scholarly journals Anxiety disorder in elderly persons with chronic pain: frequency and associations

2017 ◽  
Vol 20 (1) ◽  
pp. 91-98
Author(s):  
Kate Adriany da Silva Santos ◽  
Maysa Seabra Cendoroglo ◽  
Fania Cristina Santos
Keyword(s):  
Chronic Pain ◽  
Anxiety Disorders ◽  
Pearson Correlation ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Elderly Persons ◽  
Trait And State Anxiety ◽  
Pain Frequency ◽  
Geriatric Pain

Abstract Objectives: to evaluate the frequency of anxiety disorders in older elderly persons with chronic pain and identify associated factors. Method: a descriptive, analytical and cross section study of the "Projeto Longevos" ("Long-Lived Elderly Persons Project") was carried out, featuring elderly persons living in the community who were aged 80 or over. Older elderly persons with chronic pain were selected, and data regarding their sociodemographic characteristics and factors related to pain was gathered, especially with regard to the multidimensional nature of pain, according to the "Geriatric Pain Measure-p" (GPM-p). Self-perception of health was also recorded and functionality assessments were carried out, along with the screenings for depression and anxiety disorders, according to the Geriatric Depression Scale and the State-Trait Anxiety Inventory, respectively. Associations were analyzed by Pearson correlation, the ANOVA Test and Tukey multiple comparisons. Results: the sample was composed of 41 elderly persons with a mean age of 85.7 years, most of whom were female, white, widowed and had a low education. A high prevalence of anxiety disorders was observed, being 53.6% and 68.3%, respectively, for trait and state anxiety. A significant, but not high, correlation was found between the anxiety trait and chronic pain according to the GPM-p (r=31.5%; p=0.048), and there was a significant and high correlation between the same type of anxiety and depression (r=61.3%; p<0.001). Conclusion: anxiety disorders were very prevalent in older elderly persons with chronic pain, and these correlated significantly with pain and depression, which could justify the need for varied multidisciplinary therapeutic measures against the persistent pain conditions of the elderly.

The Adherence to Mediterranean Diet Moderates the Association Between Medical Multi-morbidity and Depressive Symptoms in Elderly Outpatients

2017 ◽  
Vol 41 (S1) ◽  
pp. S646-S647
Author(s):  
F.S. Bersani ◽  
R. Vicinanza ◽  
E. d’Ottavio ◽  
M. Biondi ◽  
M. Cacciafesta ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Rating Scale ◽  
Pearson Correlation ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
Severity Index ◽  
The Elderly ◽  
Elderly Subjects ◽  
Physical And Mental Health

BackgroundDepressive symptoms in the elderly are related to the advancing of age, loss of life purpose, medical multi-morbidity, cognitive decline and social-economic problems mounting evidence suggests that lifestyle behaviors and certain dietary patterns may improve mood and overall well-being in older adults. In the present study we investigated (i) the association of adherence to Med-Diet with depressive symptoms and multi-morbidity in a cohort of geriatric medical outpatients and (ii) the role of Med-Diet in mediating the association between depressive symptoms and multi-morbidity.MethodsMorbidity was assessed using the severity index of cumulative illness rating scale for geriatrics (CIRSG-SI). Montreal cognitive assessment (MoCA) and geriatric depression scale (GDS) were administrated to evaluate cognitive and depressive symptoms. Adherence to Med-Diet was evaluated using the Med-Diet 14-Item questionnaire (MDQ). Pearson correlation was used to test association between variables. The Preacher and Hayes’ strategy was used to test the mediational model.ResultsOne hundred and forty-three subjects were included in the study. Significant inverse correlations of MDQ with GDS (r = -0.317; P < 0.001) and CIRSG-SI (r = -0.247; P = 0.003) were found, with and without adjustment for potential confounders. A direct correlation between CIRSG-SI and GDS was also observed (r = 0.304; P = 0.001), with this association being moderated by MDQ (b = 0.386; P = 0.047).ConclusionThese findings (i) add to the accumulating evidence that Med-Diet is crucially involved in the regulation of physical and mental health of elderly people, and (ii) suggest that a Mediterranean-style diet may contribute to protect elderly subjects with higher levels of polypathology/multi-morbidity from the development of depressive symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş
Keyword(s):  
Health Care Providers ◽  
Nutritional Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cluster Sampling ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

scholarly journals Applicability of a cognitive questionnaire in the elderly and proxy

