IS POOR QUALITY SLEEP PRESENT IN OLDER ADULTS WITH WORSE SOCIAL AND HEALTH STATUS?

ABSTRACT Objective: to analyze the relationship among sleep and sociodemographic aspects, health, frailty, performance in activities of daily living, cognitive performance and depressive symptoms of older residents in the community. Method: a cross-sectional, quantitative study was conducted with 81 older adults residents in the area covered by a Family Health Unit in the city of São Carlos (SP), Brazil. Data collection occurred in 2019, through the application of the following instruments: questionnaire for socioeconomic and health characterization of the older adult, Pittsburgh Sleep Quality Index, Frailty Phenotype proposed by Linda Fried, Mini Mental State Examination, Geriatric Depression Scale, Katz Index and Lawton Scale. Participants were divided into comparative groups according to sleep quality scores. Fisher's exact and Pearson's χ2 were used. A significance level of 5% was adopted. Results: 50.6% of the older adults had poor quality sleep (n=41), followed by 33.3% of older adults with good quality sleep (n=27) and 16.1% had sleep disorders (n=13). There was a relationship between sleep quality and sex (p=0.008), work status (p=0.001), self-assessment of health (p=0.013), falls (p=0.034), pain (p=0.012), frailty level (p=0.026) and the slow gait criterion (p<0.001). Conclusion: there was a higher prevalence of poor quality sleep and sleep disorders in older patients, who do not work outside the home, who evaluated their health as regular or poor, who suffered falls in the last year and who complained of pain, frailty and slow gait.

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COVID-19 Anxiety and Quality of Sleep among Employees of a Nursing Campus and Their Spouses

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210639 ◽

2021 ◽

Vol 11 (6) ◽

pp. 263-270

Author(s):

Shobha Laxmi Bajracharya ◽

Priscilla Samson ◽

Sarala K.C.

Keyword(s):

Sleep Quality ◽

Virus Disease ◽

Sampling Technique ◽

Poor Quality ◽

P Value ◽

Quality Of Sleep ◽

Cross Sectional ◽

Significance Level ◽

Quality Sleep

Introduction: Corona Virus Disease 2019 (COVID-19) is highly contagious, has spread across the world rapidly and has taken many lives. All these have created a lot of concern for people leading to heightened levels of anxiety as a common response to this dreadful situation. It not only has affected physically but psychologically as well including sleep quality. This study aimed to assess employees and their spouses’ level of anxiety and sleep quality. Methods: A cross sectional study was conducted to find out level of anxiety and quality of sleep among employees and their spouses in Nepal during COVID-19 pandemic from June 14, 2020, to July 4, 2020. Web based Google forms and printed questionnaire were used to collect data as required. Total enumerative sampling technique was used where 128 responses were received. Data were analyzed using descriptive statistics and inferential statistics. P value was significant at 0.05. Ethical approval was obtained from Institutional Review Committee of Patan Academy of Health Sciences. Results: The overall prevalence of COVID-19 dysfunctional anxiety was 1.6% and poor quality sleep was 39.1%. There was no significant association of age, gender and status of respondents with quality of sleep at 95% of significance level (p-value=.089, .887, .964 respectively). Conclusion: From findings of the study, it is concluded that though only few respondents had dysfunctional covid-19 anxiety, about two fifth respondents had poor quality of sleep. Therefore, poor quality sleep could be addressed, and counselling could be performed on time. Key words: COVID-19 anxiety, employee, sleep quality, spouse.

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

BMC Psychiatry ◽

10.1186/s12888-021-03368-y ◽

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.

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

Scientific Reports ◽

10.1038/s41598-021-89994-8 ◽

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.

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Psychometric Properties of the Persian Adaptation of Mini-Cog Test in Iranian Older Adults

The International Journal of Aging and Human Development ◽

10.1177/0091415017724547 ◽

2017 ◽

Vol 86 (3) ◽

pp. 266-280 ◽

Cited By ~ 3

Author(s):

Mohammad Rezaei ◽

Vahid Rashedi ◽

Gohar Lotfi ◽

Peymaneh Shirinbayan ◽

Mahshid Foroughan

Keyword(s):

Older Adults ◽

Psychometric Properties ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Validity And Reliability ◽

Roc Curve Analysis ◽

Cross Sectional ◽

Mental Test Score ◽

Persian Version ◽

People With Dementia

The aim of this study was to assess the psychometric properties of the Mini-Cog in Iranian older adults. It was a cross-sectional study; 50 older people with dementia and 50 without dementia who matched for age, gender, and education entered the study. The diagnostic and statistical manual of mental disorders criteria for dementia were used as gold standard. A battery of scales included the abbreviated mental test score (AMTS), the Geriatric Depression Scale, and the Mini-Cog was performed. Validity and reliability of the Mini-Cog determined using the Pearson product-moment correlation coefficient (Pearson’s r), Cronbach’s alpha, and Receiver Operating Characteristic (ROC) curve analysis. The Persian version of Mini-Cog showed a good inter-rater reliability ( K = 0.76, p < .01) and a positive concurrent validity ( r = 0.39, p < .01) with the AMTS. The sensitivity and specificity were 88% and 62.8%, respectively, using the original cutoff point of 2. The findings showed that the Persian version of Mini-Cog have an acceptable sensitivity, specificity, and substantial overall agreement with the AMTS.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183449 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3449 ◽

Cited By ~ 1

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.

