scholarly journals Depressive symptoms and chronotypes of elderly nursing home residentes: A case management study

2020 ◽  
Vol 14 (2) ◽  
pp. 165-170
Author(s):  
Evany Bettine de Almeida ◽  
Thais Bento Lima-Silva ◽  
Luiz Menna-Barreto
Keyword(s):  
Nursing Home ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Sleep Disturbances ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Sleep Diary ◽  
Low Educated

ABSTRACT. Institutionalization potentiates the tendency for specific sleep disturbances which occur with aging, besides negative health consequences such as increased rate of depressive symptoms. Objective: To compare sleep profile and depressive symptoms in elderly nursing home residents, highlighting gender differences. Methods: A quantitative descriptive study of 29 elderly from two different nursing homes was conducted. A sociodemographics questionnaire, Sleep Diary, Morningness-Eveningness Questionnaire and the 15-item Geriatric Depression Scale were applied. Data were analyzed using descriptive statistics, Student’s t-test and the Mann-Whitney U-test. Results: The sample comprised individuals that were predominantly female (72%), aged 80-90 years (48%), widowed (66%) and low-educated (83%). The women were found to sleep and awake later than the men. Regarding chronotypes, the women were classified as evening types and men as intermediate/indifferent types. Most of the elderly exhibited symptoms of major depression (48%). Compared to men, women had more depressive symptoms in both dysthymia and major depression categories. Conclusion: No significant differences were evident on comparisons of sleep profile and depressive symptoms, but elderly with the intermediate chronotype scored lower on the depressive symptoms scale.

Clinical Features of Depression in the Nursing Home

1989 ◽  
Vol 1 (1) ◽  
pp. 5-15 ◽  
Author(s):  
Ira R. Katz ◽  
Emerson Lesher ◽  
Morton Kleban ◽  
Vijay Jethanandani ◽  
Patricia Parmelee
Keyword(s):  
Nursing Home ◽  
Major Depression ◽  
Random Sample ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
Cognitive Status ◽  
Geriatric Depression ◽  
Medical Disorders ◽  
Prevalence Of Depression

The prevalence of depression among nursing home residents was estimated by screening a group of residents selected from a random sample on the basis of cognitive status; it ranged from 18–20% for major depression to 27–44% for other dysphoric states. Though individual patients were observed to change over a 6-month period, depression as assessed with the Geriatric Depression Scale was, in general, persistent. Major depression was clinically confirmed in 8 of 10 patients identified at screening. It was characterized by medical disorders that complicated diagnosis and treatment, and by increased mortality relative to the rest of the population.

Diagnostic Performance of the Geriatric Depression Scale and the Beck Depression Inventory with Nursing Home Residents

1998 ◽  
Vol 17 (4) ◽  
pp. 401-413 ◽  
Author(s):  
Réjeanne Laprise ◽  
Jean Vézina
Keyword(s):  
Nursing Home ◽  
Beck Depression Inventory ◽  
Diagnostic Performance ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
Geriatric Depression ◽  
Troubles Cognitifs ◽  
Pour Cent

RÉSUMÉCette étude avait comme objectif de comparer les performances diagnostiques de l'Inventaire de Dépression de Beck (IDB) et de l'Échelle de Dépression Gériatrique (EDG) à correctement identifier des adultes âgés déprimés et des adultes âgés non déprimés exempts de troubles cognitifs importants et vivant en centres d'accueil. Aux seuils-critères usuels de 10 et de 11, la sensibilité du IDB était de 96,30 pour cent et celle du EDG de 88,89 pour cent alors que la spécificité se situait à 46,15 et 56,41 pour cent respectivement. Les courbes caractéristiques du receveur (ROC) ont permis de confronter les résultats obtenus à ces échelles avec le diagnostic des psychiatres selon les critères du DSM-III-R. Contrairement à ce qui avait été prévu, aucune différence n'a été retrouvée entre la surface sous la courbe du IDB (Az = 0,87; é.t. = .04) et celle du EDG (Az = 0,85; é.t. = .05). Ce résultat indique l'équivalence des performances diagnostiques de ces deux échelles. L'exclusion des énoncés somatiques ou du facteur somatique n'a pas amélioré significativement la performance diagnostique du IDB. Des indices de stabilité temporelle, de validité concomitante et de concordance avec le diagnostic ont aussi confirmé la fidélité et la validité de ces deux échelles auprès de résidants cognitivement intacts vivant en centres d'accueil.

