Heterogeneity in Depression Symptoms and Health Status Among Older Adults

Objectives: We assessed whether distinct classes of depression symptoms could be identified. In addition, we determined how these classes differed in terms of health status. Methods: Data were analyzed with latent profile analysis. MANOVA tests were used to compare the health status of the various classes. Results: A four-class model had the best fit. Classes were labeled according to participants’ responses to the Center for Epidemiologic Studies–Depression Scale (CES-D) items and their overall score: low depression symptoms, high depression symptoms, subthreshold with anhedonia, and subthreshold with anhedonia and negative interpersonal feelings. Cross-sectional and longitudinal analyses showed that health status differed across classes. Conclusions: The results provide support for the idea that there is heterogeneity in the presentation of depression symptoms among older adults. These data showed that about a third of our sample of older adults reported increased levels of anhedonia and that negative interpersonal feelings were uncommon.

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Effects of social support, hope and resilience on depressive symptoms within 18 months after diagnosis of prostate cancer

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01660-1 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Xinxin Zhao ◽

Ming Sun ◽

Ye Yang

Keyword(s):

Prostate Cancer ◽

Social Support ◽

Depressive Symptoms ◽

Perceived Social Support ◽

Depression Scale ◽

Psychosocial Interventions ◽

Epidemiologic Studies ◽

Depression Symptoms ◽

Cross Sectional ◽

Modifiable Factors

Abstract Background The prevalence of depression symptoms and related modifiable factors in prostate cancer (PCa) are not well evaluated. We aimed to assess the effects of perceived social support, hope and resilience on depressive symptoms within 18 months after diagnosis of PCa, and to evaluate the role of hope and resilience as mediators of that relationship. Method A cross-sectional study was analyzed in consecutive inpatients with PCa during the months of January 2018 and August 2019. A total of 667 patients eligible for this study completed questionnaires on demographic and clinic variables, Center for Epidemiologic Studies Depression Scale, Multidimensional Scale of Perceived Social Support, Adult Hope Scale, and Resilience Scale (14 items). All registered patients were all volunteers and anonymous. Depressive symptoms, perceived social support, hope and resilience were measured anonymously. Out of 667 patients, a total of 564 effective respondents (< 30% missing data) became our subjects. Hierarchical linear regression was used to identify the factors associated with depressive symptoms. Asymptotic and resampling strategies were used to conduct the mediating effects of hope and resilience. Results The prevalence of depressive symptoms was 65.9% in PCa patients. Hierarchical regression analyses indicated that perceived social support, hope, and resilience together accounted for 27.5% variance of depressive symptoms. Support from family, hope, and resilience significantly associated with depressive symptoms, respectively. Hope (a*b = − 0.0783, BCa95% CI: − 0.134 to − 0.0319, p < 0.05), and resilience (a*b = − 0.1315, BCa95% CI: − 0.1894 to − 0.0783, p < 0.05) significantly mediated the association between perceived social support and depressive symptoms. Conclusions The high prevalence of depressive symptoms among PCa patients should receive more attention. Perceived social support, hope and resilience could be positive resources for combating depressive symptoms, and hope and resilience mediated the association between perceived social support and depressive symptoms. Enhancing social support, particularly the support form family, and improving patients’ outlook and resilience may be potential targets for future psychosocial interventions aimed at reducing depressive symptoms.

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Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

Journal of Aging and Physical Activity ◽

10.1123/japa.2019-0077 ◽

2020 ◽

Vol 28 (5) ◽

pp. 686-691

Author(s):

Fabianna R. de Jesus-Moraleida ◽

Paulo H. Ferreira ◽

Juscelio P. Silva ◽

André G.P. Andrade ◽

Rosangela C. Dias ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Low Back Pain ◽

Back Pain ◽

Depressive Symptoms ◽

Depression Scale ◽

Epidemiologic Studies ◽

Short Version ◽

Low Back ◽

Cross Sectional

Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

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SLEEP AND ITS RELATION TO COGNITIVE PERFORMANCE, DEPRESSION SYMPTOMS AND ANXIETY IN OLDER ADULTS WITHIN A PANDEMIC FRAMEWORK

10.5327/1980-5764.rpda090 ◽

2021 ◽

Author(s):

Ana Moreira ◽

Tiago Ordonez ◽

Gabriela Santos ◽

Luiz Moraes ◽

Patrícia Lessa ◽

...