2008 ◽  
Vol 2 (3) ◽  
pp. 228-232 ◽  
Author(s):  
Renata Areza Fegyveres ◽  
Ana Paula Formigoni ◽  
Cláudia Sellitto Porto ◽  
Maria Teresa Carthery Goulart ◽  
Mirna Lie Hosogi Senaha ◽  
...  
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Community Dwelling ◽  
Geriatric Depression ◽  
Community Group ◽  
Proxy Report ◽  
Proxy Responses ◽  
The Mean ◽  
State Examination

Abstract The Informant Questionnaire on Cognitive Decline in the Elderly with the Proxy (IQCODE) was developed as a screening tool for cognition alterations. Objectives: 1) To verify the applicability of IQCODE in the elderly with limited schooling, 2) To verify the reliability of the responses supplied by the aged and their proxies. Methods: Individuals of a Community Group were evaluated using the Mini-Mental State Examination (MMSE), IQCODE and Geriatric Depression Scale (GDS). The IQCODE was applied to informants and proxies. Results: We analyzed 44 individuals, aged between 58-82 years (M=66.8, SD=5.97) with mean elderly-schooling level of 3.75, SD=2.82 and 44 proxies aged 44.5 (SD=13.3), with mean schooling level of 8.25 (SD=4.3). The mean GDS was 8.22, SD=4.90 and 13 participants presented a score suggestive of depressive symptoms. The mean elderly IQCODE score was 3.26, SD=0.69 and 3.21, SD=0.65, for proxy responses. There was no statistical difference between these means. On the MMSE, the mean score was 24.20, SD=4.14 and 18 participants presented scores below the cut-off. The IQCODE answers by the elderly in this latter group were more congruent with MMSE than the answers of proxies. Conclusions: The applicability of the IQCODE in a population with little schooling was verified in that the proxy-report was similar to the elderly report. We can affirm that the elderly answers were more accurate than the proxies, as they were closer to MMSE score. The inclusion of a greater number of participants from community-dwelling settings is necessary to confirm the results obtained in this study.

scholarly journals Relationship between Serum BDNF Levels and Depressive Mood in Subacute Stroke Patients: A Preliminary Study

2018 ◽  
Vol 19 (10) ◽  
pp. 3131 ◽  
Author(s):  
Won Chang ◽  
Min Shin ◽  
Ahee Lee ◽  
Heegoo Kim ◽  
Yun-Hee Kim
Keyword(s):  
Short Form ◽  
Pearson Correlation ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Depressive Mood ◽  
Rehabilitation Program ◽  
Stroke Patients ◽  
Subacute Stroke ◽  
Preliminary Study ◽  
Serum Bdnf

The aim of this preliminary study was to investigate the potential of serum brain-derived neurotrophic factor (BDNF) as a biomarker in poststroke depressive mood in subacute stroke patients. Thirty-eight subacute stroke patients were recruited in this study. All participants underwent the standard rehabilitation program that included 2 h of physical therapy daily and 1 h of occupational therapy five days a week. The rehabilitation period lasted two weeks during the subacute stroke phase. We measured the serum BDNF, proBDNF, and matrix metalloproteinase-9 before and one and two weeks after the standard rehabilitation program. In addition, all participants were assessed using the Geriatric Depression Scale-Short Form (GDS-SF) for depressive mood at three time points. Pearson correlation analysis was performed to determine the relationship between serum BDNF levels and the GDS-SF. The GDS-SF showed significant improvement during the standard rehabilitation program period (p < 0.05). The GDS-SF was significantly correlated with serum BDNF levels at each time point (p < 0.05). These results suggest that serum BDNF may be used as a biomarker for depressive mood in subacute stroke patients. However, further studies with larger study populations are needed to clarify these results.

