RELATIONSHIP BETWEEN MENTAL AND PHYSICAL DISORDERS IN OLD AGE AND SENILITY

Author(s):  
В.В. Попов ◽  
И. А. Новикова ◽  
А.Г. Соловьев ◽  
М.В. Трохова

Для выявления взаимосвязи психических и физических нарушений в пожилом и старческом возрасте были обследованы 70 пациентов одной из поликлиник Архангельска, в том числе лица 60-74 лет - 56 (80 %), 75 лет и старше - 14 (20 %). Проведено анкетирование, изучены данные амбулаторных карт, использована оценка клинического статуса, а также методики для определения психического и физического состояния. Наиболее частыми психическими и физическими нарушениями были когнитивные и депрессивные расстройства, высокий риск синдрома мальнутриции, саркопении и синдрома падений, ухудшение функциональных возможностей, при этом больные старческого возраста имели достоверно более выраженные нарушения. Показано, что у лиц пожилого и старческого возраста когнитивные и депрессивные расстройства повышают риск синдрома падения и снижают функциональные возможности, а в старческом возрасте - увеличивают риск синдрома саркопении. In order to identify the relationship between mental and physical disorders in the elderly and senile age, 70 patients were examined in one of the clinics in Arkhangelsk, including 56 (80 %) persons aged 60-74 years and 14 (20 %) people aged 75 years and older. A questionnaire was conducted, data from outpatient records were studied, and the clinical status assessment was used, as well as methods for determining mental and physical condition. The most frequent mental and physical disorders were the cognitive and depressive disorders presence, a high risk of malnutrition syndrome, sarcopenia and falls syndrome, reduced functional capabilities, while senile patients had significantly more pronounced disorders. It has been shown that the cognitive and depressive disorders presence in the elderly and senile increases the falling syndrome risk and reduced functional capabilities, and in old age - sarcopenia syndrome.

2001 ◽  
Vol 178 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Mian-Yoon Chong ◽  
Chwen-Cheng Chen ◽  
Hin-Yeung Tsang ◽  
Tzung-Lieh Yeh ◽  
Cheng-Sheng Chen ◽  
...  

BackgroundPublished studies of prevalence of depression in old age in Taiwan have yielded equivocal results.AimsTo study the prevalence of depressive disorders among community-dwelling elderly; further, to assess socio-demographic correlates and life events in relation to depression.MethodA randomised sample of 1500 subjects aged 65 and over was selected from three communities. Research psychiatrists conducted all assessments using the Geriatric Mental State Schedule. The diagnosis of depression was made with the GMS–AGECAT (Automated Geriatric Examination for Computerised Assisted Taxonomy); data on life events were collected with the Taiwanese version of the Life Events and Difficulties Schedule.ResultsOne-month prevalence of psychiatric disorders was 37.7%, with 15.3% depressive neurosis and 5.9% major depression. A high risk of depressive disorders was found among widows with a low educational level living in the urban community, and among those with physical illnesses.ConclusionsContrary to most previous reports, we found that the prevalence of depressive disorders among the elderly in the community in Taiwan is high and comparable to rates reported in some studies of UK samples.


2021 ◽  
pp. 003022282110543
Author(s):  
Sibel Şentürk ◽  
Alev Yıldırım Keskin ◽  
Şule Sarızayim

This study was carried out to determine the relationship between the fear of COVID-19 in the elderly aged 65 years and over and their levels of adaptation to the “new normal.” This descriptive cross-sectional study was completed with 623 elderly individuals. It was determined that the individuals who adapted well to the “new normal” had high levels of adaptation to old age, while their levels of fear of COVID-19 were slightly above average ( p < 0.01). Elderly individuals have tried to adapt to the “new normal” while also experiencing fear of COVID-19. In order to minimize the fear experienced by the elderly during COVID-19, adequate support and psychological support should be provided.


