PENGARUH TERAPI LIFE REVIEW TERHADAP PENURUNAN DEPRESI DI SEKSI KESEJAHTERAAN SOSIAL PENYANTUNAN LANJUT USIA PADU WAU MAUMERE

Lansia merupakan tahap lanjut dari suatu proses kehidupan yang terjadi secara alamiah. Tingginya stresor dan peristiwa kehidupan yang tidak menyenangkan dapat menimbulkan masalah psikologis, salah satu diantaranya adalah depresi. Depresi pada lansia lebih tinggi terjadi pada lansia yang hidup di panti jompo dibandingkan dengan lansia yang hidup di komunitas dan masih rendahnya intervensi psikologis untuk mengatasi depresi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi life review terhadap penurunan depresi pada lansia di Seksi Kesejahteraan Penyantunan Sosial Lanjut Usia Padu Wau Maumere. Jenis penelitian yang digunakan adalah Quasi experiment dengan rancangan penelitian one group pre post test. Jumlah sampel sebanyak 36 orang, dengan menggunakan consecutive sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner pendek Geriatric Depression Scale (GDS) dengan 15 pertanyaan dalam versi Indonesia untuk mengukur depresi pada lansia. Intervensi terapi life review diberikan sebanyak 4 sesi yakni pengalaman masa anak-anak, masa remaja, masa dewasa dan masa lansia. Analisis data menggunakan uji wilcoxon. Hasil uji wilcoxon menunjukkan bahwa terdapat pengaruh terapi life review terhadap penurunan depresi lansia dibuktikan dengan nilai p value (0.000) < α (0.05). Terapi life review berhasil dalam menurunkan depresi pada lansia.

Relationship between Eating Alone and Poor Appetite Using the Simplified Nutritional Appetite Questionnaire

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.

A cross-sectional study on geriatric depression and its associated risk factors in an urban area of Hyderabad, India

Background: The geriatric population is increasing with advancements in the health sector all over the world. At the same time, old age tackles physical, mental and social challenges. Mental health of the elderly is least concerned in developing countries, especially depression, which is easy to screen and our study aims to know its burden and associated risk factors.Methods: A cross-sectional study was conducted between October 2021 and November 2021 among the geriatric population of Mansoorabad, an urban area in Hyderabad, using the short form of geriatric depression scale (GDS) to assess their depression status. Study subjects who met our criteria were selected through simple random sampling. Data collected were entered and analyzed with MS excel software 2007 and Epi info 3.5.3.Results: In our study sample of 161, males were 61 (37.9%), females-100(62.1%). Most of the study subjects were in the age group 60-70 years (137, 85.1%), followed by the 70-80 years age group (24, 14.9%). Nearly 59.6% of subjects had no depression, 19.9% suffered from mild depression, 8.1%-moderately depressed, whereas 12.4%-severely depressed. The mean age of subjects was 65.6 (±5.9) years. Chi-square test was used to study the association of various factors with geriatric depression and age group, and socio-economic status showed a statistically significant association.Conclusions: This study points towards the sensitization of healthcare workers and other subsidiary health personnel at the grassroots level to detect geriatric depression in nascent stages. Many longitudinal follow-up studies are needed to address various aspects of depression.

Vietnamese Version of the Geriatric Depression Scale (30 Items): Translation, Cross-Cultural Adaptation, and Validation

The proportion of geriatric depression recorded in Vietnam was 66.9%. Depression in older people is a risk factor for problems related to dementia, poor quality of life, and suicide. To have a good Vietnamese questionnaire for assessing geriatric depression, we conducted the study to translate and cross-culturally adapt the Geriatric Depression Scale—long-form with 30 items (GDS-30). The study has two steps. Step 1 is a translation of the GDS-30 scale. We followed the guideline by Beaton et al. (2000 & 2007). Firstly, two translators (informed and uninformed) translated the questionnaires. Secondly, the translations were synthesized. Thirdly, back translation was performed by two translators fluent in both Vietnamese and English but completely unknown of the original version of the scale and did not have medical expertise. Finally, seven experts reached a consensus on the pre-final Vietnamese version (GDS-30). Step 2 is a field test of the questionnaires on people 60 years or older. Then, we determined the internal consistency and test-retest reliability of the questionnaire in 55 Vietnamese inpatients in a geriatric department. Construct validity was determined by examining the relationship between depressive scores and patient characteristics. The Vietnamese version of GDS-30 was built with the agreement of all experts on the semantic, idiomatic, experiential, and conceptual equivalences between the original and pre-final Vietnamese versions of the GDS-30. The Cronbach’s alpha coefficient value was 0.928, indicating the items’ adequate internal consistency. Spearman’s correlation coefficient value of total scores between the first and second interviews showed medium correlation (0.479, p < 0.001), and the stability is acceptable. The GDS-30 scale reached the construct validity because the proportion of geriatric depression according to GDS-30 was significantly different between characteristics groups, such as gender, employment, level of education, economic status, and sleep disturbance. The Vietnamese version of the GDS-30 scale had high consistency, satisfactory reliability, and understanding and can be used as a screening tool for depression in elderly patients in primary healthcare centers. This is the first depression rating scale for the elderly in Vietnam to be translated and validated. Non-psychiatric health professionals or patients can quickly self-assess and screen for the illness.

