The Relationships among Locomotive Syndrome, Depressive Symptom, and Quality of Life in Older Adults Living in Rural Areas

2020 ◽  
Vol 103 (8) ◽  
pp. 796-803
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Areas ◽  
Community Dwelling ◽  
World Health ◽  
Life Questionnaire ◽  
Care Providers ◽  
Locomotive Syndrome

Objective: To investigate the relationships among locomotive syndrome, depressive symptoms, and quality of life in older adults living in rural areas. Materials and Methods: The present research was a descriptive cross-sectional study. The sample was 160 community-dwelling older people living in sub-districts under the services of five health promoting hospitals located in Chiang Mai, Thailand. The prospective participants were recruited by Multi-stage random sampling. They had completed instruments, including The Demographic Questionnaire, The 25-question Geriatric Locomotive Function Scale, The 15-item Geriatric Depression Scale, and The World Health Organization Quality of life Questionnaire in Thai Elderly. The data were analyzed using descriptive statistics, Pearson’s production-moment correlation. Results: The four findings revealed that the locomotive syndrome was found in 50% of participants with the cut-point score of 16 (mean 30.98, SD 14.03), while 26.9% of the participants revealed depressive symptoms (mean 7.07, SD 1.98). The participants had a good quality of life 79.4% (mean 105.12, SD 9.03). There was a positive correlation between locomotive syndrome and depressive symptoms (r=0.47, p<0.01). An inverse correlation was found between the locomotive syndrome and quality of life (r=–0.56, p<0.01) and between depressive symptoms and quality of life (r=–0.46, p<0.01). Conclusion: Findings from the present study would be useful for the health care providers to design interventions to promote physical function along with psychological well-being. Keywords: Locomotive syndrome, Depressive symptoms, Quality of life, Older adults

Levels of depressive symptoms may modify the relationship between the WHOQOL-BREF and its determining factors in community-dwelling older adults

2015 ◽  
Vol 28 (4) ◽  
pp. 591-601 ◽  
Author(s):  
Yu-Chen Chang ◽  
Wen-Chen Ouyang ◽  
Mei-Chun Lu ◽  
Jung-Der Wang ◽  
Susan C. Hu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Early Recognition ◽  
Depression Scale ◽  
Community Dwelling ◽  
World Health ◽  
Community Dwelling Older Adults ◽  
Different Levels

ABSTRACTBackground:Depression is closely associated with quality of life (QOL) in older adults. Being elderly and exhibiting mild depressive symptoms may not lead to a depression diagnosis, but these attributes are clinically important. However, the extent to which these factors influence QOL and its determinants in older adults remains unclear.Methods:Questionnaires were administered to people aged 65 years or older at community senior centers in Taiwan to collect socio-demographic information and to assess results from the brief version of the World Health Organization's Quality of Life instrument (WHOQOL-BREF), Modified Barthel Index (MBI), 15-item Geriatric Depression Scale (GDS), and Mini-Mental State Examination (MMSE). Levels of depressive symptoms were classified as no depressive symptoms (NDS), lower level of depressive symptoms (LLDS), and higher level of depressive symptoms (HLDS), corresponding to GDS = 0, 1≦GDS≦5, and GDS>5, respectively. Multiple linear regression analyses were conducted to assess associations between the WHOQOL-BREF and its covariates for different levels of depressive symptoms.Results:A total of 454 older adults participated. The GDS and MBI scores significantly affected the WHOQOL-BREF physical and psychological domain scores in the LLDS group. Gender influenced the WHOQOL-BREF scores in the NDS group, and increased age demonstrated protective effects on the three domains in the HLDS group. Moreover, the association between the WHOQOL-BREF and its covariates varied for different levels of depressive symptoms.Conclusions:Treatment for depressive symptoms is of high priority, and early recognition of and appropriate intervention for mild depressive symptoms may improve community-dwelling older adults’ QOLs.

scholarly journals The Prevalence of Depressive and Insomnia Symptoms, and Their Association With Quality of Life Among Older Adults in Rural Areas in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Juan-Juan Yang ◽  
Hong Cai ◽  
Lei Xia ◽  
Weicheng Nie ◽  
Yulong Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Areas ◽  
Community Dwelling ◽  
Anhui Province ◽  
Financial Status ◽  
Negatively Associated ◽  
Insomnia Symptoms