Keyword(s):

Older Adults ◽

Cognitive Performance ◽

Psychological Health ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Depression Symptoms ◽

Cross Sectional ◽

Education Levels ◽

Anxiety Levels

Background: COVID-19 has generated impacts mainly on the psychological health of older adults´ population. Depression symptoms and high anxiety levels may negatively influence sleep quality and thus the cognitive performance of those who suffer from them. There needs to be studies which document such relations during the pandemic. Objective: Investigate the influence of sleep on cognition, depression symptoms, and anxiety. Methods: Cross-sectional study applying the following scales: Brazilian telephone version of the Mini Mental State Examination (Braztel-MMSE), Geriatric Depression Scale (GDS), Geriatric Anxiety Inventory (GAI). An additional questionnaire with 6 subjective questions concerning the presence or absence of sleep issues was also employed. Results: 428 older adults aged between 60 and 90 and with an average of 67.54 ± 5.65 years were evaluated. When Sleep Scores and other variables of scales were correlated the following results were obtained: Sleep Score and Braztel-MMSE (rho=-0.08 e p=0.108); Sleep Score and GDS15 (rho=0.46 e p <0,001); and Sleep Score and GAI (rho=0.41 e p<0.001). Conclusion: Results emphasize that sleep has not shown relation to cognitive performance, mainly in this sample with individuals of high education levels. However, sleep has been strongly associated with variables concerning depression symptoms and anxiety levels, showing its importance for the psychological levels of individuals in the current pandemic framework.

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Effects of social support, hope and resilience on depressive symptoms within 18 months after diagnosis of prostate cancer

10.21203/rs.2.20543/v3 ◽

2021 ◽

Author(s):

Xinxin Zhao ◽

Ming Sun ◽

Ye Yang

Keyword(s):

Prostate Cancer ◽

Social Support ◽

Depressive Symptoms ◽

Perceived Social Support ◽

Depression Scale ◽

Psychosocial Interventions ◽

Epidemiologic Studies ◽

Depression Symptoms ◽

Cross Sectional ◽

Modifiable Factors

Abstract Background The prevalence of depression symptoms and related modifiable factors in prostate cancer (PCa) are not well evaluated. We aimed to assess the effects of perceived social support, hope and resilience on depressive symptoms within 18 months after diagnosis of PCa, and to evaluate the role of hope and resilience as mediators of that relationship.Method A cross-sectional study was analyzed in consecutive inpatients with PCa during the months of January 2018 and August 2019. A total of 667 patients eligible for this study completed questionnaires on demographic and clinic variables, Center for Epidemiologic Studies Depression Scale, Multidimensional Scale of Perceived Social Support, Adult Hope Scale, and Resilience Scale (14 items). All registered patients were all volunteers and anonymous. Depressive symptoms, perceived social support, hope and resilience were measured anonymously. Out of 667 patients, a total of 564 effective respondents (< 30% missing data) became our subjects. Hierarchical linear regression was used to identify the factors associated with depressive symptoms. Asymptotic and resampling strategies were used to conduct the mediating effects of hope and resilienceResults The prevalence of depressive symptoms was 65.9% in PCa patients. Hierarchical regression analyses indicated that perceived social support, hope, and resilience together accounted for 27.5% variance of depressive symptoms. Support from family, hope, and resilience significantly associated with depressive symptoms, respectively. Hope (a*b = -0.0783, BCa95% CI:-0.134 to -0.0319, p < 0.05), and resilience (a*b = -0.1315, BCa95% CI:-0.1894 to -0.0783, p < 0.05) significantly mediated the association between perceived social support and depressive symptoms.Conclusions The high prevalence of depressive symptoms among PCa patients should receive more attention. Perceived social support, hope and resilience could be positive resources for combating depressive symptoms, and hope and resilience mediated the association between perceived social support and depressive symptoms. Enhancing social support, particularly the support form family, and improving patients’ outlook and resilience may be potential targets for future psychosocial interventions aimed at reducing depressive symptoms.

