scholarly journals Thai Psychiatric Nurses’ Experiences and Perceptions of the Professional Role When Caring for Older People Displaying Depressive Symptoms

2018 ◽  
Vol 08 (01) ◽  
pp. 45-59 ◽  
Author(s):  
Duangkaew Kleebthong ◽  
Sukjai Chareonsuk ◽  
Lisbeth Kristiansen
Author(s):  
Katja Pynnönen ◽  
Katja Kokko ◽  
Milla Saajanaho ◽  
Timo Törmäkangas ◽  
Erja Portegijs ◽  
...  

Abstract Background Although depressive symptoms are more common among older than younger age groups, life satisfaction tends to remain stable over the life course, possibly because the underlying factors or processes differ. Aim To study whether the factors that increase the likelihood of high life satisfaction also decrease the likelihood of depressive symptoms among older people. Methods The data were a population-based probability sample drawn from community-dwelling people aged 75, 80, and 85 years (n = 1021). Participants’ life satisfaction was measured with the Satisfaction with Life Scale and depressive symptoms with the Centre for Epidemiologic Studies Depression Scale (CES-D). Physical performance, perceived financial situation, executive functions, loneliness, self-acceptance, and having interests in one’s life were studied as explanatory variables. The data were analyzed using cross-sectional bivariate linear modeling. Results Better physical performance, not perceiving loneliness, having special interests in one’s life, and higher self-acceptance were associated with higher life satisfaction and fewer depressive symptoms. Better financial situation was related only to life satisfaction. Executive functions were not associated with either of the outcomes. Discussion The opposite ends of the same factors underlie positive and negative dimensions of mental well-being. Conclusion Further studies are warranted to better understand how people maintain life satisfaction with aging when many resources may diminish and depressive symptoms become more prevalent.


2011 ◽  
Vol 26 (S2) ◽  
pp. 2059-2059
Author(s):  
A.R. Atti

IntroductionThanks to social, technological, and medical advances occurred during the last century, the aging of the population has become a worldwide phenomenon (Kinsella, 2002). The high socio-economic impact of this demographic transition has recently stimulated a growing interest for the aging process (Lunenfeld, 2008) and elderly mental health has been receiving increasing attention (Mental Health in Older People. Consensus, 2008).ObjectiveOld age psychiatry, or psychogeriatric, deals with psychiatric conditions that predate the ageing process such as schizophrenia or depression, and with diseases occurring later in life like dementia and other cognitive disorders. To cope with the increased workload due to older people, Psychiatric Services are required to provide multidisciplinary, comprehensive and integrated care.AimsTo investigate the attitude of Bologna's Psychiatric Services in the care of elderly affected by psychiatric disorders.MethodsSelf-completed questionnaires administered to psychiatrists.ResultsPsychogeriatric is the second main priority of psychiatry for the new millennium. Psychiatrists working in liason-consultation settings take care of around 20 elderly patients per weeek. Sedation, insomnia and resistant-depression treatment are the most frequent interventions required to psychiatrists by colleagues of other specialities. Psychiatrists report feelings of un-satisfaction and worries for potential drugs side-effects. They “don't like much” dealing with elderly people especially with patients affected by un-treatable conditions such as dementia (narcissistic wound?).ConclusionAccessible and responsive services working in liason with other medical specialists, gero-psychiatric nurses, case manager and social workers might be a good response to the increasing needs of elderly with mental health disorders.


2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A60-A60
Author(s):  
A Ricciardiello ◽  
L Mowszowski ◽  
H LaMonica ◽  
F Kumfor ◽  
R Wassing ◽  
...  

Abstract Introduction Depression in older people is associated with changes in sleep, however associations between sleep architecture and cognition have not yet been delineated. We examined sleep architecture in older people with and without depressive symptoms, and relationships with neuropsychological performance. Methods Adults over 50 years underwent overnight polysomnography and memory and executive function tests. Depression and controls groups were defined by a Geriatric Depression Scale-15 cut off score of 6. Sleep architectural outcomes included amount of slow wave sleep (SWS), rapid eye movement (REM) sleep, REM onset latency (ROL), NREM slow wave activity (SWA, 0.5–4 Hz), N2 sleep spindle density and REM density. Results The sample comprised of 71 participants with depressive symptoms and 101 controls (mean age both groups = 64, mean GDS-15 dep= 9.3, con= 1.8). There were no significant group differences in time spent in SWS, REM, REM density or SWA. Those with depressive symptoms had later ROL (p=.008) and less N2 sleep spindles (p=.03) compared to controls. A differential association was observed with less SWS being associated with poor memory recall in the depression group only (z=.342, p=0.008). No associations between sleep and executive function performance were observed. Discussion The link between less time in SWS and poorer memory in those with depressive symptoms could suggest that SWS is particularly pertinent for cognition in depression or that both sleep and cognition mechanisms are influenced by depressive state. Further studies are needed to determine if changes in sleep are linked with underlying neurobiological changes.