Background: There are few studies on the epidemiology of depression, insomnia, and their association with quality of life (QOL) in older adults living in rural China. This study examined the prevalence of depressive and insomnia symptoms, and their association with QOL in community-dwelling older adults in a rural area in Anhui province, China.Methods: This was a cross-sectional study conducted in the rural areas of four cities (Hefei, Huaibei, Anqing, and Xuancheng) in Anhui province between July and October, 2019 using random sampling method. All community-dwelling residents from the selected villages who met the study entry criteria were invited to participate in this study. Depressive and insomnia symptoms and QOL were assessed with the Chinese version of self-reported Center for Epidemiological Survey Depression Scale (CES-D), the Insomnia Severity Index (ISI) and the 26-item World Health Organization Quality of Life Brief version (WHOQOL-BREF), respectively.Results: A total of 871 older adults were included. The prevalence of overall depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms were 34.0% [95% confidence intervals (95% CI): 30.8–37.1%], 45.7% (95% CI: 42.4–49.0%) and 20.3% (95% CI: 17.6–23.0%), respectively. Older adults with depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms had lower scores in QOL compared to those without. Depressive symptoms were positively associated with living with families [Odd Ratio (OR) = 1.82, 95% CI: 1.31–2.54] and negatively associated with current drinking (OR = 0.49, 95% CI: 0.33–0.72). Insomnia symptoms were negatively associated with fair and good financial status (fair: OR = 0.53, 95% CI = 0.38–0.75; good: OR = 0.30, 95% CI = 0.14–0.64) and current drinking (OR = 0.64, 95% CI = 0.45–0.93), and positively associated with more frequent major medical conditions (OR = 1.32, 95% CI = 1.16–1.51). Comorbid depressive and insomnia symptoms were positively associated with living with families (OR = 2.02, 95% CI = 1.36–3.00), and negatively associated with fair and good financial status (fair: OR = 0.61, 95% CI = 0.41–0.89; good: OR = 0.34, 95% CI = 0.12–0.95) and current drinking (OR = 0.57, 95% CI = 0.35–0.92).Conclusion: Depressive and insomnia symptoms were common in older adults living in rural areas in China. Considering the negative health outcomes caused by depressive and insomnia symptoms, regular screening and effective treatments should be developed for this population.

scholarly journals Associations of Falls with Quality of Life and Correlated Factors in Community-Dwelling Older Adults: A Two-Wave Cohort Study

2021 ◽  
Author(s):  
Yih-Jian Tsai ◽  
Wen-Jung Sun ◽  
Yi-Ching Yang ◽  
Pesus Chou ◽  
Jung-Der Wang
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Fear Of Falling ◽  
Short Form ◽  
Community Dwelling ◽  
World Health ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Prevention Interventions

Abstract Background Falls contribute to disability and burden of care among older adults. Studies of fall-related impacts on quality of life (QOL) are warranted for future prevention interventions. Methods Fall-related data were collected from adults aged 70 years and above using questionnaire interviews in the 1996 and 1999 surveys at Hunei community in southern Taiwan. Their QOL was measured using the Short Form 36 Health Survey (SF-36) and World Health Organization Quality of Life questionnaire (WHOQOL-BREF) in the 1999 follow-up only. The bilateral relationship among fall category, selected covariates (i.e., age, sex, number of difficulties in performing activities of daily living (ADLs) or instrumental ADLs, number of comorbidities, Geriatric Depression Scale (GDS) scores, Mini-Mental Stated Examination (MMSE) scores, fear of falling, and Physical Activity Scale for the Elderly (PASE) scores), and mean QOL scores were investigated. Hierarchical linear regression models were tested to examine the associations between fall frequency and QOL with sequential entry of explanatory variables. The final models were established by substituting fall category for fall frequency. Results Fall category was significantly associated with physical-related subscale scores, except body pain. Almost every QOL score revealed a negative association with the number of comorbidities, GDS scores, and fear of falling; however, a positive association with MMSE and PASE scores was observed. Conclusions Future prevention interventions should target common risk factors of both QOL and falls among older people, including control of comorbidities, depressive symptoms, cognitive impairment, and inactivity.

Cathartic Effect of Suicide Attempts Not Limited to Depression

Crisis ◽  
2003 ◽  
Vol 24 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Yves Sarfati ◽  
Blandine Bouchaud ◽  
Marie-Christine Hardy-Baylé
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Personality Traits ◽  
Rating Scales ◽  
Suicide Attempts ◽  
World Health ◽  
Life Questionnaire ◽  
Short Term

Summary: The cathartic effect of suicide is traditionally defined as the existence of a rapid, significant, and spontaneous decrease in the depressive symptoms of suicide attempters after the act. This study was designed to investigate short-term variations, following a suicide attempt by self-poisoning, of a number of other variables identified as suicidal risk factors: hopelessness, impulsivity, personality traits, and quality of life. Patients hospitalized less than 24 hours after a deliberate (moderate) overdose were presented with the Montgomery-Asberg Depression and Impulsivity Rating Scales, Hopelessness scale, MMPI and World Health Organization's Quality of Life questionnaire (abbreviated versions). They were also asked to complete the same scales and questionnaires 8 days after discharge. The study involved 39 patients, the average interval between initial and follow-up assessment being 13.5 days. All the scores improved significantly, with the exception of quality of life and three out of the eight personality traits. This finding emphasizes the fact that improvement is not limited to depressive symptoms and enables us to identify the relative importance of each studied variable as a risk factor for attempted suicide. The limitations of the study are discussed as well as in particular the nongeneralizability of the sample and setting.