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Subjective Memory Complaint and Depressive Symptoms among Older Adults in Portugal

Current Gerontology and Geriatrics Research ◽

10.1155/2015/296581 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 8

Author(s):

Mónica Sousa ◽

Anabela Pereira ◽

Rui Costa

Keyword(s):

Older Adults ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Depression Symptoms ◽

Subjective Memory ◽

Cross Sectional ◽

Old Adults ◽

Lower Education Level ◽

Mini Mental Status Examination

Background. Older adults report subjective memory complaints (SMCs) but whether these are related to depression remains controversial. In this study we investigated the relationship between the SMCs and depression and their predictors in a sample of old adults.Methods. This cross-sectional study enrolled 620 participants aged 55 to 96 years (74.04 ± 10.41). Outcome measures included a sociodemographic and clinical questionnaire, a SMC scale (QSM), a Geriatric Depression Scale (GDS), a Mini-Mental Status Examination (MMSE), and a Montreal Cognitive Assessment (MoCA).Results. The QSM mean total score for the main results suggests that SMCs are higher in old adults with depressed symptoms, comparatively to nondepressed old adults. The GDS scores were positively associated with QSM but negatively associated with education, MMSE, and MoCA. GDS scores predicted almost 63.4% of variance. Scores on QSM and MoCA are significantly predicted by depression symptomatology.Conclusion. Depression symptoms, lower education level, and older age may be crucial to the comprehension of SMCs. The present study suggested that depression might play a role in the SMCs of the older adults and its treatment should be considered.

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Decrease in Mobility during the COVID-19 Pandemic and Its Association with Increase in Depression among Older Adults: A Longitudinal Remote Mobility Monitoring Using a Wearable Sensor

Sensors ◽

10.3390/s21093090 ◽

2021 ◽

Vol 21 (9) ◽

pp. 3090

Author(s):

Ramkinker Mishra ◽

Catherine Park ◽

Michele K. York ◽

Mark E. Kunik ◽

Shu-Fen Wung ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Adverse Effect ◽

Depression Scale ◽

Epidemiologic Studies ◽

Community Dwelling ◽

Depression Symptoms ◽

Wearable Sensor ◽

Physical Activity Monitoring ◽

Community Dwelling Older Adults

Background: Social isolation during COVID-19 may negatively impact older adults’ wellbeing. To assess its impact, we measured changes in physical activity and sleep among community-dwelling older adults, from pre-to post-pandemic declaration. Method: Physical activity and sleep in older adults (n = 10, age = 77.3 ± 1.9 years, female = 40%) were remotely assessed within 3-month pre-to 6-month post-pandemic declaration using a pendant-wearable system. Depression was assessed pre-and post-pandemic declaration using the Center for Epidemiologic Studies Depression scale and was compared with 48 h continuous physical activity monitoring data before and during pandemic. Results: Compared to pre-pandemic, post-pandemic time spent in standing declined by 32.7% (Cohen’s d = 0.78, p < 0.01), walking by 52.2% (d = 1.1, p < 0.01), step-counts by 55.1% (d = 1.0, p = 0.016), and postural transitions by 44.6% (d = 0.82, p = 0.017) with increase in sitting duration by 20.5% (d = 0.5, p = 0.049). Depression symptoms increased by 150% (d = 0.8, p = 0.046). Interestingly, increase in depression was significantly correlated with unbroken-prolong sitting bout (ρ = 0.677, p = 0.032), cadence (ρ = −0.70, p = 0.024), and sleep duration (ρ = −0.72, p = 0.019). Conclusion: This is one of the early longitudinal studies highlighting adverse effect of the pandemic on objectively assessed physical activity and sleep in older adults. Our observations showed need for timely intervention to mitigate hard to reverse consequences of decreased physical activity such as depression.

