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.

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 Depression and nutritional status of elderly participants of the Hiperdia Program

Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 731
Author(s):  
Millena Mirelle Pereira ◽  
Maíra Holanda Rufino ◽  
Leidinar Cardoso Nascimento ◽  
Rivaldo Costa Macêdo ◽  
Rouslanny Kelly Oliveira ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Moderate Depression ◽  
The Relationship

Objective: evaluate the relationship between depression and nutritional status of elderly enrolled in the Hiperdia Program.Methods: cross-sectional study in 91 elderly submitted to nutritional assessment and a structured questionnaire forscreening depression, the Geriatric Depression Scale. Results: there was prevalence of women, 60-65 years old. There wasminimal or moderate depression in 61.5% and severe depression in 2.2%. Proportionally high values of waist circumferencewere identified (91.8%) and overweight (67.6%) in elderly patients with minimal or moderate depression. Conclusion:there is an increasing imbalance in the nutritional status among women with a risk of developing cardiovascular disease,as well as overweight. Elderly are under health risk related to depression. This suggests that despite being inserted in aprogram for control of chronic diseases, they must be accompanied by the health team to improve their quality of life.

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.

scholarly journals Association between sleep quality and depression among institutionalized and community older people - Brazilian Western Amazonia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cleide Maria de Paula Rebouças ◽  
Maura Regina Ribeiro ◽  
Juliana Zangilorami-Raimundo ◽  
Polyana Caroline de Lima Bezerra ◽  
Angelo Márcio das Chagas de Souza Júnior ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Older People ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
Geographic Location ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional

Abstract Background The transition in the population pyramid is a reality in several locations around the world and projections of an increase in the older population in Brazil demonstrate the relevance of studies on factors that may interfere in the functionality and quality of life in this age group. Thus, the present study aims to assess depression levels and their relationship with sleep quality in institutionalized and community older adults. Methods This cross-sectional study included 220 older people of both sexes, divided into two groups, institutionalized older adults, and community older adults. The older adults were monitored by Community Health Agents (CHA), through identification of everyone in their micro area using a method of random name generation, based on geographic location. Due to the small number of institutionalized older adults, all residents in the institutions were recruited, according to the inclusion and exclusion criteria. The Geriatric Depression Scale (GDS-15) and Pittsburgh Sleep Quality Index (PSQI) were used to assess depression and sleep quality. Results Among the 220 older adults, 175 were community members and 45 were institutionalized. The survey revealed that institutionalized older adults had a higher percentage of severe depression compared to community dwelling older adults (p <  0.039). Conclusion Older adults in the community present greater symptoms of depression and better sleep than institutionalized older adults. There was a direct association between sleep quality and depression. In our sample, being institutionalized and female positively influenced and feeling alone negatively influenced depressive symptoms.

scholarly journals Physical activity and depressive symptoms in community-dwelling elders from southern Brazil

2011 ◽  
Vol 33 (2) ◽  
pp. 165-170 ◽  
Author(s):  
César L. Reichert ◽  
César L. Diogo ◽  
José L. Vieira ◽  
Roberta R. Dalacorte
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Linear Trend ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Population Based ◽  
Community Dwelling ◽  
Active Group ◽  
Lower Prevalence ◽  
Cross Sectional

OBJECTIVE: To determine the existence of a relationship between physical activity and depressive symptoms in community-dwelling elders. METHOD: This is a cross-sectional, population-based study, which included 379 community-dwelling elders from Novo Hamburgo, state of RS, Brazil. The level of physical activity was estimated using the International Physical Activity Questionnaire and depressive symptoms were diagnosed according to the Yesavage Geriatric Depression Scale. The association between the level of physical activity and depressive symptoms was analyzed by logistic regression. RESULTS: A tendency towards a lower prevalence of depressive symptoms was observed in individuals with higher levels of physical activity, both in the sample as a whole as well as among men, but not among women (p for linear trend 0.04, 0.03 and 0.36, respectively). The odds ratio of the presence of depressive symptoms in the very active group, as compared against that of the insufficiently active group was 0.32 (95% CI: 0.12-0.86) for men and 0.76 (95% CI: 0.39-1.46) for women. CONCLUSION: In this population of aged individuals, more intense physical activity is related to a lower prevalence of depressive symptoms. As shown by gender stratification, physical activity is inversely related to depressive symptoms in men, albeit not in women.