Direct costs associated with depressive symptoms in late life: a 4.5-year prospective study

2012 ◽  
Vol 25 (2) ◽  
pp. 292-302 ◽  
Author(s):  
Melanie Luppa ◽  
Hans-Helmut König ◽  
Dirk Heider ◽  
Hanna Leicht ◽  
Tom Motzek ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Home Care ◽  
Old Age ◽  
Service Use ◽  
Depressive Symptomatology ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Direct Costs ◽  
Cross Sectional

ABSTRACTBackground: Depression in old age is common. Only few studies examined the association of depressive symptoms and direct costs in the elderly in a cross-sectional way. This study aims to investigate prospectively health service use and direct costs over a course of 4.5 years considering also different courses of depressive symptomatology.Methods: 305 primary care patients aged 75+ were assessed face-to-face regarding depressive symptoms (Geriatric Depression Scale), and service use and costs at baseline and 4.5 years later. Resource utilization was monetarily valued using 2004/2005 prices. The association of baseline factors and direct costs after 4.5 years was analyzed by multivariate linear regression.Results: Mean annual direct costs of depressed individuals at baseline and follow-up were almost one-third higher than of non-depressed, and highest for individuals with chronic depressive symptoms. Most relevant cost drivers were costs for inpatient care, pharmaceuticals, and home care. Costs for home care increased at most in individuals with chronic depressive symptoms. Baseline variables that were associated with direct costs after 4.5 years were number of medications as a measure of comorbidity, age, gender, and depressive symptoms.Conclusions: Presence and persistence of depressive symptoms in old age seems to be associated with future direct costs even after adjustment for comorbidity. The findings deign a look to the potential economic consequences of depressive symptoms in the elderly for the healthcare system in the future.

scholarly journals Association between depressive symptoms and dental care-seeking behavior among elderly Brazilian people

2016 ◽  
Vol 45 (3) ◽  
pp. 132-138 ◽  
Author(s):  
Gabriela Ádima de Camargo ÁVILA ◽  
Aline Blaya MARTINS ◽  
Otávio Pereira D'AVILA ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Elderly People ◽  
Dental Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Care Seeking ◽  
Significant Difference ◽  
Care Seeking Behavior ◽  
Seeking Behavior

Abstract Background Depressive symptoms are highly prevalent among the elderly population (10%). These symptoms frequently appear when there is a loss of quality of life associated with social exclusion and the appearance of severe diseases. Feelings of sadness, discouragement, despondency and deception, and events such as the loss of close friends and family can also be related to these symptoms. The consequences of depressive symptoms include negative oral health outcomes, such as a decrease in the frequency of toothbrushing, greater prevalence of caries and higher probability of the appearance of periodontitis. Aim This study aimed to evaluate the association between the presence of depressive symptoms and problem-oriented oral healthcare behavior, as well as the absence of healthcare-seeking behavior. Material and method 872 elderly people living in two health districts in Porto Alegre were evaluated. They provided information on socioeconomic variables at an interview, and responded to the Geriatric Depression Scale-15 and to a questionnaire assessing dental care-seeking behavior. In addition, an oral examination was performed. When analyzed using Poisson regression with robust variance, the variables of male sex, less schooling, lower income, reduced number of teeth, presence of root remnants and presence of depressive symptoms were found to be independently associated with the outcome. Result There was a significant difference regarding dental care-seeking behavior in relation to elderly people presenting depressive symptoms and those in low socioeconomic strata having poor oral status. Conclusion It was concluded that these factors need to be taken into consideration when evaluating dental care-seeking behavior.

scholarly journals Sexualidade e sintomatologia depressiva em idosos residentes no nordeste do Brasil

2021 ◽  
Vol 20 (4) ◽  
pp. 170-216
Author(s):  
Edison Vitório de Souza Júnior ◽  
Sterline Therrier ◽  
Cristiane dos Santos Silva ◽  
Bianca de Moura Peloso-Carvalho ◽  
Lais Reis Siqueira ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Depressive Symptomatology ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Spearman Correlation ◽  
Geriatric Depression ◽  
Sociodemographic Variables ◽  
Living Together ◽  
Moderate Magnitude

