154 Chinese community-dwelling older adults with MCI. MCI subjects were screened by the Montreal Cognitive Assessment. Depressive symptoms were measured by the Geriatric Depression Scale. Possible correlates of depressive symptoms in individuals with MCI were explored by multiple linear regressions. The prevalence of depressive symptoms among Chinese older adults with MCI was 31.8%. In multiple regression analysis, poor perceived positive social interaction, small social network, low level of physical activity, poor functional status, subjective memory complaint, and poor health perception were correlated with depressive symptoms. The findings highlight that depressive symptoms are sufficient to warrant evaluation and management in older adults with MCI. Addressing social isolation, assisting this vulnerable group in functional and physical activities, and cultivating a positive perception towards cognitive and physical health are highly prioritized treatment targets among individuals with MCI.

scholarly journals Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

2020 ◽  
Vol 9 (3) ◽  
pp. 795
Author(s):  
Michio Maruta ◽  
Hyuma Makizako ◽  
Yuriko Ikeda ◽  
Hironori Miyata ◽  
Atsushi Nakamura ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Significant Difference ◽  
Japanese Older Adults ◽  
And Performance

The aim of this cross-sectional study was to investigate relationships between individuals’ ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 ± 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35–0.77) and women (OR 0.67, 95% CI 0.49–0.91), but performance was limited in women (OR 0.87, 95% CI 0.77–0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.

scholarly journals The Relationship Between Loneliness and the COVID-19 Pandemic on Cognition and Well-Being in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 240-240
Author(s):  
Justin Barber ◽  
Allison Gibson ◽  
Shoshana Bardach ◽  
Kelly Parsons ◽  
Julia Johnson ◽  
...  
Keyword(s):  
Older Adults ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Subjective Memory ◽  
Memory Assessment ◽  
Before And After

Abstract Social distancing is necessary to limit the spread of Covid-19. However, many older adults are predisposed to isolation and loneliness despite calls to socially distance. The current study examined loneliness during Covid-19 in relation to cognition and wellbeing in older adults. Data were extracted from a U.S. ADRC longitudinal study of aging database. Cognition was assessed using the NACC UDS 3.0 battery. Measures of well-being include: Short Form Health Survey, Subjective Memory Assessment, and Geriatric Depression Scale. Measurement of loneliness was selected from the NIH ADRC Covid-19 questionnaire. Data were from 115 older adults with normal cognition or MCI with a visit ≤18 months before research stoppage in March 2020 and after resumption in late-June 2020. Cognition and wellbeing are compared before and after onset of pandemic. Isolation due to Covid-19 may have long-term implications. Results of this study will highlight the need for acute assessments and psychosocial interventions.

scholarly journals Usefulness of Orientation to the Year as an Aid to Case Finding of Mild Cognitive Impairment or Depression in Community-Dwelling Older Adults

2021 ◽  
Vol 18 (15) ◽  
pp. 8096
Author(s):  
Hanhee Bae ◽  
Sunyoung Kim ◽  
Byungsung Kim ◽  
Miji Kim ◽  
Jisoo Yang ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Case Finding ◽  
Community Dwelling ◽  
Cross Sectional

Mild cognitive impairment (MCI) and depression are common and frequently misdiagnosed in older adults in primary care. In particular, depression combined with cognitive dysfunction is associated with a higher risk of dementia. We tried to find the usefulness of orientation to time as an easy case-finding tool for suspecting MCI or depression. This cross-sectional study included 2668 community-dwelling adults aged 70–84 years from the Korean Frailty and Aging Cohort Study (mean age of 76.0 ± 3.9 years). MCI was defined based on the criteria from the National Institute on Aging and the Alzheimer’s Association; depression was defined as a score of ≥ 6 on the Geriatric Depression Scale—Short Form (GDS-SF). Time orientation to year, month, day of the week, date, and season were tested. The sensitivity for the diagnosis of each of MCI and depression was the highest for the orientation to year (MCI, 17.7%; depression, 16.0%). For the diagnosis of MCI or depression, orientation to the year had the highest sensitivity (15.5%), and the specificity, PPV, NPV was 95.5%, 67.0%, 65.5%. In conclusion, asking “what year is it?” can be helpful as an aid to case finding to suspect MCI or depression in community and primary care settings.

scholarly journals Physical activity and depression in older adults with and without cognitive impairment

2018 ◽  
Vol 12 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Kornanong Yuenyongchaiwat ◽  
Khajonsak Pongpanit ◽  
Somrudee Hanmanop
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Older Individuals ◽  
Cross Sectional ◽  
Increased Risk