scholarly journals Excessive daytime sleepiness in the elderly: association with cardiovascular risk, obesity and depression

2013 ◽  
Vol 16 (4) ◽  
pp. 872-879 ◽  
Author(s):  
Johnnatas Mikael Lopes ◽  
Fábio Galvão Dantas ◽  
Jovany Luis Alves de Medeiros
Keyword(s):  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Cardiovascular Dysfunction ◽  
Chi Square ◽  
Chi Square Test ◽  
The Relationship ◽  
Health Districts

OBJECTIVE: To observe the relationship between Excessive Daytime Sleepiness (EDS) and the presence of risk factors for cardiovascular dysfunction, depression and obesity in the elderly. METHODS: We interviewed 168 elderly from the community of Campina Grande, Paraíba. They were selected according to health districts in the period of 2010. We used the Epworth Sleepiness Scale to diagnose excessive daytime sleepiness (> 10 points); waist circumference for the risk of cardiovascular dysfunction (> 94 or > 80 cm); Geriatric Depression Scale for depression (>10 points) and body mass index for obesity (> 25 kg/m2). Association analysis was performed by the Chi-square test adjusted for sex and age group, adopting α < 0.05. RESULTS: One hundred and sixty eight elderly individuals with mean age of 72.34 ± 7.8 years old participated in this study, being 122 (72.6%) women. EDS was identified in 53 (31.5%) of them; depression, in 72 (42.9%); overweight/obesity, in 95 (64.46%); and risk of cardiovascular dysfunction, in 129 (79.6%). Depressed men (78.6%, p = 0.0005) and risk of cardiovascular dysfunction (57.1%, p = 0.02) were more prone to EDS. In women, only obesity was related to sleepiness (42.1%, p = 0.01). Only those aged between 70 - 79 years old showed association between sleepiness and obesity. CONCLUSION: It was found that obesity for women, and depression and cardiovascular dysfunction risking for men were associated with EDS in the elderly. The variable sex is a confusion condition for the association with sleepiness.

scholarly journals Psychometric evidence of the transcultural adaptation of the Vulnerability Abuse Screening Scale (VASS) for the detection of violence against the elderly

2016 ◽  
Vol 19 (6) ◽  
pp. 958-969 ◽  
Author(s):  
Rodrigo da Silva Maia ◽  
◽  
Eulália Maria Chaves Maia ◽  
Keyword(s):  
Cultural Adaptation ◽  
Pearson Correlation ◽  
Measurement Equivalence ◽  
The Elderly ◽  
Elderly Persons ◽  
Kappa Index ◽  
Four Dimensions ◽  
Univariate Anova ◽  
Psychometric Evidence ◽  
Screening Scale

Abstract Objective: to present preliminary psychometric evidence of the cross-cultural adaptation of the Vulnerability to Abuse Screening Scale. Method: The steps of cultural adaptation verified conceptual, item, semantic and measurement equivalence. For measurement equivalence and verification of the psychometric data of the study samples of 30 and 66 elderly persons, respectively, were used. Descriptive and inferential statistics (KR-20, T-Student Test, Pearson correlation, univariate ANOVA and the Fleiss’ Kappa Index) were used for analysis of results. Results: It was found that the age of the participants ranged between 60 and 84 years, with a majority of older women participants (n=38). The KR-20 value for the overall score of the instrument was 0.688. The values for the four dimensions proposed by the authors of the instrument were 0.528, 0.289, 0.552 and 0.303, respectively. Only the values of the subscales Vulnerability and Coercion proved to be close to those of the original study (0.550 and 0.390). Conclusion: The internal consistency values found in the present study ranged from moderate to good, indicating that the results were satisfactory, despite being initial findings.

L'appropriation territoriale de la chambre: un outil d'évaluation de l'adaptation de la personne âgée en maison de retraite?