Objetivo: Analizar la asociación entre sexualidad y variables biosociodemográficas y síntomas depresivos en adultos mayores. Método: Se trata de un estudio seccional diseñado con 292 personas mayores. La recolección de datos se realizó entre agosto y octubre de 2020. Se utilizó la Escala de Experiencias Sexuales y Afectivas de Ancianos y la Escala de Depresión Geriátrica. Se utilizaron pruebas de Mann-Whitney, correlación de Spearman y pruebas de Kruskal-Wallis, adoptando un intervalo de confianza del 95% para todos los análisis estadísticos.Resultados: Predominaron los varones (52,1%) y entre 60 y 64 años (46,6%). La prevalencia de síntomas depresivos fue del 30,1% para los casos leves y del 8,6% para los graves. Los ancianos con síntomas depresivos experimentaron peor el acto sexual, las relaciones afectivas y las adversidades físicas y sociales relacionadas con la sexualidad. La única dimensión de la sexualidad que se asoció con las variables biosociodemográficas fue el acto sexual, mostrando que es mejor vivido por los ancianos en unión estable (p = 0.023) y entre quienes conviven con la pareja por un período ≤ 5 años, en comparación con los mayores de 20 años (p = 0,001). Además, solo la dimensión acto sexual se correlacionó negativamente y con magnitud moderada entre los síntomas depresivos graves (ρ = -0,442; p = 0,027), lo que indica que estas dos variables exhiben comportamientos inversamente proporcionales. Conclusión: La sexualidad se asocia con algunas variables biosociodemográficas y se correlaciona con síntomas depresivos severos en ancianos. Objective: To analyze the association of sexuality with the bio-sociodemographic variables and depressive symptomatology in the elderly. Method: This is a sectional study designed with 292 elderly people. Data were collected between August and October 2020. The Elderly Affective and Sexual Experiences Scale and the Geriatric Depression Scale were used. Mann-Whitney, Spearman correlation, and Kruskal-Wallis tests were used, adopting a 95% confidence interval for all statistical analyses.Results: The participants were predominantly male (52.1%) and aged between 60 and 64 years (46.6%). The prevalence of depressive symptoms was 30.1% for mild cases and 8.6% for severe cases. The elderly with depressive symptomatology experienced worse the sexual act, affective relationships, and physical and social adversities related to sexuality. The only dimension of sexuality that was associated with the bio-sociodemographic variables was the "sexual act," proving to be better experienced by the elderly in stable unions (p = 0.023) and among those who live with their partner for a period ≤ 5 years, when compared to those with living together for more than 20 years (p = 0.001). In addition, only the Sexual act dimension correlated negatively and with moderate magnitude with severe depressive symptoms (ρ = -0.442; p = 0.027), indicating that these two variables present inversely proportional behaviors.Conclusion: Sexuality is associated with some bio-sociodemographic variables and correlated with severe depressive symptoms among the elderly. Objetivo: Analisar a associação entre a sexualidade com as variáveis biosociodemográficas e sintomatologia depressiva em idosos. Método: Trata-se de um estudo seccional delineado com 292 idosos. Realizou-se a coleta de dados entre agosto e outubro de 2020. Foi utilizada a Escala de Vivências Afetivas e Sexuais do Idoso e a Escala de Depressão Geriátrica. Utilizou-se os testes de Mann-Whitney, correlação de Spearman e Kruskal-Wallis, adotando intervalo de confiança de 95% para todas as análises estatísticas.Resultados: Predominaram-se os participantes do sexo masculino (52,1%) e com idade entre 60 e 64 anos (46,6%). A prevalência de sintomatologia depressiva foi de 30,1% para os casos leves e 8,6% para os severos. Os idosos com sintomatologias depressivas pior vivenciaram o ato sexual, as relações afetivas e as adversidades física e social relacionadas à sexualidade. A única dimensão da sexualidade que se associou com as variáveis biosociodemográficas foi o ato sexual, demonstrando ser melhor vivenciada pelos idosos em união estável (p=0,023) e entre aqueles que convivem com o parceiro por um período ≤ 5 anos, quando comparados a aqueles com convivência superior a 20 anos (p=0,001). Além disso, somente a dimensão ato sexual se correlacionou de maneira negativa e com moderada magnitude entre os sintomas depressivos severos (ρ= -0,442; p=0,027), indicando que essas duas variáveis apresentam comportamentos inversamente proporcionais.Conclusão: A sexualidade está associada à algumas variáveis biosociodemográficas e correlacionada às sintomatologias depressivas severas entre os idosos.

scholarly journals Penerapan Art Therapy untuk Menurunkan Depresi pada Lansia di Panti Werdha X

2017 ◽  
Vol 1 (1) ◽  
pp. 116
Author(s):  
Ayu Eka Permatasari ◽  
Samsunuwiyati Marat ◽  
Meiske Y. Suparman
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Art Therapy ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Posttest Score ◽  
Geriatric Depression ◽  
Symptoms Of Depression ◽  
Negative Thoughts