2018 ◽  
Vol 21 (5) ◽  
pp. 616-627 ◽  
Author(s):  
Luana Karoline Ferreira ◽  
Juliana Fernandes Filgueiras Meireles ◽  
Maria Elisa Caputo Ferreira

Abstract Objective: to analyze Brazilian and non-Brazilian scientific production that considers the relationship between the lifestyle and quality of life of the elderly. Method: an integrative review of literature was performed in the Scopus, PubMed, Virtual Health Library and PsycINFO databases. Four cross-searches were adopted: the English synonyms of the word "elderly" ("Aged", "Aging", "Old age" and "Elderly") with the terms "Quality of life" and "Lifestyle". Results: after the adoption of the inclusion and exclusion criteria, 21 articles were analyzed. Physical activity, diet, body composition, alcohol intake, smoking and social relations were the main components of lifestyle investigated. The studies show that these factors influence the perception of the quality of life of the elderly. In addition to these factors, sociodemographic characteristics, functional capacity, sleep quality and comorbidities are also factors that influence the quality of life of the elderly. Conclusion: interest in the relationship between the lifestyle and quality of life of the elderly has increased in recent years. It was observed that the lifestyle of the elderly has been investigated in several ways, however no qualitative studies were found using the search criteria adopted in this review. As future perspectives, it is hoped that tools for evaluating the lifestyle of the elderly will be developed and qualitative investigations will be carried out in order to obtain a deeper understanding of the specificities that exist in the relationship between the lifestyle and levels of quality of life in old age.


2009 ◽  
Vol 40 (2) ◽  
pp. 225-237 ◽  
Author(s):  
R. C. Kessler ◽  
H. Birnbaum ◽  
E. Bromet ◽  
I. Hwang ◽  
N. Sampson ◽  
...  

BackgroundAlthough depression appears to decrease in late life, this could be due to misattribution of depressive symptom to physical disorders that increase in late life.MethodWe studied age differences in major depressive episodes (MDE) in the National Comorbidity Survey Replication, a national survey of the US household population. DSM-IV MDE was defined without organic exclusions or diagnostic hierarchy rules to facilitate analysis of co-morbidity. Physical disorders were assessed with a standard chronic conditions checklist and mental disorders with the WHO Composite International Diagnostic Interview (CIDI) version 3.0.ResultsLifetime and recent DSM-IV/CIDI MDE were significantly less prevalent among respondents aged ⩾65 years than among younger adults. Recent episode severity, but not duration, was also lower among the elderly. Despite prevalence of mental disorders decreasing with age, co-morbidity of hierarchy-free MDE with these disorders was either highest among the elderly or unrelated to age. Co-morbidity of MDE with physical disorders, in comparison, generally decreased with age despite prevalence of co-morbid physical disorders usually increasing. Somewhat more than half of respondents with 12-month MDE received past-year treatment, but the percentage in treatment was lowest and most concentrated in the general medical sector among the elderly.ConclusionsGiven that physical disorders increase with age independent of depression, their lower associations with MDE in old age argue that causal effects of physical disorders on MDE weaken in old age. This result argues against the suggestion that the low estimated prevalence of MDE among the elderly is due to increased confounding with physical disorders.


Author(s):  
A.M. Myers ◽  
L. Huddy

ABSTRACTThe relationship between ADL self-assessments and physical ability was investigated using data compiled on 128 exercise class participants. Compared with community dwelling respondents, institutionalized seniors were not only less accurate in their subjective ADL estimates, but consistently underestimated their capabilities over comparable ranges of the objective physical scale. Seniors appear to make errors estimating their functional capabilities with respect to daily activities they no longer perform and that may be restricted for reasons of institutional convenience.


2018 ◽  
Vol 14 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Alessia Bramanti ◽  
Ernesto D’Aloja ◽  
Federico Cabras ◽  
Pasquale Paribello ◽  
Maria Francesca Moro ◽  
...  

Introduction:Two main demographic phenomena have substantially changed the condition of elderly: the growth of the urban population and the increase in longevity.Objective:The aim of the present review is to investigate how the elderly living in the cities perceive the sense of insecurity compared to those who reside in rural areas, and their Quality of Life (QoL).Method:Studies published from January 2011 to August 2017 were identified on Google and PubMed combining the following terms: “elderly urban/rural QoL” or “old age urban/rural QoL”.Results:We found 18 different papers published. However, there was only one study on how the elderly perceive the violence in the city. Studies on quality of life were not univocal. Studies on depressive disorders in old age were most homogeneous showing a condition worsening in the cities. A study on the perception of violence in US showed in residents of cities and neighborhoods with the entertainment arena and casinos an increase of criminality perception. In contrast, the crime decreased in both above-mentioned neighborhoods.Conclusion:The condition of elderly in the cities is changed considerably in the recent years. It is estimated that this trend will increase in the coming years. We do not know how older people are experiencing these changes and how they perceive the persistence of violence in the cities. Future researches must satisfy this need by addressing the issue with appropriate methodological tools. This is a public health priority.