2003 ◽  
Vol 22 (4) ◽  
pp. 407-414 ◽  
Author(s):  
Liliane Rioux
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Personne Âgée ◽  
Elderly Persons ◽  
Geriatric Depression ◽  
Retirement Home ◽  
Evaluation Tool

ABSTRACTThe research presented here argues for the development of an evaluation tool for elderly persons' adjustment to a retirement home that more specifically measures the psychospatial adjustment of home residents. Elderly persons who enter a retirement home must undergo a process that requires them to first disappropriate their old objects and then reappropriate the new ones that furnish their rooms. The order in which this process occurs is as follows: first, objects from their former residence; second, objects acquired after entry into a home; and, third, objects belonging to the retirement home. After the existence of this process had been verified in a sample of 130 residents aged 67 to 98 years, it was demonstrated that the evaluation tool used in this study significantly correlates with the scale developed by Castonguay and Ferron (1999) that measures elderly persons' adjustment to their environments (EAPAR), as well as with the Geriatric Depression Scale (GDS), which evaluates levels of depression. In this study, this latter is an indicator of adjustment.

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 Terapi Musik terhadap Depresi pada Lansia

2019 ◽  
Vol 13 (2) ◽  
pp. 72-81
Author(s):  
Theresia Widyastuti
Keyword(s):  
Music Therapy ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Sampling Technique ◽  
The Elderly ◽  
Rank Test ◽  
A Value ◽  
Before And After ◽  
The Difference ◽  
Quasi Experiment

 Depression is a mood disorder that is generally characterized by hopelessness, excessive helplessness, and lack of enthusiasm for life. Starting from stress that is not overcome, then a person can fall into a phase of depression. This study aims to look at the effect of providing music therapy in reducing depression in the elderly before and after being given a commitment. To achieve this goal, this study uses a quasi-experimental method (Quasi Experiment). The type of research design used is Quasi Experiment with one group pretest and posttest design. The sampling technique was purposive sampling where participants based on population criteria obtained a sample of 16 people. Data collection methods using tests with a scale measuring instrument namely Geriatric Depression Scale (GDS) consisting of 30 item questions, observation methods and interview methods .. Based on data analysis it was concluded that the results obtained were Man Whitney Test U = 0.500 with a value of p = 0.001 ( p <0.01) where the mean ranks on the gain score is 12.44 and the sum of ranks is 99.50, this shows the difference in effectiveness of the effects of music therapy before and after treatment and to test the difference in levels of depression before and after being given music therapy using Wilcoxon Sign Rank test analysis . the results obtained z value = -2.539 with a value of p = 0.11 (p <0.01) so that it can be concluded that there are differences in changes in the level of depression in the elderly before and after given treatment.

scholarly journals Effects of Line Dancing on Mental Health in Seniors after COVID-19 Pandemic

2021 ◽  
Vol 11 (11) ◽  
pp. 677
Author(s):  
Sara Aliberti ◽  
Gaetano Raiola
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Geriatric Depression ◽  
Third Age ◽  
Symptoms Of Depression ◽  
Paired Samples ◽  
The Difference ◽  
Sports Activities ◽  
Training Protocol

Line dancing is one of the most practiced dance styles by adults and seniors due to the ease of execution of choreography. Due to the COVID-19 pandemic prolonging the restrictions of physical and sports activities, the elderly population has been forced into increased sedentariness and social isolation, resulting in the development of symptoms of depression. The aim of this study was to investigate the effects of line dancing practice on the mental state of late second- and third-age dancers. The sample consisted of 14 Italian female dancers with an average age of 65 years old. The Geriatric Depression Scale was used to verify whether 3 months of LD classes were able to produce improvements. Paired Samples T-Test and effect size were performed to test the difference between pre- and post-training protocol. The result was statistically significant (p < 0.05). Dancers improved their state of depression; in particular, they felt a better satisfaction in their life (d = 0.6), a greater interest in activities (d = 1), less boredom (d = 0.8), a good mood most of the time (d = 0.8), greater happiness throughout the day (d = 0.7), and the perception of a wonderful life (d = 0.5). Line dancing has proven to be an effective physical activity for improving the state of depression in late second- and third-age dancers.

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