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Variation in Functional Independence among Stroke Survivors Having Fatigue and Depression

Neurology Research International ◽

10.1155/2013/842980 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 8

Author(s):

Umaru Muhammad Badaru ◽

Omoyemi Olubunmi Ogwumike ◽

Ade Fatai Adeniyi ◽

Olajide Olubanji Olowe

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Medical Center ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Functional Independence ◽

Cross Sectional Survey ◽

College Hospital ◽

Cross Sectional ◽

Significance Level

Objective. This study evaluated variation in functional independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) among individuals with poststroke fatigue (PSF) and poststroke depression (PSD).Methods. A cross-sectional survey involved 65 consenting poststroke survivors who were purposively recruited from physiotherapy clinics of the University College Hospital, Ibadan, Adeoyo Maternity Teaching Hospital, Ibadan, and Federal Medical Center, Gusau. Participants were assessed for symptoms of PSD with short geriatric depression scale-15, PSF with fatigue severity scale, ADL with Barthel Index and IADL with Nottingham extended ADL scale. Data analysis was done using Chi-square and unpairedt-test with significance level being 0.05.Results. Participants’ age ranged from 58 to 80 years. PSD alone (P=0.002) and both PSF and PSD (P=0.02) were significantly associated with ADL, while PSF alone was not (P=0.233). PSD alone (P=0.001) and both PSF and PSD (P=0.001) significantly negatively affected IADL, while PSF alone had no significant effect (P=0.2).Conclusions. Participants with PSD alone and those with both PSF and PSD had lower functional independence in ADL and IADL.

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

Journal of Clinical Medicine ◽

10.3390/jcm9030795 ◽

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.

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Determinants of Suicidal Ideation among Older Adults

GeroPsych ◽

10.1024/1662-9647/a000250 ◽

2020 ◽

pp. 1-9

Author(s):

Mahshid Foroughan ◽

Mohammad Rostami ◽

Seyed Jalal Younesi

Keyword(s):

Older Adults ◽

Life Satisfaction ◽

Suicidal Ideation ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Cross Sectional ◽

Satisfaction Index ◽

Relationship Of ◽

The Relationship

Abstract. This study examined the relationship of depression and life satisfaction with suicidal ideation among older Iranian adults. In this cross-sectional study, a total of 159 older adults in Tehran (73% community-residing, 60 years or older) participated. The data were gathered using the Beck Scale for Suicidal Ideation (BSSI), the Geriatric Depression Scale (GDS), and the Life Satisfaction Index-Z (LSIZ). According to the results, depression and life satisfaction are significantly related to suicidal ideation; the two variables predict 0.39% of the variance of suicidal ideation in older adults ( p < .01). The interaction between depression and life satisfaction is a stronger predictor of suicidal ideation in older adults than each of the variables alone.

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Elderly who take care of elderly: a study on the Frailty Syndrome

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0474 ◽

2017 ◽

Vol 70 (4) ◽

pp. 822-829 ◽

Cited By ~ 2

Author(s):

Ariene Angelini dos Santos-Orlandi ◽

Tábatta Renata Pereira de Brito ◽

Ana Carolina Ottaviani ◽

Estefani Serafim Rossetti ◽

Marisa Silvana Zazzetta ◽

...

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Cognitive State ◽

Frailty Phenotype ◽

Cross Sectional ◽

Instrumental Activities ◽

Elderly Caregivers

ABSTRACT Objective: Identifying prevalence of frailty in elderly caregivers inserted in a high social vulnerability context and its correlation with sociodemographic and health aspects. Method: Descriptive, correlational and cross-sectional study. Forty elderly caregivers were evaluated with: questionnaire for caregiver characterization, Mini Mental State Examination, Katz Index, Lawton instrumental activities of daily living scale, Geriatric Depression Scale and the frailty phenotype proposed by Fried. Interviews were conducted at their residences and scheduled in advance. All ethical precautions were observed. Data were analyzed with the Stata statistical program version 11.0. Results: 10% of elderly caregivers were frail. There was a significant correlation between frailty and sex, instrumental activities of daily living and cognition. Conclusion: Female caregivers, partially dependent individuals regarding instrumental activities of daily living and with worse cognitive state deserve a special attention from health services.

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Prevalence of Dementia, Emotional State and Physical Performance among Older Adults in the Metropolitan Area of Guadalajara, Jalisco, Mexico

Current Gerontology and Geriatrics Research ◽

10.1155/2014/387528 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 6

Author(s):

Irma E. Velázquez-Brizuela ◽

Genaro G. Ortiz ◽

Lucia Ventura-Castro ◽

Elva D. Árias-Merino ◽

Fermín P. Pacheco-Moisés ◽

...

Keyword(s):

Older Adults ◽

Cognitive Function ◽

Physical Performance ◽

Functional Disability ◽

Emotional State ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional ◽

Level Of Education ◽

Low Level

Background. Dementia affects memory, thinking, language, judgment, and behavior. Depression, is common in older adults with dementia. The concomitance of dementia and depression increases disability with impaired activities of daily living (ADL), increasing the chances of institutionalization and mortality.Methods. Cross-sectional study of a population 60 years and older who live in the State of Jalisco, Mexico. A total of 1142 persons were assessed regarding their cognitive function, emotional state, and physical performance. Door-to-door interview technique was assigned in condition with multistage probability random sampling. Cognitive function, depression and functional disability were assessed by applying standardized Minimental State Examination (Folstein), Geriatric Depression Scale, and the Katz index, respectively. Diagnosis of dementia was performed according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, the Fourth Edition. Data were analyzed using SPSS software.Results. Prevalence of demency was 9.5% (63.35% women, and 36.7% men). Demency was associated with being woman, being older than 70 years, low level of education, not having the economic benefit of retirement, being single or living without a partner, low level of education, suffering from depression and have functional disability in ADL.Conclusion. Dementia is more common in women and is related to depression and disability.

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