Aging process on elderly can be challenging. Elderly who lives with their family can enjoy happiness and independent live. But, it is different with elderly who lives in a nursing home. Elderly who live in a nursing home often feel lonely, lack of activity, and experience stress to depression. They tend to show symptoms of depression which are sense of helplessness, avoidance of social interaction, experience physical complaints such as headaches, back pain, digestive disorders, and indisgestion. This research is aimed to know whether the application of art therapy can reduce depression on the elderly who lives in a nursing homes. Art therapy intervention with with drawing and coloring methods were chosen because it can be applied to individual of all ages. This intervention is aimed to express feelings, changing negative thoughts, and to be able to more recognize them selves. Participants of this research were 3 elderly who live in nursing homes. The intervention was conducted for 12 sessions. The results were being measured by comparing the pretest-posttest score of Geriatric Depression Scale (GDS). After the intervention was conducted, all participants showed reducing score of depression on GDS on posttest score. During the intervention, all participant also showed process of increasing expressions on their artwork. The results also indicated changes of their behaviors such as increasing social interaction.Keywords: Art therapy, Elderly, Depression, Gerontology, Nursing homes.

scholarly journals PREVALENCE AND FACTORS ASSOCIATED WITH ABUSE AND LIKELY DEPENDENCE OF ALCOHOL AMONG ELDERLY

2019 ◽  
Vol 28 ◽  
Author(s):  
Mariana Silva Freitas Guimarães ◽  
Darlene Mara dos Santos Tavares
Keyword(s):  
Depressive Symptoms ◽  
Alcohol Dependence ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Older Americans ◽  
Factors Associated ◽  
Health Action

ABSTRACT Objective: verify the prevalence of abuse and probable alcohol dependence in the elderly; describe sociodemographic and clinical characteristics of the elderly; and verify the factors associated with alcohol abuse and probable dependence in the elderly. Method: cross-sectional study, observational, domiciliary survey type, conducted with 614 elderly people living in the urban area of the city of Uberaba, Brazil. The Mini Mental State Examination, sociodemographic instrument, Older Americans Resources and Services Questionnaire, Geriatric Depression Scale and Michigan Alcoholism Screening Test - Geriatric Version were used. Statistical analysis was performed in the Statiscal Package for Social Sciences. Results: the prevalence of abuse and probable alcohol dependence was 26.5%. Among the elderly with abuse and probable dependence on alcohol, there was predominance of males, 60 |- 70 years old, who lived with a spouse or partner, had 1 |- 5 years of schooling, individual monthly income from 1 -| 3 minimum wages, five or more morbidities and no indication of depressive symptoms. Abuse and probable alcohol dependence were associated with males and the presence of depressive symptoms. Conclusion: the study reinforces the need to identify early abuse and probable alcohol dependence in the elderly and to invest in health action strategies for the purpose of health promotion, disease prevention and rehabilitation of the elderly.

Sport and Recreational Physical Activities Attenuate the Predictive Association of Multimorbidity With Increased Geriatric Depressive Symptoms: A 14-Year Follow-Up Study of Community-Dwelling Older Adults

2021 ◽  
pp. 1-9
Author(s):  
Yonglin Liang ◽  
Francisco T.T. Lai ◽  
Joyce L.Y. Kwan ◽  
Wai Chan ◽  
Eng-Kiong Yeoh
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Physical Activities ◽  
Community Dwelling ◽  
Adjusted Relative Risk ◽  
Recreational Activities ◽  
Community Dwelling Older Adults

Multimorbidity is associated with increased depression risks. Little research examines how physical exercise moderates this association. From an existing cohort of community-dwelling older adults in Hong Kong recruited in 2001–2003, the authors included participants who were successfully interviewed after 14 years (2015–2017). Geriatric depressive symptoms were used as the primary outcome and measured by the 15-item Geriatric Depression Scale, while multimorbidity was operationalized using a list of 19 conditions. Subscores of the Physical Activity Scale for the Elderly measuring light, moderate, and strenuous sport/recreational activities were included as moderators. In total, 1,056 participants were included, of whom 50.7% were multimorbid. Multimorbidity was associated with 12% more geriatric depressive symptoms, but strenuous physical activities were associated with a smaller risk elevation only among multimorbid patients (adjusted relative risk = 0.99, 95% confidence interval [0.98, 0.99]; p = .001). In conclusion, strenuous sport and recreational activities may attenuate the association between multimorbidity and geriatric depressive symptoms.

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