2020 ◽  
Vol 35 (10) ◽  
pp. 1097-1104
Author(s):  
Nicola Veronese ◽  
Ai Koyanagi ◽  
Lee Smith ◽  
Marco Solmi ◽  
Barbara Senesi ◽  
...  

2020 ◽  
Vol 8 ◽  
Author(s):  
Caitlin Worrall ◽  
Michelle I. Jongenelis ◽  
Peter M. McEvoy ◽  
Ben Jackson ◽  
Robert U. Newton ◽  
...  

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Grabovac ◽  
L Smith ◽  
D T McDermott ◽  
S Stefanac ◽  
L Yang ◽  
...  

Abstract Background Lesbian, gay, and bisexual (LGB) older people are an under-represented population in research, with limited research noting more depression, loneliness, rejection, overall poorer health and well-being outcomes. Our study compared well-being, defined as quality of life (QOL), life satisfaction, sexual satisfaction, and depression, among LGB people with their heterosexual peers’. Methods Cross-sectional data from the English Longitudinal Study of Aging, collected 2012-2013. A total of 5691 participants were included in the analysis, with 326 (5.7%) self-identifying as LGB. We used CASP-19 questionnaire for well-being; the Satisfaction with Life Scale for life satisfaction; and the Center for Epidemiologic Studies Depression Scale for depressive symptoms. The question “During the past three months, how satisfied have you been with your overall sex life?” was used for sexual satisfaction. T-test and chi-square tests were used for differences in sociodemographic characteristics between LGB and heterosexual participants. Regression models were used to test associations between sexual orientation and well-being outcomes. Results LGB participants reported significantly lower mean quality of life and life satisfaction, and had significantly lower odds of reporting satisfaction with their overall sex life and higher odds of reporting depressive symptoms in unadjusted models. After adjustment for sociodemographic and health-related covariates, there remained significant differences between groups in mean QOL scores (B= -0.96, 95% [CI] -1.87 to -0.06) and odds of sexual satisfaction (OR = 0.56, 95% CI 0.38-0.82). Conclusions LGB older people report lower quality of life and lower sexual satisfaction than their heterosexual counterparts, possibly associated with experiencing lifelong social discrimination. Main message: Older lesbian, gay and bisexual people in England report significantly lower QOL and sexual satisfaction in comparison to heterosexual counterparts.


2014 ◽  
Vol 26 (10) ◽  
pp. 1679-1691 ◽  
Author(s):  
Almudena López-Lopez ◽  
José L. González ◽  
Miriam Alonso-Fernández ◽  
Noelia Cuidad ◽  
Borja Matías

ABSTRACTBackground:Chronic pain is likely to lead to depressive symptoms, but the nature of this relationship is not completely clear. The aim of the present study is to analyze the role of activity restriction in the pain-depression relationship in older people, and to test the hypothesis that this role is more relevant in community-dwelling older people than in nursing home residents.Method:Depressive symptoms, pain intensity, and activity restriction were measured in a sample of 208 older adults with osteoarthritis, 102 living in nursing homes (NH), and 106 in the community. Analyses were carried out using moderation and moderated mediation analyses approach, treating activity restriction as a confounder.Results:Results showed a significant confounding effect of activity restriction, interaction effect between pain intensity and activity restriction on depression, and modifying effect of pain intensity on depression by adding activity restriction into the model. These results suggest a potential mediating and moderating effects of activity restriction. Moreover, analyses suggest that, surprisingly, the strength of the mediation could be higher in nursing homes.Conclusions:Overall, it may be that what is really important to emotional well-being is not so much pain itself, but rather the way in which the pain alters older people's lives. The greater strength of the mediation in NH might be understood within the scope of self-determination theory. Generally speaking, the NH context has been considered as a coercive setting, promoting non-autonomous orientation. In this context, when events are objectively coercive, people may lack perceived autonomy and hence be at greater risk of depression.


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