scholarly journals Socio-Medical Aspects of Depression Among Elderly Adults in Serbia

2019 ◽  
Vol 20 (4) ◽  
pp. 327-335
Author(s):  
Svetlana Radevic ◽  
Nela Djonovic ◽  
Natasa Mihailovic ◽  
Ivana Simic Vukomanovic ◽  
Katarina Janicijevic ◽  
...  

Abstract Depression is the most frequent mental health problem in older age with serious consequences on personal, interpersonal and social level. The aim of this study was to determine the association of demographic factors, socio-economic factors and health status characteristics, with the presence of depressive symptoms in the elderly persons. The survey was conducted as a part of the national study “Health Survey of the Serbian population” in 2013. Data on the population aged 65 years and over were used for the purposes of this study (3540 respondents). PHQ-8 questionnaire was used to assess the presence of symptoms of depression. The relations between the presence of depressive symptoms, as a dependent variable, and a set of independent variables was examined by univariate and multivariate logistic regressions. Depression (PHQ-8 score≥10) was registered in 10% of the population aged 65 and above, wherein it was statistically significantly higher in women (12.7%) than in men (6.5%). Limitations in performing of daily activities showed to be the strongest predictor of depression in the elderly, while respondents who have had serious limitations had even six times more chanse to develop depression (OR=6.84). Respondents who rated their health as “bad or very bad” for 49.5% more frequently manifested depressive symptoms compared to those who evaluated their health as “very good or good” (OR=3.49). Respondents who have had two or more chronic diseases were three times more likely to have depression (OR=3.1) compared to people without chronic disease.

2002 ◽  
Vol 32 (7) ◽  
pp. 1175-1185 ◽  
Author(s):  
W. JOHNSON ◽  
M. McGUE ◽  
D. GAIST ◽  
J. W. VAUPEL ◽  
K. CHRISTENSEN

Background. Self-reported depressive symptoms among the elderly have generated considerable interest because they are readily available measures of overall well-being in a population often thought to be at special risk for mental disorder.Method. The heritability of depression symptoms was investigated in a sample of 2169 pairs of Danish twins (1033 MZ and 1136 same sex DZ) ranging in age from 45 to over 95. Twins completed an interview assessment that identified symptoms of depression, which were scored on Affective, Somatic and Total scales.Results. Overall heritability estimates (a2) for the Affective (a2 = 0.27, (95% CI 0.22–0.32)). Somatic (a2 = 0.26, (0.21–0.32)), and Total (a2 = 0.29, (0.22–0.34)) scales were all moderate, statistically significant and similar to results from other studies. To assess possible variations in heritability across the wide age span, the sample was stratified into age groups in increments of 10 years. The magnitude of heritable influence did not vary significantly with age or sex. Somatic scale heritability tended to be greater for females than for males, though this difference was not statistically significant. The genetic correlation between the Affective and Somatic scales was 0.71, suggesting substantial common genetic origins.Conclusions. Though the frequency of self-reported depressive symptoms increased with age in this sample, their heritability did not.


2008 ◽  
Vol 5 (4) ◽  
pp. 516-526 ◽  
Author(s):  
Vanessa J. Harbour ◽  
Timothy K. Behrens ◽  
Han S. Kim ◽  
Connie L. Kitchens

Background:The purpose of this study was to examine whether college students meeting the vigorous physical activity (VPA) recommendation reported less frequent symptoms of depression than those not meeting the recommendation.Methods:A secondary analysis of the Utah Higher Education Health Behavior Survey was conducted. Descriptive statistics and unconditional logistic regressions were calculated.Results:The final sample included 8621 participants (age = 21.34 ± 2.6 years). There was a difference in the frequency of depressive symptoms and VPA. Those not meeting the VPA recommendation reported having more frequent depressive symptoms than those meeting the VPA recommendation. Results were consistent by gender.Conclusion:In this sample, our data suggest VPA may be associated with a reduction in depressive symptoms. These findings might be indicative of a dose–response relationship between VPA and symptoms of depression in college students.


1993 ◽  
Vol 1 (1) ◽  
pp. 34-58 ◽  
Author(s):  
Patrick J. O’Connor ◽  
Louis E. Aenchbacher ◽  
Rod K. Dishman

Exercise is often recommended to elderly persons for enhancing both physical and mental health. This paper reviews the scientific evidence relating physical activity and reduced depression in the elderly. Population based studies and experimental investigations are summarized and critically evaluated. Included is a discussion of some unique challenges that must be met in order for the relationship between depression and physical activity in the elderly to be adequately studied. The weight of the available population based survey evidence, on noninstitutionalized elderly only, suggests a moderate relationship between self-reported physical inactivity and symptoms of depression. However, there is no compelling experimental evidence that exercise per se is effective in preventing or treating depressive disorders in the elderly. Suggestions aimed at improving future research in this area are offered.


