scholarly journals Programa de actividad física y su incidencia en la depresión y bienestar subjetivo de adultos mayores (Impact of a physical activity program on older adults’ depression and subjective well-being)

Retos ◽  
2017 ◽  
pp. 14-19
Author(s):  
Lisbet Guillen Pereira ◽  
Egar Bueno Fernandez ◽  
Manuel Gutierrez Cruz ◽  
José Ramón Guerra Santiesteban

El artículo se enfoca en el análisis de un programa de actividades físicas y su efecto en la mejora de los niveles de depresión y bienestar subjetivo de adultos mayores. Se utiliza un diseño experimental con pre y pos tratamiento en una muestra de 111 adultos mayores seleccionado mediante criterios de inclusión, a la que se le aplicó un procedimiento de proporción de uno a tres para crear el grupo experimental y de control (n=74 grupo experimental y n=37 el grupo de control). La depresión fue medida aplicando la Escala de Depresión Geriátrica de Yesavage y el bienestar subjetivo a partir de la Philadelphia Geriatric Center Morale Scale. Para el análisis del pre con el post tratamiento se utilizó un modelo de análisis de varianza (ANOVA) con medidas repetidas (MR). Los resultados revelaron diferencias significativas en la Depresión Geriátrica (p=.000) y del Bienestar subjetivo en cada dimensión estudiada: afectos positivos (p=.000), afectos negativos (p=.000) y agitación (p=.000), lo que se concluye que las dos variables dependientes mejoraron de manera significativa al aplicar la propuesta.Abstract: This article focuses on the analysis of a program of physical activities and its effect on reducing depression levels and on increasing subjective well-being of older adults. An experimental design with pre- and post-treatment was applied to a sample of 111 older adults selected in accordance with inclusion criteria, using a one-to-three ratio procedure to create experimental and control groups (Experimental group, n = 74; control group, n = 37). Depression was measured by means of the Yesavage Geriatric Depression Scale, whereas subjective well-being with the Philadelphia Geriatric Center Morale Scale. For the pre-post analysis, a variance analysis model (ANOVA) with repeated measures (MR) was used. Results revealed significant differences in Geriatric Depression (p = .001) and subjective well-being in each dimension studied: positive affects (p = .001), negative affects (p = .001) and agitation (p = .001), We can conclude that the two dependent variables improved significantly after applying the program proposed.

Author(s):  
Christian Oswaldo Acosta Quiroz ◽  
Raquel García-Flores ◽  
Sonia Beatriz Echeverría-Castro

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.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1114.2-1114
Author(s):  
M. Letaeva ◽  
M. Koroleva ◽  
J. Averkieva ◽  
O. Malyshenko ◽  
T. Raskina

Objectives:to assess the frequency of occurrence of the anxiety-depressive spectrum in patients with rheumatoid arthritis and ankylosing spondylitis.Methods:A survey was conducted of 44 patients aged from 21 to 57 years (average age - 42.3 ± 6.7 years), who were treated at GAUZ KO OKGVV. All patients had a verified diagnosis of RA and AS according to the ACR criteria and received treatment with basic drugs. The control group consisted of 40 people comparable in age and sex, without concomitant pathology of RA and AS.The depression screening card, the subjective well-being scale, and the hospital anxiety and depression scale (HADS) were used to assess and detect anxiety-depressive syndrome. The assessment of the condition is carried out over the last 2 weeks, which corresponds to the temporary diagnostic criterion for depression.The Depression Screening Scale is a 35-item self-questionnaire that assesses 7 categories of signs: sleep and appetite disorders, anxiety, emotional instability, cognitive impairment, loss of self, guilt, and suicidal tendencies. A total score of 65 and above indicates a high likelihood of depression.The Subjective Well-Being Scale is a psychodiagnostic screening tool for measuring the emotional component of subjective well-being or emotional comfort.Hospital Anxiety and Depression Scale Zigmond A.S., Snaith R.P. was developed for the primary detection of depression and anxiety in a general medical practice. The HADS scale consists of 14 statements with 4 possible answers and includes two parts: anxiety and depression. The sum of points of 8 or more is regarded as “subclinically expressed anxiety / depression”, 11 or more points - “clinically expressed anxiety / depression”.Results:According to the results of the depression screening questionnaire, 34 (77.3%) patients with RA and AS showed signs of depression, while in the control group only 6 (15%) patients tested positive for the presence of depressive disorders. According to the data obtained when assessing the scale of well-being in the main group, 26 (59.1%) patients showed signs of emotional discomfort (the indicator was 80% or more), in the control group - in 6 (15%). Using the hospital scale of anxiety and depression HADS, anxiety-depressive syndrome was detected in 36 (81.8%) patients with RA and AS: 16 (44.4%) patients had anxiety, 20 (55.6%) - depression, of them, subclinically expressed anxiety and depression were observed in 10 (27.7%) and 12 (33.3%) people, respectively. Anxiety-depressive syndrome in the control group, according to the HADS questionnaire, was detected only in 8 (20%) patients, of whom 4 (10%) patients had subclinical anxiety and 4 (10%) had signs of depression. No clinically pronounced anxiety and depression were registered in the control group.Conclusion:In most patients with rheumatoid arthritis and ankylosing spondylitis, anxiety-depressive disorders have been identified, which can directly affect both the course of the disease itself and the development of various complications. Timely diagnosis of mental disorders and close cooperation of rheumatologists, psychiatrists and psychologists in the selection of adequate therapy can improve the course and prognosis of the disease.Disclosure of Interests:None declared


Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 337
Author(s):  
Yurie Mikami ◽  
Keiko Motokawa ◽  
Maki Shirobe ◽  
Ayako Edahiro ◽  
Yuki Ohara ◽  
...  

One prominent factor associated with malnutrition is poor appetite. In Japan, the number of older adults living alone has increased annually. Those living alone tended to eat alone, which may lead to poor appetite. This study aimed to investigate the association between eating alone and poor appetite using an index called the Simplified Nutritional Appetite Questionnaire (SNAQ). We surveyed 818 people aged 70 and over in Takashimadaira, Itabashi-ku, Tokyo, Japan, in 2016. Comparisons were made between two groups, a poor appetite group (n = 295) and a good appetite group (n = 523), and results indicate that the poor appetite group had a higher rate of eating alone than the good appetite group (38.0% vs. 20. 1%: p < 0.001). Multivariable logistic regression (OR; 95%CI) was performed and poor appetite was significantly associated with the Geriatric Depression Scale (GDS) score (1.707; 1.200–2.427), the number of medications (1.061; 1.007–1.118), JST score (0.894; 0.841–0.950), the indication of “very healthy” on a self-rated health scale (0.343; 0.152–0.774), and reports of eating alone (1.751; 1.130–2.712). Our results suggest that eating alone is associated with a poor appetite.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S329-S329
Author(s):  
Erin Harrington ◽  
Ha Do ◽  
Alex J Bishop ◽  
Celinda Reese-Melancon ◽  
and Weihua Sheng

Abstract Socially assistive robotic (SAR) technologies represent a viable tool for monitoring the safety and health of older adults. However, it is unclear whether SARs can comprehensively screen geriatric well-being as effectively as trained human clinicians. The purpose of this study was to compare SAR versus human assessment of geriatric well-being. Participants included 30 older adults (Mage = 73.40, SD = 7.88) who completed a robot-administered well-being assessment session during which human-administered evaluation was simultaneously performed. Standardized clinical screening assessment tools common in geriatric care were administered (e.g., Short Blessed Test (SBT), UCLA Loneliness Scale, Geriatric Depression Scale, PHQ-4, Iowa Fatigue Scale, Fall Risk). Multiple dependent sample t-tests were used to explore variability in assessment scores between SAR and human evaluation. Assessment scores significantly differed on several measures, including the SBT (t(29) = -9.33, p &lt; .001), UCLA Loneliness scale (t(19) = 2.37, p &lt; . 05), and fall risk assessment (t(29) = 3.03, p &lt; .01). Specifically, the SAR indicated that older adults were significantly more cognitively impaired, less lonely, and more likely to fall compared to the human administrator. Other observed differences and hypothesized explanations will be discussed in greater detail. The current study indicates that there is a divergence in geriatric assessment outcomes based on human versus SAR administration. Findings have implications relative to further developing SAR technology to align with human-based evaluations to enhance cognitive well-being, social connectedness, and falls prevention.


2019 ◽  
Vol 41 (8) ◽  
pp. 772-793 ◽  
Author(s):  
Monica Y. Bartlett ◽  
Sarah N. Arpin

We experimentally investigated gratitude’s impact on loneliness and health in older adults. Participants were assigned to a daily gratitude writing exercise (treatment group) or a control group. Self-reported loneliness and health (i.e., subjective well-being, subjective health, health symptoms) were measured daily over a 3-week period. In support of our hypotheses, within-person variability in gratitude predicted differences in loneliness and health. Furthermore, those in the treatment group showed stronger cumulative effects of gratitude on loneliness and health symptoms when aggregated across the 20-day study. Additionally, a series of conditional, multilevel indirect effect models found that loneliness acted as a mechanism for gratitude’s differential impact on subjective well-being and health symptoms across conditions. Taken together, this study provides initial evidence that a simple gratitude exercise can strengthen associations among daily gratitude and loneliness and, consequently, improve health, for older adults.