ABSTRACT Low physical activity and depression may be related to cognitive impairment in the elderly. Objetive: To determine depression and physical activity (PA) among older adults with and without cognitive impairment. Methods: 156 older adults, both males and females, aged ≥60 years, were asked to complete the Thai Mini-Mental State Examination (Thai-MMSE), a global cognitive impairment screening tool. Seventy-eight older adults with cognitive impairment and 78 older adults without cognitive impairment were then separately administered two questionnaires (i.e., the Thai Geriatric Depression Scale; TGDS and Global Physical Activity Questionnaire; GPAQ). Logistic regression analysis was used to determine the risk of developing cognitive impairment in the groups of older individuals with and without cognitive impairment. Results: A cross-sectional study of elderly with a mean age of 74.47 ± 8.14 years was conducted. There were significant differences on the depression scale and in PA between older adults with and without cognitive impairment. Further, participants with low PA and high level of depressive symptoms had an increased risk of cognitive impairment (Odds ratio = 4.808 and 3.298, respectively). Conclusion: Significant differences were noted in PA and on depression scales between older adults with and without cognitive impairment. Therefore, increased PA and decreased depressive symptoms (i.e., having psychological support) are suggested to reduce the risks of cognitive impairment in older adults.

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 depressive symptoms and associated factors among older adults treated at a referral center

2019 ◽  
Vol 22 (5) ◽  
Author(s):  
Patrícia Oliveira Silva ◽  
Bruna Menezes Aguiar ◽  
Maria Aparecida Vieira ◽  
Fernanda Marques da Costa ◽  
Jair Almeida Carneiro
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Associated Factors ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Referral Center ◽  
The North ◽  
Katz Index

Abstract The present study aimed to estimate the prevalence of depressive symptoms and associated factors among older adults treated at a referral center. A cross-sectional study was carried out with a sample of 360 older adults treated at a Referral Center for the Health of Older Adults in the north of Minas Gerais, Brazil. The following data were collected in 2017: demographic, socioeconomic, morbidity, hospital admission in the last year, frailty (Edmonton Frail Scale), functional capacity (Katz Index, Lawton and Brody Scale) and presence of depressive symptoms (Geriatric Depression Scale - GDS-15). Multiple analysis was performed through logistic regression. A prevalence of depressive symptoms was observed in 37.2% of the sample. The variables associated with depressive symptoms were: negative perception about one’s own health (OR=1.9, 95% CI 1.34-2.70); frailty (OR=1.94, 95% CI 1.41-2.66); having suffered falls (OR=1.24, 95% CI 1.01-1.61); having been hospitalized in the last year (OR=1.56, 95% CI, 1.11-2.27); (OR=2.56, 95% CI 1.38-4.77) and residing alone (OR=1.66, 95% CI 1.09-2.53). Thus, a high prevalence of depressive symptoms was identified among the older adults, evidencing the need for an effective and immediate approach by health professionals.

scholarly journals Effects of Square-Stepping Exercise on balance and depressive symptoms in older adults

2014 ◽  
Vol 20 (4) ◽  
pp. 454-460 ◽  
Author(s):  
Jessica Rodrigues Pereira ◽  
Sebastião Gobbi ◽  
Camila Vieira Ligo Teixeira ◽  
Carla Manuela Crispim Nascimento ◽  
Danilla Icassatti Corazza ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Berg Balance Scale ◽  
Functional Mobility ◽  
Control Group ◽  
Depression Symptoms ◽  
Stepping Exercise

The aim of this study was analyze the effects of Square-Stepping Exercise (SSE) on depressive symptoms, balance and functional mobility in older adults. Participants were distributed into two groups: Trained Group (TG), who performed a 16-week intervention with SSE and Control Group (CG), who performed only evaluations. The Berg Balance Scale and Time Up and Go Test (TUG) constituted the evaluation protocol to verify balance and functional mobility. Geriatric Depression Scale-short form (GDS-15) was applied for measure depressive symptoms. Evaluations were realized pre and post 16-week. Significant improvements were observed in the TG with the maintenance of GDS-15 scores and on the time to perform the TUG test which reflects better functional mobility than the CG. This could lead to conclude that the SSE is an important tool for improve balance, prevent falls and decrease depression symptoms.

scholarly journals Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 22-29
Author(s):  
Fernanda Auxiliadora Trevizani ◽  
Daniella Tech Doreto ◽  
Gabriella Santos Lima ◽  
Sueli Marques
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Self Care ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sociodemographic Variables

ABSTRACT Objective: to analyze the association between self-care activities of older adults with Type 2 Diabetes Mellitus (DM) and sociodemographic variables, type of treatment and depressive symptoms. Method: inferential and cross-sectional study, with 121 older adults with Type 2 DM in ambulatory care. We used a questionnaire for characterization of sociodemographic and health, questionnaire self-care activities with DM, Mini Mental State Examination and Geriatric Depression Scale. The association of variables was used (Fisher’s exact test) and for comparing the means (Student’s t-test and analysis of variance). Results: The mean age was 68.1 years, the majority were women (57.2%), retired (71.9%) and married (65.3%). The highest averages were for the activities: “to dry the spaces between the toes, after washing them” and smaller averages for “exercise”. Conclusion: In spite of high average for self-care activities, there is a need for enhanced performance and compliance to them.

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