Cross-Cultural Adaptation and Validation of The Geriatric Depression Scale Into Igbo Language: A Validation Study

Background: Late-life experiences such as protracted and indisposing medical disorders can negatively impact older adults’ psychological and mental health, making them vulnerable to depression. Majority of the assessment tools for depression were developed for use in western countries. There is therefore need for availability of culture- and environment- specific tools for assessment of depression in low and middle income countries. This study was designed to cross-culturally adapt and validate the Geriatric Depression Scale-15 (GDS-15) into Igbo Language and culture. Methods: The English version of the GDS-15 was translated into Igbo language; synthesized, back-translated, and underwent expert panel review, pretesting and cognitive debriefing interview, according to Beaton’s guideline. The Igbo version of the GDS-15 was tested for concurrent and structural validities and internal consistency among consecutively recruited 140 consenting older adults (62.9% females) in Enugu North Senatorial District, at 0.05 level of significance.Results: The English version of the GDS-15 was successfully cross-culturally adapted to Igbo with all the 15 items still retained on the Igbo version of the GDS-15. The Igbo version of the GDS-15 exhibited the same structure as the English version. The Igbo version of the GDS-15 has Cronbach’s alpha value of 0.53. The correlation between the participants’ total scores on the Igbo and the English versions of the GDS-15 (rho = 0.86) was excellent. There was no significant difference between corresponding scores in the English and Igbo versions of the GDS-15 (p = 0.89).Conclusions: The Igbo version of the GDS-15 is a valid and culturally specific instrument, and can be used for assessing depression among Igbo older adults in Nigeria.

PELATIHAN DAN PEMBERDAYAAN KADER KESEHATAN TENTANG SCREENING KEJADIAN DEPRESI SEBAGAI SALAH SATU UPAYA IDENTIFIKASI KONDISI KESEHATAN LANSIA

ABSTRAKKegiatan Program Kemitraan Masyarakat “Pelatihan dan Pemberdayaan Kader Kesehatan Tentang Screening Kejadian Depresi Sebagai Salah Satu Upaya Identifikasi Kondisi Kesehatan Lansia, khususnya pada masa pandemi COVID-19 merupakan kegiatan yang bertujuan untuk meningkatkan pengetahuan dan keterampilan kader kesehatan tentang resiko depresi yang rentan muncul pada lansia dan bagaimana cara mengidentifikasi kejadian depresi yang mungkin muncul pada lansia. Pelatihan dan pemberdayaan kader kesehatan tentang resiko depresi pada lansia dilakukan menggunakan metode penyuluhan atau ceramah dengan media power point berikut diskusi dan tanya jawab. Untuk mempraktikkan bagaimana cara melakukan screening atau mengidentifikasi kejadian depresi pada lansia digunakan metode demonstrasi dengan mempraktikkan penggunakan instrument Geriatric Depression Scale. Hasil yang diperoleh dari kegiatan pengabdian masyarakat ini adalah peningkatan pengetahuan kader kesehatan tentang resiko depresi pada lansia serta dimilikinya keterampilan kader kesehatan dalam menggunakan instrument Geriatric Depression Scale dalam mengkaji resiko depresi pada lansia di Desa Tambakasri Kelurahan Tajinan Kabupaten Malang. Adanya peningkatan pengetahuan dan keterampilan kader kesehatan tersebut sangat bermanfaat bagi Desa Tambaksri untuk dapat secara mandiri mengenali dan mengidentifiaksi permasalahan kesehatan yang mungkin muncul di Desa Tambakasri sebagai upaya preventif dalam mencegah terjadinya permasalahan kesehatan dan untuk mewujudkan desa siaga kesehatan. Kata kunci: pelatihan; kader kesehatan; screening; depresi; lansia ABSTRACTCommunity Partnership Program Activities “Training and Empowerment of Health Cadres About Screening for Depression Events as One of the Efforts to Identify Elderly Health Conditions, especially during the COVID-19 pandemic, aims to provide understanding and skills for health cadres regarding depression that is prone to appear in the lives of the elderly. This risk is magnified by the COVID-19 pandemic situation which has consequences for limiting activities outside the home, so that the elderly's social activities are limited and monotonous and in the end can increase the risk of depression in the elderly. Training and empowerment of health cadres using counseling methods and demonstrations of the implementation of screening for depression in the elderly. The abilities and skills of health cadres possessed as an outcome of community service activities are very useful for efforts to identify the health conditions of the elderly, especially related to the incidence of depression and are useful for fulfilling elderly health data, especially for mental health posyandu owned in the local Tambakasri Village Keywords: health cadres; screening; depression; elderly.