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Effect of Spousal Loss on Depression in Older Adults: Impacts of Time Passing, Living Arrangement, and Spouse’s Health Status before Death

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413032 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13032

Author(s):

Yu-Chan Hung ◽

Yong-Hsin Chen ◽

Meng-Chih Lee ◽

Chih-Jung Yeh

Keyword(s):

Older Adults ◽

Health Status ◽

Successful Aging ◽

Smoking Status ◽

Living Arrangement ◽

Family Members ◽

Depression Scale ◽

Epidemiologic Studies ◽

Factors Affecting ◽

Self Rated Health

In addition to increasing the mortality among older adults, spousal death (SD) increases their risk of depression. This study explored the factors affecting depression among widowed older adults to provide health care strategies for successful aging. A total of 710 adults older than 60 years completed a questionnaire before and after their spouses’ deaths. The survey data included age, sex, ethnic group, education level, financial station socioeconomic status, SD (including time point), smoking status, alcohol consumption, self-rated health status, Center for Epidemiologic Studies Depression Scale score, mobility, and degree of support from relatives and friends. The proportion of participants with depression after SD was 1.7 times that of before SD (p < 0.0001). Worsened mobility (odds ratio [OR] = 1.3, p < 0.01), low self-rated health status (OR = 0.5, p < 0.01), and a high degree of support from relatives and friends (OR = 1.5, p < 0.01) had a significant positive correlation with depression after SD. The proportion of depression that occurred within 6 months after SD was 6.0 times higher than that of depression before SD. Participants who lived alone after losing their spouses who were healthy before their deaths exhibited a significantly increased proportion of depression after their spouses’ deaths. Male sex, spouse’s health, and the period of 6 months after SD are risk factors for depression in older adults. The maintenance of mobility, positive self-rated health status, and a shorter period of depression after a spouse’s death result in more favorable adaptability among women. Social workers or family members should focus on older adults whose spouses died unexpectedly or within the last 6 months. Living with family members after SD can alleviate depression in older adults.

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Effect of spousal loss on depression in older adults

10.21203/rs.3.rs-38175/v1 ◽

2020 ◽

Author(s):

Yong-Hsin Chen ◽

Meng-Chih Lee ◽

Mei-Huey Shiau ◽

Chih-Jung Yeh

Keyword(s):

Older Adults ◽

Health Status ◽

Successful Aging ◽

Smoking Status ◽

Family Members ◽

Depression Scale ◽

Epidemiologic Studies ◽

Factors Affecting ◽

Self Rated Health ◽

Before And After

Abstract Background: In addition to increasing the mortality among older adults, spousal death (SD) increases their risk of depression. This study explored the factors affecting depression among widowed older adults to provide health care strategies for successful aging. Methods: A total of 710 adults older than 60 years completed a questionnaire before and after their spouses’ deaths. The survey data included age, sex, ethnic group, education level, financial station socioeconomic status, SD (including time point), smoking status, alcohol consumption, self-rated health status, Center for Epidemiologic Studies Depression Scale score, mobility, and degree of support from relatives and friends. Results: The proportion of participants with depression after SD was 1.7 times that of before SD (P < 0.0001). Worsened mobility (odds ratio [OR] = 1.3, P < 0.01), low self-rated health status (OR = 0.5, P < 0.01), and a high degree of support from relatives and friends (OR = 1.5, P < 0.01) had a significant positive correlation with depression after SD. The proportion of depression that occurred within 6 months after SD was 6.0 times higher than that of depression before SD. Participants who lived alone after losing their spouses who were healthy before their deaths exhibited a significantly increased proportion of depression after their spouses’ deaths. Conclusion: Male sex, spouse’s health, and the period of 6 months after SD are risk factors for depression in older adults. The maintenance of mobility, positive self-rated health status, and a shorter period of depression after a spouse’s death result in more favorable adaptability among women. Social workers or family members should focus on older adults whose spouses died unexpectedly or within the last 6 months. Living with family members after SD can alleviate depression in older adults.