2018 ◽  
Vol 19 (2) ◽  
pp. 147032031878262
Author(s):  
Roberta Fernanda da Silva ◽  
Riccardo Lacchini ◽  
Lucas Cezar Pinheiro ◽  
Thiago José Dionísio ◽  
AndréMourão Jacomini ◽  
...  

Objective: Polymorphisms of the renin angiotensin system (RAS) are associated with increases in blood pressure (BP). Physical exercise has been considered the main strategy to prevent this increase. This study aimed to investigate the relationship between estimated training status (TS), BP and angiotensin-converting enzyme (ACE) activity in elderly people classified as low or high risk to develop hypertension according to genetic profile. Methods: A total of 155 elderly participants performed the following assessments: general functional fitness index (GFFI), systolic BP (SBP) and diastolic BP (DBP), blood collection for ACE activity and analyses of the RAS polymorphisms. Results: Uncontrolled hypertensive (UHT) participants presented higher values of SBP and DBP compared with normotensive (NT) and controlled hypertensive (CHT) participants. No differences were found in ACE activity and GFFI between groups. In the high risk group, UHT presented higher values of SBP and DBP compared with other groups. CHT presented higher values of SBP compared with NT. Furthermore, UHT presented higher values of ACE activity compared with CHT and lower values of GFFI compared with NT. Conclusion: MDA, TIA and TIC genetic combinations were associated with high risk of developing hypertension while the maintenance of good levels of TS was associated with lower BP values and ACE activity.


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Dev Ashish ◽  
Prof Aradhana Shukla

The overall depressive disorders occurrence rate in elderly people is estimated to be between 10% – 20% based on their cultural background, by the World Health Organization (Rangaswamy Sm (ed), 2001 & Wig NN.2001). There have been mental health studies done in India based on the community, which show the occurrence rate of depressive disorders among elderly people is between 10% – 25%. (Nandi DN, Ajamany S, Ganguli H, Banerjee G, Boral GC, Ghosh A, et al. 1976., Ramachandran V, Menon sarada M, Arunagiri S. 1982). There have been various studies showing that elderly people have higher rate of having psychological problems, depression being then most common in geriatric psychiatric disorders. The elderly people living in India experience variety of psychological, social, and physical health problems. As mentioned earlier about depression being most common among geriatric psychiatric disorders, it is due to many depressive factors such as life events that affect psychological status of a person. Also with the growing age, the chances of functional loss and morbidity increase as well. Sir James Sterling had said that you do not heal the old age, you protect it, you promote it, and you extend it. In the world of Seneca it has been said that old age is an incurable disease. These are the basic principles that preventive medicine follows. There would be 2 per 1000 patients in the country needing the psychiatric institutional treatment estimated by the Bhore Committee (Report of Health Survey and Development Committee, New Delhi: Govt. of India, 1946).


2009 ◽  
Vol 40 (8) ◽  
pp. 1357-1366 ◽  
Author(s):  
I. Pakkala ◽  
S. Read ◽  
J. Kaprio ◽  
M. Koskenvuo ◽  
M. Kauppinen ◽  
...  

BackgroundPrior studies suggest that certain types of personality are at higher risk for developing depressive disorders. This study examined the relationship between old age depressive symptoms and two middle-age personality dimensions, neuroticism and extraversion.MethodThe present study is part of the Finnish Twin Study on Aging, where altogether 409 female twins who had completed the Eysenck Personality Inventory at the age of 38–51 years were studied for depressive symptoms 28 years later using Center for the Epidemiologic Studies Depression Scale. Logistic regression analysis suitable for dependent data and univariate and Cholesky models for decomposing the genetic and environmental factor were used.ResultsMiddle age extraversion protected from later depressive symptoms while neuroticism increased the risk. Twin modeling indicated that the association between neuroticism and depressive symptoms resulted from shared genetic risk factors common to both traits. However, a substantial proportion of the genetic vulnerability was specific to old age depressive symptoms and was not shared with neuroticism. Middle age extraversion had no genetic relationship with old age depressive symptoms.ConclusionsThe relationship between middle age neuroticism and old age depressive symptoms is strong but only partly the result of genetic factors that predispose to both neuroticism and depressive symptoms. Extraversion, by contrast, has no genetic relationship with depressive symptoms experienced in old age.


Sign in / Sign up

Export Citation Format

Share Document