Developing Multimodal IoMT Monitoring System of Geriatric Depression: A Feasibility Study

The Internet of Medical Things (IoMT) is a promising tool to monitor depression and relevant symptoms. However, the multimodal IoMT monitoring system has been rarely developed considering the characteristics of older adults, particularly living in the community. Therefore, it is necessary to know how to develop multimodal IoMT monitoring systems tailored for older adults and evaluate the feasibility for research and practice. We developed a multimodal IoMT monitoring system that included a smartphone for facial and verbal expressions, smartwatch for activity and heart rates, and ecological momentary assessment (EMA) application. A convenience sample of 21 older Korean adults aged over 65 years was recruited from a community center, and 19 participants completed it. The data were collected in four weeks using self-report questionnaires, IoMT devices, and semi-structured interviews between July and December 2020 and were analyzed in mixed methods. Based on the Geriatric Depression Scale-Short Form scores, eight participants were classified in the depressive group (38.1%) and 13 in the non-depressive group (61.9%). A total of 1,505 (70.72%) EMA data were collected, and 1,277 (60.00%) were analyzed. Furthermore, 1,421 (66.78%) facial expression data were collected and labeled, including anger, happiness, neutral, sadness, surprise, and exception. Voice dialogues were transformed into 5,264 scripts. The depressive group showed lower user acceptance relative to the non-depressive group. However, both groups experienced positive emotions, had regular life patterns, and increased their self-interest. Thus, our multimodal IoMT monitoring system is a feasible and useful measure for acquiring mental health information in older adults’ depression.

Higher prevalence of geriatric depression, catastrophizing pain and sleep disorders in institutionalized elders: a cross-sectional study in Galle District, Sri Lanka

Background Population aging is a significant social problem in the twenty first century. Recent economic and social changes lead increasing number of elders to spend their lives in elderly homes. Institutionalized elders have to face many physical and psychological problems which negatively impact their quality of life. Geriatric depression (GD), catastrophizing pain (CP) and sleep disorders (SD) are some common problems among them. Methods Present study was designed to assess the prevalence of GD, CP and SD and their correlations in institutionalized elders. A descriptive cross-sectional study was conducted in elderly homes (n = 20) in the Galle district of Sri Lanka enrolling 310 subjects. GD, CP and SD were assessed using validated Sinhala versions of Geriatric Depression Scale (GDS), Pain Catastrophizing Scale (PCS) and Pittsburgh Sleep Quality Index (PSQI) respectively. Data were analyzed using SPSS version 25.0 for windows by using descriptive statistics, the Pearson’s chi-square test and Pearson’s bivariate correlation (p < 0.05). Results Among the participants (response rate: 95.7%), 34.8% (n = 108) and 65.2% (n = 202) were males and females respectively. Age range of the subjects was 60–103 years with the mean age of 74.97 years (SD 8.852). Most of the study subjects (n = 234, 75.5%) had spent five or less than 5 years in elderly homes at the time of the study and 52.8% (n = 164) of them were unmarried. GD was present in 76.5% (95% CI: 71.7–81.2) of subjects and of them 44% had moderate to severe depression. PCS revealed that 29% (95% CI: 24.0–34.1) had CP. SD were identified in 55.5% (95% CI: 49.5–61.0) of elders and according to PSQI, 86% (95% CI: 82.3–90.0) had poor quality sleep. Positive correlations between GD and CP (r = 0.24, p < 0.01), GD and SD (r = 0.13, p = 0.02), CP and SD (r = 0.32, p < 0.01) were statistically significant. Conclusions Prevalence of GD, CP and SD were significantly higher in this sample of institutionalized elders who were apparently healthy. Findings highlighted the importance of early screening of physical and psychological problems in institutionalized elders to assure better quality of life and to reduce the burden to health care system of the country.