scholarly journals Urinary Incontinence: Its Assessment and Relationship to Depression among Community-Dwelling Multiethnic Older Women

2014 ◽  
Vol 2014 ◽  
pp. 1-13 ◽  
Author(s):  
Luciana Laganà ◽  
David William Bloom ◽  
Andrew Ainsworth

Urinary Incontinence (UI) affects many older adults. Some of its deleterious consequences include stress, major depression, diminished quality of life, sexual dysfunction, and familial discord. Of the various mental health problems identified in the literature as being comorbid with UI, the most notable one continues to be depression. Despite a wealth of research contributions on this topic, the available literature is underrepresentative of ethnic minority older women. Culture has been shown to have a significant impact on a woman’s perception of her own UI symptoms; this demonstrates the necessity for the recruitment of ethnically and culturally diverse samples when studying UI. In the present study, we determined the prevalence of UI among 140 community-dwelling, ethnically diverse older women (28.2%), discovered that our new UI screener is reliable, and did not find the UI-depression link to be significant. The clinical and research implications of our findings are discussed.




2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 745-745
Author(s):  
Victoria Marshall ◽  
Robina Sandhu ◽  
Kathryn Kanzler ◽  
Sara Espinoza ◽  
Pamela Keel ◽  
...  

Abstract To mitigate the spread of COVID-19, countries worldwide enacted quarantines, particularly for older adults, as mortality from COVID-19 is inequitably distributed among this group. Notably, social isolation in older adults is associated with a heightened risk of cardiovascular, autoimmune, and mental health problems (e.g., depression, anxiety). Furthermore, the mental health of women in particular has been greatly impacted by the pandemic. Although previous research indicates that social isolation among older adults is a “serious public health concern”, less is known about the extent to which the COVID-19 pandemic has exacerbated this issue. The primary objective is to investigate the effects of social isolation on mental health indices and health-related quality of life (HRQOL) in older women in the context of the COVID-19 pandemic. Participants include 77 postmenopausal women (aged 60+) who completed self-report measures online during the COVID-19 pandemic. Controlling for education and annual household income in all analyses, we used linear regression models to investigate the effects of social isolation on depression, anxiety, alcohol use, binge eating, and the 8 domains of the SF-36. Results indicate that, when controlling for education and income, social isolation significantly predicted depression, binge eating, and poorer HRQOL in all 8 domains of the SF-36 (all p’s < .01) Social isolation did not predict anxiety and alcohol consumption when controlling for these sociodemographic variables. Enrollment is ongoing; this poster will report updated results. Results indicate the continued need for creative avenues to improve social connectedness during the COVID-19 pandemic.





2014 ◽  
Vol 48 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Paula Costa Castro ◽  
Patrícia Driusso ◽  
Jorge Oishi

OBJECTIVE : To compare the reliability and convergent validity of instruments assessing quality of life in Brazilian older adults. METHODS : Cross-sectional study of 278 literate, community-dwelling older adults attending a municipal university for the elderly in Sao Carlos, SP, Southeastern Brazil between 2006 and 2008. The Brazilian versions of the SF-36 and WHOQOL-BREF instruments to assess quality of life were compared. Cronbach’s alpha coefficient was used to estimate reliability and Pearson’s correlation for comparison between the two scales. RESULTS : Most of participants were women (87.8%) with a mean age of 63.83±7.22 years. Both scales showed an acceptable internal consistency – WHOQOL-BREF Cronbach’s alpha was 0.832 and SF-36 was 0.868. There was a weak (r ≤ 0.6) correlation between the related fields in the two questionnaires. CONCLUSIONS : The SF-36 and WHOQOL-BREF are reliable instruments for clinical and research uses in Brazilian older women. To select one, researchers should consider which aspects of quality of life they aim to capture because of weak convergent validity signs. This study’s results indicate that WHOQOL-BREF may be more relevant to evaluate changes in the quality of life of older women because it prioritizes responses to the aging process and avoids focusing on impairment.



2019 ◽  
Vol 9 (2) ◽  
pp. 121-134
Author(s):  
Petra Dolenc ◽  
Mojca Petrič

While regular physical activity has been shown to positively impact health and physical functioning across all age groups an active lifestyle may in particular have beneficial effects in advanced age. The objective of this article is to provide a brief overview of a contemporary research on the benefits of physical activity for psychological health and quality of life in the elderly. Older adults are more vulnerable than other age groups regarding mental health problems, such as depression and anxiety. Many cross-sectional and experimental studies discussed in the article confirm the importance of a physically active lifestyle for preventing or reducing mental health problems and improving the quality of life among elderly people.





2017 ◽  
Vol 18 (2) ◽  
pp. 93-103
Author(s):  
Anthea Tinker ◽  
Elodie Haines ◽  
Laura Molloy ◽  
Imogen Monks ◽  
Evelina Russell ◽  
...  

Purpose The purpose of this paper is to examine the influence of exercise on the mental health problems of older women. Design/methodology/approach The paper is based on information from academic literature, government publications and publications from other relevant bodies. It is a scoping study and is not a systematic review because of the constraints of the resources. Findings There is growing evidence about the value of exercise for the mental health of older women but few evaluated examples of how this can be achieved. Research limitations/implications There is a gap in the literature about this topic with few evaluated examples of how more older women can be encouraged to take more exercise. Practical implications Policy makers, practitioners and older people themselves would gain from a greater emphasis on exercise as a means of improving quality of life and for reducing healthcare budgets through fewer referrals to services. Social implications Greater emphasis on exercise for older women would increase their quality of life through a reduction in mental health problems. Originality/value There is limited research which links mental health, exercise and older women, especially regarding the barriers to exercise that older women with diagnosed mental health problems may face.



BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035003 ◽  
Author(s):  
Rachael Zhi Yi Lee ◽  
Junhong Yu ◽  
Iris Rawtaer ◽  
Patrick Finbarr Allen ◽  
Zhiming Bao ◽  
...  

IntroductionAgeing is associated with a multitude of healthcare issues including dementia, depression, frailty, morbidity associated with chronic disease and high healthcare utilisation. With Singapore’s population projected to age significantly over the next two decades, it has become increasingly important to understand the disease burden and etiological process among older adults. The Community Health and Intergenerational study aims to holistically examine ageing in place by investigating the resilience and vulnerability factors of the ageing process in the biological, psychological and social domains within the environment.Methods and analysisUsing a cohort multiple randomised controlled trial design, comprehensive health profiles of community-dwelling older adults will be collected. The objective is to recruit 1000 participants (aged 60–99 years) living in the western region of Singapore within a period of 3 years (2018–2020). Assessments include basic sociodemographic, physical health and function (cardiac, oral and blood profiles and visual function), cognitive functioning, daily functioning, physical fitness, emotional state, free-flowing speech, sleep quality, social connectedness, caregiver burden, intergenerational communication, quality of life, life satisfaction, attitudes to ageing and gratitude and compassion. Results from the cohort will enable future studies to identify at-risk groups and develop interventions to improve the physical and mental health and quality of life of older adults.Ethics and disseminationApproval of the cohort study by the National University of Singapore Institutional Review Board (NUS-IRB Reference code: H-17-047) was obtained on 12 October 2017. Written consent will be obtained from all participants. Findings from the cohort study will be disseminated by publication of peer-reviewed manuscripts, presentations at scientific meetings and conferences with local stakeholders.



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