Author(s):  
Philippe Landreville ◽  
Philippe Cappeliez

ABSTRACTThere is great interest in identifying psychological and social variables associated with depressive symptoms in older adults. The goal of this article is to review the literature on the relationship between social support and depressive symptoms in the elderly and to identify the mechanisms involved in this relationship. The review indicates that both structural and functional dimensions of social support are inversely related to depressive symptoms in elderly persons. In addition, there is evidence supporting both the main effect model and the buffering effect model of social support. It is unclear, however, whether observation of these effects depends on the type of measure used to assess social support. A better understanding of the relationship between social support and depression requires the consideration of more precise dimensions of social support as well as the nature of the Stressors experienced by older people.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yaofei Xie ◽  
Mengdi Ma ◽  
Wenwen Wu ◽  
Yupeng Zhang ◽  
Yuting Zhang ◽  
...  

Abstract Background Given the high prevalence of depressive symptoms amongst the elderly Chinese population and the significance of intergenerational contact in this demographic group, the purpose of this study was to examine the association and dose–response relationship between the frequency of intergenerational contact and depressive symptoms. Methods Data were obtained from the third wave of the China Health and Retirement Longitudinal Study. A total of 5791 participants at age 60 or older were included in this study. Depressive symptoms were defined by the 10-item version of the Centre for Epidemiologic Studies Depression Scale. Intergenerational contact included in-person meeting and remote connecting, and they were analysed separately. Intergenerational contact frequency was classified into ten categories and then treated as a continuous variable for analysis. We performed univariate and multivariate logistic regressions to identify risk covariables. Restrictive cubic spline analysis was used to examine the dose–response relationship between intergenerational contact frequency and the outcome of depressive symptoms. Results Both the frequency of meeting and the frequency of connecting with children were independently associated with depressive symptoms in the elderly, and the odds ratios for depressive symptoms increased with decreasing frequencies (P < 0.01). There was a negative dose–response relationship between intergenerational contact frequency and depressive symptoms. The odds of depressive symptoms steadily decreased with increasing frequency of meeting with their children. Following an initial increase, the odds rapidly decreased as the frequency of connecting with children increased with an inflection point at once a monthly. Both associations were nonlinear (P < 0.001). Conclusions Our findings revealed a negative dose–response relationship between intergenerational contact frequency and depressive symptoms in the elderly Chinese population. Thus, future health interventions should consider cultural norms in shaping the mental well-being of Chinese elderly persons.


2021 ◽  
Vol 2 (1) ◽  
pp. 51-64
Author(s):  
Arianna Njeri

Purpose: Mobile technologies provide an affordable and easily accessible technology that lecturers can use effectively to assist students with their studies. The general objective of the study was to evaluate socio-economic factors affecting food security among the elderly. Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps. Findings: From the study findings, it is concluded that the households of the elderly persons are faced with abject poverty due to the household structures they live in, which lack food storage facilities hindering food utilization. The elderly persons are faced with health challenges that hinder them from accessing adequate and appropriate foods. They also are not able to use the available types of food due to the ailments they suffer. Elderly persons are faced by various levels of food insecurity due to the deteriorating strength and vulnerability that comes handy with aging. Farming practices by elderly persons depict that they mainly use manual labour limiting their food production. The elderly persons food utilization that entails enlightenment on food production based on food storage, feeding habits and farming methods have lowered food production thus food insecurity. Recommendations: The study recommended that there should be established programmes that provide homes for the aged to cater for the elderly persons who live alone, sickly and too aged to undertake their daily domestic duties. In addition feeding programmers in households with elderly persons should be formulated and implemented. Relatives should be encouraged to follow up on the wellbeing of their aging parents and organize to employ care givers to keep up domestic duties that may be making it difficult for the elderly to access food. The ministry of special programmes should consider provision of relief food to households with the elderly persons who suffer severe food insecurity. They should also collaborate with the ministry of education in ensuring children who are under the care of aged people have a school feeding programme to provide at least a meal for them at school.


2021 ◽  
Vol 17 (1) ◽  
pp. 198-204
Author(s):  
Eduardo Lattari ◽  
Andreza Jesus Costa Pascouto ◽  
Bruno Ribeiro Ramalho Oliveira ◽  
Livia Soares Silva ◽  
Aldair José Oliveira ◽  
...  

Objective: This study assessed the relationship between cardiorespiratory fitness (CRF) and depression in adults. Methods: A total of 52,611 individuals aged between 18-59 years old were evaluated for symptoms of depression and CRF. The presence of depressive symptoms was self-report through the Patient Health Questionnaire (PHQ-9), and the CRF was predicted from a non-exercise equation. The association between CRF and the presence of depression was determined by crude and multivariable-adjusted logistic regressions. Results: The associations were identified between symptoms of depression and CRF in both unadjusted and adjusted models. After adjusting for age categories, sex, body mass index categories, educational level, marital status, smoking, and alcohol use, the individuals with moderate CRF had 18% lower odds of depression (OR: 0.82, CI 95%: 0.71 – 0.95) compared to individuals with low CRF. Conclusion: Depressive symptoms are inversely related to CRF levels in adults.