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COGNITIVE PERFORMANCE AND DEPRESSION SYMPTOMS IN OLDER ADULTS DURING THE COVID-19 PANDEMIC

10.5327/1980-5764.rpda091 ◽

2021 ◽

Author(s):

Gabriela Santos ◽

Tiago Ordonez ◽

Ana Moreira ◽

Luiz Moraes ◽

Patrícia Lessa ◽

...

Keyword(s):

Older Adults ◽

Cognitive Performance ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Average Score ◽

Depression Symptoms ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Average Education

Background: COVID-19 has impacted the daily life of older adults, originating symptoms of depression which might influence cognitive performance. There is a need thus for papers which document such relations. Objective: Investigate the presence of depression symptoms in older adults and their relations to cognitive performance in the pandemic framework. Methods: Cross-sectional study in which the Brazilian telephone version of the Mini Mental State Examination (Braztel-MMSE) and the Geriatric Depression Scale (GDS15) were employed, as well as a question which examined the perception of changes in mood and anxiety due to the pandemic. Results: The analyzed sample was comprised of 428 older adults with an average age of 67.54±5.65 years and average education level of 14.72±3.54 years. The average score of Braztel-MMSE was 20.24±1.49 and that of GDS15 was 3.39±4.00. The Spearman correlation coefficient was a significant rho= -0.10 (p=0.034). 71% of those surveyed noticed mood and/ or anxiety changes and only those showed a significant correlation between Braztel-MMSE and GDS15 of rho= -0.17 (p=0.003). Conclusion: Results show an association between depression symptoms and cognitive performance. Such an association has been more evident when analyzing changes in mood and/ or anxiety during the pandemic. Such findings contribute to the planning of services and public policies to older adults in the current framework.

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Life satisfaction and health self-assessment of older adults assisted through home care

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0357 ◽

2021 ◽

Vol 74 (suppl 2) ◽

Author(s):

Mariane Lurdes Predebon ◽

Gilmara Ramos ◽

Fernanda Laís Fengler Dal Pizzol ◽

Juana Vieira Soares ◽

Lisiane Manganelli Girardi Paskulin ◽

...

Keyword(s):

Older Adults ◽

Life Satisfaction ◽

Depressive Symptoms ◽

Health Status ◽

Home Care ◽

Depression Scale ◽

Self Assessment ◽

Global Functioning ◽

Timed Up And Go ◽

Cross Sectional

ABSTRACT Objective: to identify sociodemographic and health characteristics according to age groups and to analyze the association between self-assessed health status and satisfaction with regular/bad life with sociodemographic characteristics, global functioning and falls of older adults linked to home care within the primary health care network. Method: cross-sectional study with 124 older adults, conducted using home interviews. A sociodemographic data and health status questionnaire was used, together with Barthel Index, Lawton Instrumental Activities of Daily Living Scale (IADL), the Mini-Mental State Examination, the Geriatric Depression Scale and the Timed Up and Go Test. Bivariate and multivariate analyses (Poisson regression) were applied. Results: there was a predominance of female octogenarians. Self-assessment of regular/bad health was associated with mild (p=0.002) and severe (p<0.001) depressive symptoms. Satisfaction with regular/bad life was associated with fear of falling (p=0.019) and with mild (p<0.001) and severe (p<0.001) depressive symptoms. Conclusion: depressive symptoms were associated with a worse life satisfaction and health self-assessment.

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