2011 ◽  
Vol 23 (6) ◽  
pp. 950-960 ◽  
Author(s):  
Kathryn Betts Adams

ABSTRACTBackground: In light of inconsistencies in cut points for identifying non-major depression, this study examined the classification efficiency of the Geriatric Depression Scale (GDS and GDS-15) total scores and individual items, and four additional depressive symptoms for identification of subthreshold, minor, or criterion depression among 166 vulnerable residents of congregate housing.Methods: Depression (combined categories of major depressive episode, minor, or subthreshold depression) was determined by the Mini-International Neuropsychiatric Interview (MINI) diagnostic interview depression module administered by telephone to 166 older residents of congregate housing facilities who also completed the 30-item GDS and four other yes/no potential indicators of geriatric depression. Classification agreement and ROC curve analysis for the full and 15-item GDS scale scores were calculated. Individual item hit rates for MINI criterion were calculated for GDS items and four new items.Results: GDS and GDS-15 at standard cut points had 70–75% agreement with MINI. Best sensitivity and specificity were obtained at lower than standard cut points. Some GDS Withdrawal, Apathy, lack of Vigor (WAV) and cognitive items obtained very low hit rates. New items “I just don't feel like myself” and “I feel I am a burden to others” better discriminated MINI depression than most GDS items and had good item-to-total correlations with the GDS.Conclusions: Diagnostic criteria and GDS screen had partial agreement. Some GDS items did not adequately represent depression among functionally impaired or oldest old older adults. Feeling one is a burden and the sense of feeling “different” from usual may be useful indicators of depression among vulnerable older adults.


Author(s):  
Αντωνία Χατζηευφραιμίδου ◽  
Δέσποινα Μωραΐτου ◽  
Γεωργία Παπαντωνίου ◽  
Έλενα Ναζλίδου ◽  
Κρυσταλλία Πάντσιου

Η παρούσα έρευνα αποσκοπούσε να εξετάσει τη σχέση ηλικίας - κοινωνικής νόησης.<br />Το δείγμα αποτελούνταν από 72 άτομα, ηλικίας 20 ως 82 ετών, κατανεμημένα σε<br />τρεις ομάδες ηλικίας: τους «Νέους Ενήλικες» (Μ.Ο. = 25 έτη, Τ.Α. = 3.7 έτη), τους<br />«Μεσήλικες» (Μ.Ο. = 51.2 έτη, Τ.Α. = 7.5 έτη) και τους «Ηλικιωμένους» (Μ.Ο. =<br />72.1 έτη, Τ.Α. = 4.9 έτη). Οι τρεις ομάδες ήταν εξισωμένες ως προς το φύλο και το<br />μορφωτικό επίπεδο. Στους συμμετέχοντες χορηγήθηκε η Δοκιμασία Κοινωνικού<br />Συμπερασμού (Απλός) [ΔΚΣ(Α). Social Inference (Minimal) – SI(M): Part 2 of the<br />ΤΑSIT, McDonald, Flanagan,Rollins &amp; Kinch, 2003], η οποία εξετάζει εάν ο<br />συμμετέχοντας κατανοεί το σαρκασμό και μπορεί να τον διακρίνει από την<br />ειλικρίνεια. Στην ομάδα των ηλικιωμένων χορηγήθηκαν επιπλέον η Δοκιμασία<br />Σύντομης Γνωστικής Εκτίμησης (ΔΣΓΕ, Mini Mental State Examination, MMSE,<br />Folstein, Folstein, &amp; McHugh, 1975, προσαρμογή στον ελληνικό πληθυσμό:<br />Fountoulakis, Tsolaki, Chatzi &amp; Kazis, 2000) και η Γηριατρική Κλίμακα<br />Κατάθλιψης-15 (ΓΚΚ-15, Geriatric Depression Scale–15, GDS-15, Yesavage, et al.,<br />1982-1983, προσαρμογή στον ελληνικό πληθυσμό: Fountoulakis, Tsolaki, Iacovides,<br />et al., 1999). Τα αποτελέσματα για τους ηλικιωμένους έδειξαν ότι όσο πιο χαμηλή η<br />βαθμολογία στη ΔΣΓΕ και όσο πιο υψηλή στη ΓΚΚ-15, τόσο χαμηλότερη η επίδοση<br />στη ΔΚΣ(Α). Για το σύνολο του δείγματος, τα αποτελέσματα έδειξαν πως η ηλικία<br />2<br />συνδέεται αρνητικά με την ικανότητα κατανόησης του σαρκασμού και η αυτο-<br />αναφερόμενη υπερχοληστεριναιμία αποτελεί επιβαρυντικό παράγοντα στην<br />παραπάνω σχέση.


Sign in / Sign up

Export Citation Format

Share Document