scholarly journals Latent Class Analysis: a new vision of the phenomenon of depression in elderly men in the Brazilian Northeast

2017 ◽  
Vol 20 (6) ◽  
pp. 814-825
Author(s):  
Rita de Cássia Hoffmann Leão ◽  
Vanessa de Lima Silva ◽  
Rafael da Silveira Moreira
Keyword(s):  
Latent Class Analysis ◽  
Associated Factors ◽  
Latent Class ◽  
Descriptive Analysis ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Class Analysis ◽  
Elderly Men ◽  
Cross Sectional ◽  
Low Levels

Abstract Objective: to identify the prevalence of depression in elderly men and associated factors using Latent Class Analysis. Method: a cross-sectional, epidemiological study evaluating 162 Primary Care users resident in the community in Recife, Brazil, was carried out. The Yesavage Geriatric Depression Scale was used as a screening instrument. The study was based on descriptive analysis and Latent Class Analysis, which allows the indirect measurement of the phenomenon of Depression by measuring the latent phenomenon of depression through 15 directly observed questions/answers from the scale used followed by ordinal logistic regression. Results: Elderly men with up to four years of schooling had a 2.43 times greater chance of developing depression. Those with normal levels of cortisol were less likely to become depressed while elderly men with low levels of Vitamin D and testosterone and high levels of thyroid stimulating hormones (TSH) were more likely to be depressed. The prevalence of the highest level of depression in the study population was 29% and was associated with low levels of education and alterations in the clinical data investigated. Conclusion: The study concluded that Latent Class Analysis allowed an innovative perspective of the phenomenon of depression and its relationship with associated factors, allowing a better and broader approach to this phenomenon in clinical practice.

scholarly journals Correlation Between Level of Depression and Risk of Suicide in Elderly at Purwodadi, Grobogan

2020 ◽  
Vol 1 (2) ◽  
pp. 27-31
Author(s):  
Rilla Fiftina Hadi ◽  
Titis Hadiati ◽  
Natalia Dewi Wardani
Keyword(s):  
Rating Scale ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
The Elderly ◽  
Low Risk ◽  
Cross Sectional ◽  
Severity Rating ◽  
Central Java ◽  
Cross Sectional Design

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide

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 Magnitude of Neurocognitive Impairment and Severity of Depression in Geriatric Population

BioMedica ◽  
2020 ◽  
Vol 36 (4) ◽  
pp. 400-404
Author(s):  
Dr. Sadia Yasir ◽  
Saad Bin Yasir ◽  
Nariman Haider ◽  
Sundas Fatima ◽  
Mahpara Mazhar ◽  
...  
Keyword(s):  
Local Population ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
Neurocognitive Impairment ◽  
Neurocognitive Disorders ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Neurocognitive Deficit ◽  
Severity Of Depression

Background and Objective: With the increasing life expectancy of the populations and rising prevalence of depressive and neurocognitive disorders, there is a need to address the association between the two in terms of magnitude of the neurocognitive disorders and the severity of depression. The current study addresses this issue and aims to observe the association between the two. Methods: This cross-sectional descriptive study was conducted from September 2014 to March 2015 at the Institute of Psychiatry at Benazir Bhutto Hospital, Rawalpindi, Pakistan where consecutive patients aged ≥ 65 years were screened for depression using Geriatric Depression Scale (GDS). Neurocognitive impairment was assessed using Mini Mental State Examination (MMSE). -square test was used to compute the association between depression severity and neurocognitive deficit. Results: There was approximately equal gender distribution with a mean age of 63.6 ± 9.68 years. Eighty six percent of the study population was found to be suffering from clinical depression while seventy percent had neurocognitive deficit. The severity of depression came out to be directly proportional to the magnitude of the neurocognitive disorder (P = 0.000) with 68.8% of the patients with severe depression having moderate to severe neurocognitive deficit. Conclusions: Depression is associated with significant neurocognitive impairment in elderly in the local population; higher the severity of depression more the magnitude of cognitive impairment.

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.

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