scholarly journals The Geriatric Depression Scale (GDS-15): Validation in Mexico and Disorder in the State of Knowledge

2020 ◽  
pp. 009141502095738
Author(s):  
Christian Oswaldo Acosta Quiroz ◽  
Raquel García-Flores ◽  
Sonia Beatriz Echeverría-Castro
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
Life Questionnaire ◽  
Subjective Well Being ◽  
Geriatric Depression

The objective of this study was to evaluate the reliability and validity of the Geriatric Depression Scale in its 15-item version (GDS-15) in Mexican older adults. Participants included 1178 older adults between the ages of 60 and 94 ( M = 69.16, SD = 7.69); 53.9% were women and 55.8% were married or with a partner. They completed the GDS-15, a subjective well-being scale, and a quality-of-life questionnaire. A Kuder–Richardson coefficient of .80 was obtained, which indicates an acceptable internal consistency of the GDS-15, as well as evidence of divergent validity with significant correlations of −.783 with subjective well-being and −.569 with quality of life, in addition to concurrent validity when discriminating between participants with low scores from those with high scores of depressive symptoms. The need for a simple screening tool such as the GDS-15 that helps in the identification of depressive symptoms in Mexican older adults is underlined.

Assessment of the psychometric performance of the WHOQOL-BREF instrument in a sample of Brazilian older adults

2006 ◽  
Vol 19 (4) ◽  
pp. 635-646 ◽  
Author(s):  
Eduardo Chachamovich ◽  
Clarissa Trentini ◽  
Marcelo P. Fleck
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Discriminant Validity ◽  
Community Dwelling ◽  
World Health ◽  
Short Version ◽  
Elderly Adults ◽  
Cross Sectional ◽  
Psychometric Performance

Background: There has been increasing interest in the measurement of quality of life in cross-sectional investigations and in the assessment of intervention outcomes in elderly adults. Several instruments used in this measurement have not yet been adequately tested.Objective: To describe the psychometric properties of the World Health Organization's Quality of Life Instrument–Short Version (WHOQOL-BREF) in a sample of Brazilian elderly.Method: A total of 424 elderly adults selected through convenience sampling completed the instruments WHOQOL-BREF, the Beck Depression Inventory (BDI), the Beck Hopelessness Scale (BHS) and a sociodemographic data form. Discriminant validity, concurrent validity, criterion validity and internal consistency were analyzed.Results: The sample comprised predominantly women (64.2%), community-dwelling subjects (84.4%) and subjects who consider themselves healthy (67.5%). All domains in the instrument showed the ability to discriminate levels of depressive symptoms and hopelessness, as well as different perceptions of health status. The correlation coefficients among the domains and the BDI and BHS scores were statistically significant. The reliability coefficients present scores ranging from 0.614 to 0.925.Conclusion: The WHOQOL-BREF instrument shows suitable psychometric performance in a sample of Brazilian older adults, becoming a useful alternative in the measurement of quality of life in this population.

scholarly journals Analysis of life quality and prevalence of cognitive impairment, anxiety, and depressive symptoms in older adults

2017 ◽  
Vol 34 (2) ◽  
pp. 261-268 ◽  
Author(s):  
Michele Marinho da SILVEIRA ◽  
Mirna Wetters PORTUGUEZ
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Performance ◽  
Depression Scale ◽  
World Health ◽  
Depression Symptoms ◽  
World Health Organization Quality

Abstract The development of anxiety, depressive symptoms, and a decrease in cognitive performance can affect older adults’ quality of life. The objective of this cross-sectional study was to analyze quality of life and determine the prevalence of cognitive impairment, anxiety, and depression symptoms in senior center participants. A total of 120 older adults living in the city of Passo Fundo, RS, Brazil, participated in this study. The convenience sampling technique was used. All participants answered questions relative to socio-demographic variables, quality of life (World Health Organization Quality of Life-Bref), cognitive performance (Addenbrooke’ Cognitive Examination), and emotional state (Geriatric Depression Scale and Beck Anxiety Inventory). The prevalence of anxiety, depressive symptoms, and cognitive impairment were low indicating satisfactory quality of life of the older adults investigated.

scholarly journals Immersive Virtual Reality for the Management of Pain in Community-Dwelling Older Adults

2018 ◽  
Vol 39 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Sara Benham ◽  
Minhee Kang ◽  
Namrata Grampurohit
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Virtual Reality ◽  
Community Dwelling ◽  
World Health ◽  
Immersive Virtual Reality ◽  
Quality Of Life Scale ◽  
Patient Reported ◽  
Community Dwelling Older Adults