Author(s):  
Danielle Dos Santos Cutrim Garros ◽  
Lariane De Souza Machado

ResumoA depressão se caracteriza pela ocorrência de vários sintomas, entre os sintomas psíquicos, a sensação de tristeza, menos valia, sentimento de culpa, a perda de prazer para realizar as atividades de rotina, a fadiga, e a dificuldade de concentração. O objetivo deste estudo foi avaliar o uso da técnica de pintura de mandalas para reduzir sintomas de depressão em idosos de um programa de atendimento de Terapia Ocupacional Em relação à metodologia, a coleta de dados foi realizada no período de julho de 2015 a outubro de 2016, em uma unidade básica de saúde, localizada no interior de São Paulo, com 4 idosos do gênero feminino com idade superior a 60 (sessenta) anos. Os critérios de inclusão foram, idade superior a 60 anos, com diagnóstico médico de depressão, apresentando sintomas de depressão que foram confirmados através da escala de depressão geriátrica e a participação obrigatória no programa de Terapia Ocupacional baseado no uso do recurso da pintura de mandalas. Os critérios de exclusão foram presença de comorbidades psiquiátricas, comprometimento visual que não se resolvesse com uso de tecnologia assistiva, óculos, falta de interesse nas atividades de pintura, e estar envolvido em qualquer outro tipo de tratamento e/ou atividade que proporcionem a diminuição dos sintomas referidos. Os resultados obtidos evidenciaram que a atividade artística é um recurso terapêutico eficaz, mesmo com o número reduzido da amostra. O protocolo com a pintura de mandalas diminuiu os sintomas depressivos em idosos, favorecendo o desempenho na execução das atividades de vida diária, a autonomia e a independência dos idosos desta pesquisa. Abstract Depression is characterized by the occurrence of various symptoms, including psychic symptoms, feelings of sadness, loss of feeling, guilt, loss of pleasure to perform routine activities, fatigue, and difficulty concentrating. The objective of this study was to evaluate the use of the mandalas painting technique to reduce depression symptoms in the elderly of an Occupational Therapy care program. In relation to the methodology, data collection was performed from July 2015 to October 2016 , in a basic health unit, located in the interior of São Paulo, with 4 elderly women of the female gender older than 60 (sixty) years. Inclusion criteria were age over 60 years, with medical diagnosis of depression, presenting symptoms of depression that were confirmed through the geriatric depression scale and compulsory participation in the Occupational Therapy program based on the use of mandalas painting. Exclusion criteria were presence of psychiatric comorbidities, visual impairment that could not be resolved with the use of assistive technology, glasses, lack of interest in painting activities, and being involved in any other type of treatment and / or activity that symptoms. The results showed that artistic activity is an effective therapeutic resource, even with a small sample. The protocol with the painting of mandalas decreased the depressive symptoms in the elderly, favoring the performance in the activities of daily living, autonomy and independence of the elderly of this research.Keywords: Depression; Elderly; Painting; Occupational therapy.


2008 ◽  
Vol 102 (1) ◽  
pp. 95-98 ◽  
Author(s):  
Ajit Shah

There are few studies examining the relationship between elderly suicides and societal crime. Therefore, a cross-national study examining the relationship between suicide rates of elderly persons and the percentage of the population victimised by different categories of crime was undertaken by using cross-national data from the World Health Organisation and United Nations databases. The main finding was a negative correlation between suicide rates in elderly men age 75+ years and women in both the elderly age-bands with the percentage of the population victimised by the crime of robbery. The findings were at variance with the study's hypothesis and may be explained by several factors, including methodological issues. Individual-level case-control or cohort studies of suicides and attempted suicides by elderly persons are suggested to examine the relationship of suicides by elderly and experience of being victimised by crime.


1993 ◽  
Vol 23 (3) ◽  
pp. 719-729 ◽  
Author(s):  
A. S. Henderson ◽  
A. F. Jorm ◽  
A. Mackinnon ◽  
H. Christensen ◽  
L. R. Scott ◽  
...  

SynopsisThe point prevalence of depressive disorders was estimated in a sample of persons aged 70 years and over, which included both those living in the community and those in institutional settings. Lay interviewers administered the Canberra Interview for the Elderly to the subjects and their informants. The point prevalence of depressive episodes as defined by the Draft ICD-10 diagnostic criteria was 3·3%. The rate for DSM-III-R major depressive disorder was 1·0%. The latter prevalence rate is similar to those reported elsewhere for the elderly. Evidence is accumulating that older persons may indeed have low rates for depressive disorders at the formal case level. Possible reasons for this finding are offered.A scale for depressive symptoms, based exclusively on those specified in Draft ICD-10 and DSM-III-R, showed that the elderly do experience many depressive symptoms. Contrary to expectation, these did not increase with age. The number of depressive symptoms was correlated with neuroticism, poor physical health, disability and a history of previous depression. Attention now needs to be directed to the clinical significance of depressive symptoms below the case level in elderly persons.


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