Immersive virtual reality (VR) can provide a high level of engagement and distraction analgesia to address pain. However, community-based applications of this technology for older adults have not been studied. The objective of this study was to examine the applicability and effectiveness of an immersive VR intervention for pain, depression, and quality of life (QOL) in older adults. This pretest–posttest, mixed-methods design included senior center members ( n = 12) with pain that interfered with daily functioning. The outcomes included the Numeric Pain Rating Scale, Patient-Reported Outcomes Measurement Information System (PROMIS®) depression scale, World Health Organization Quality of Life Scale Brief Version (WHO QOL-BREF), and open-ended questions. The VR intervention (15- to 45-min sessions, 12 sessions over 6 weeks) was well accepted with no dropouts. There was a significant decrease in pain ( p = .002, d = −1.54) with no effect on depression and QOL. There were no adverse effects, and positive perceptions of VR were reported. The 6-week immersive VR intervention was applicable and effective in reducing pain intensity for community-dwelling older adults.

scholarly journals Socio-Demographic, Clinical and Psychological Profile of Frailty Patients Living in the Home Environment and Nursing Homes: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Marta Muszalik ◽  
Agnieszka Kotarba ◽  
Ewa Borowiak ◽  
Grażyna Puto ◽  
Mateusz Cybulski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Nursing Homes ◽  
Community Dwelling ◽  
World Health ◽  
Study Group ◽  
Psychological Profile ◽  
Frailty Syndrome ◽  
World Health Organization Quality

Introduction: Frailty syndrome, as a physiological syndrome, is characterized by a gradual decline in physiological reserve and a lowered resistance to stress-inducing factors, leading to an increased risk of adverse outcomes. It is significantly connected with dependence on care and frequent hospitalizations.Objectives: The aim of the study was to describe socio-demographic, clinical and psychological profile of frailty older adults living in their own homes and to nursing homes.Methods: The study was conducted with 180 patients who were over 60 years of age, the mean (±SD) was 74.1 (±8.8) years. Among the subjects, 90 individuals were community-dwelling older adults. The survey used a list of socio-demographic questions, as well as the following scales: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), SHARE-FI, and The World Health Organization Quality of Life (WHOQOL-Bref).Results: Pre-frailty was confirmed in 49 (27.2%) patients, and frailty syndrome was noticed in 47 patients (26.1%). The prevalence of frailty syndrome in the study group was related to: place of living (p &lt; 0.001), age (p &lt; 0.001), widowhood (p &lt; 0.001), a poor economic situation (p &lt; 0.001), basic education level (p &lt; 0.001), living alone (p &lt; 0.001), longer duration of illness (p &lt; 0.001), comorbidities (p &lt; 0.001), more medications taken (p &lt; 0.001), deterioration of hearing (p = 0.003), impairment of cognitive functions (p &lt; 0.001), depression (p &lt; 0.001), and decreased quality of life (p &lt; 0.001).Discussion: A lot of socio-demographic and medical factors, particularly cognitive and mental functioning were connected with the prevalence and progression of frailty syndrome in the study group. Quality of life was significantly dependent on the presence of frailty syndrome, both in homes and in nursing homes.

scholarly journals Depressive Symptoms and Quality of Life in a Sample of Italian Women with a Diagnosis of Fibromyalgia: The Role of Attachment Styles

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Cristina Sechi ◽  
Loredana Lucarelli ◽  
Laura Vismara
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Attachment Styles ◽  
World Health ◽  
Depression Symptoms ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Italian Women ◽  
The Impact

Background. Women with fibromyalgia (FM) commonly suffer from depression, pervasive fatigue, and pain. The attachment style has been hypothesized to be an important factor for understanding the experience of these symptoms. Therefore, the present cross-sectional study is aimed at investigating the effect of attachment styles in women with a diagnosis of FM on depressive symptoms and quality of life. Method. Participants were 453 Italian women with a physician’s diagnosis of FM with a mean age of 47 years ( SD = 10.9 ). To assess attachment styles, quality of life, and depressive symptoms, women responded, respectively, to the Relationship Questionnaire, the World Health Organization Quality of Life Questionnaire, and the Beck Depression Inventory II. Results. Our results showed that the incidence of depressive symptoms was elevated, with 59% of women reporting moderate to severe symptoms. Also, the statistical analyses showed that both preoccupied and avoidant/dismissing attachments were related with depression symptoms and low perception of QoL. Conclusions. Our study demonstrates that, when evaluating the impact of FM on the QoL of women, it is important to consider the complexity of the variables that are at play. Insecure attachment styles and depressive symptoms seem to increase the likelihood of the psycho-social-somatic malaise in FM women.

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