The Difficult Task of Diagnosing Depression in Elderly People with Cancer: A Systematic Review

Background: Depression is a common psychiatric problem in the elderly and oncology patients. In elderly people with cancer, depression has a peculiar phenomenology. It has a significant impact on the quality of life. Moreover, it is associated with poor adherence to treatments, increased risk of suicide, and mortality. Nevertheless, the topic of depression in elderly people with cancer remains unexplored. Objective: The main goal of this article is to review the literature from the past 20 years on the relationships between depression, cancer, and aging. Methods: The methods followed the Prisma model for eligibility of studies. The articles in which the keywords “depression”, “cancer”, “ elderly, aging, or geriatric” were present, either in the text or in the abstract, were selected. 8.056 articles, by matching the keywords “depression and elderly and cancer,” were identified. Only 532 papers met the eligibility criteria of search limits and selection process. Out of 532 papers, 467 were considered irrelevant, leaving 65 relevant studies. Out of 65 suitable studies, 39 (60.0%) met our quality criteria and were included. Results: The risk factors associated with depression in elderly people with cancer can be divided into 4 groups: 1) tumor-related; 2) anticancer treatment-related; 3) patients-related; 4) number and type of comorbidity. The main obstacles in diagnosing depression in elderly patients with cancer are the overlap of the symptoms of cancer and side effects of treatment with the symptoms of depression but also the different ways of reporting depressive symptoms of elderly people and the different clinical types of depression. There is a lack of data regarding validated scales to assess depression in geriatric patients with cancer. Any mental illness, specifically co-occurring anxiety and depression, increases the risk of diagnosis delay and anticancer treatment adherence. Cancer and the diagnosis of mental disorders prior to cancer diagnosis correlate with an increased risk for suicide. A non-pharmacological therapeutic approach, pharmacological treatment and/or a combination of both can be used to treat elderly patients with cancer, but a detailed analysis of comorbidities and the assessment of polypharmacy is mandatory in order to avoid potential side-effects and interactions between antidepressants and the other drugs taken by the patients. Conclusion: Future research should be conducted with the aim of developing a modified and adapted assessment method for the diagnosis and treatment of depression in elderly people with cancer in order to improve their clinical outcomes and quality of life.

Association Between Depression and Dissatisfaction with Complete Dentures

Objective: The aim of this study was to find out the role of depression in complete denture dissatisfaction and to determine frequencies of depression among the satisfied and dissatisfied patients. Study design: A cross sectional survey was carried out at Department of Prosthodontics, De’Montmorency College of Dentistry. Punjab Dental Hospital. The sample size was 80 edentulous patients having adequate maxillary and mandibular ridges. Methodology: The patients selected would be wearing complete dentures for the first time. All dentures were carefully designed. A socio-demographic form and depression rating questionnaire was filled by every participant involved in the study. After six months, satisfaction or dissatisfaction with the provided complete denture set was assessed through a separate questionnaire. The patients’ opinion concerning satisfaction with their dentures and depression was recorded and statistical analysis done. The results showed that 36.25% depressed versus 63.75% non-depressed. 28.75% were dissatisfied versus 71.25% satisfied. Conclusion: It was concluded that depression played a significant role in decreasing the satisfaction rating in first time denture wearers. Keywords: Depression, dissatisfaction, complete dentures,

Depression, Anxiety and Stress among Medical and Non Medical Female Students of Pakistan

Objective: To find out the level of depression, anxiety and stress on the basis of education among female medical and non medical students. Study Design: Cross sectional descriptive study. Study place and duration: Study was conducted at Nishtar medical college, Multan and Bahaudin Zakarya University Multan from October 2020 to October 2021. Methodology: The study was conducted on 100 medical students and 100 non medical students from two institutions of Multan. Depression and Anxiety stress scale (DASS) was used for evaluation of outcomes. SPSS version 23 was used for data analysis. T-test was applied to assess score differences of depression, anxiety and stress between medical and non medical students. Quantitative variables were presented as mean and standard deviation, whereas qualitative variables were presented as frequency and percentages. Probability value≤0.05 was considered as significant. Results: Mean age of participants was 24.2±1.80 years and 14.5% were living away from their families. Mean score for depression in medical students were: 13.96±7.289 and for depression in non medical students were: 16.02±6.374, for anxiety in medical students were: 17.15±6.936 for anxiety in non medical students were: 14.33±5.829, for stress in medical students were: 14.61±5.148 and for stress in non medical students were:14.73±6.078. Correlation of stress with depression was significant: r =.045, p<0.05, whereas correlation of stress with anxiety was non-significant r=.131, p˃0.05. Conclusion: Female medical students had low level of depression but high level of anxiety and stress as compared to non medical students. Presence of stress was correlated with presence of depression among medical and non medical students. Keywords: Depression, Anxiety, stress, Medical students, Non medical students, Pakistan

The Relationship between Menopause and Depression in Padang

Objectives: to analyze the relationship between menopause and depression in PadangMethods : This type of research is an analytical observational with a comparative cross sectional approach that looks at the relationship between menopause and depression incidence. The research was conducted in the working area of the Padang City Health Center from April to June 2020. The instrument used in this study was the Hamilton Depression Rating Scale (HDRS / Ham-D) which was used to measure the level of depression and a questionnaire to ask questions related to the characteristics of the respondents.Results: A study was conducted on 170 people consisting of 85 respondents who had menopause and 85 respondents who had not yet menopause. Conclusion: As many as 50 (58.8%) menopausal respondents experienced depression and 35 (41.2%) respondents did not experience depression. There is a relationship between menopause and depression (p <0.05). There was a relationship between age, current medical history, income, occupation, and education level with the incidence of depression (p <0.05). There is no relationship between menopause duration, marital status, and BMI with depression incidence (p> 0.05)Keywords: depression, Hamilton Depression Rating Scale , menoupause

Depressed people and physical exercise

Depression is a mental disorder that is increasing each year, according to statistics over the world. Sports has become a good method to prevent and encourage the treatment of the mental disorder. The aim of this article to determine the benefits of sports in the treatment of depression. Method: The information was taken from Science Direct with the keywords (depression or mental disorders) and (physical exercise OR physical activity). The information was analyzed through systematic literature analysis. It was given priority to articles, that were published in the last 5 years. The number of the total articles was 498 which is related to the objective of this investigation. From 498 articles 24 were selected to develop the research. Results: Sports, according to studies, help people who have depression synthons. Conclusion: Physical exercise is a method, which can prevent and help medical treatment, however, it is necessary to increase the research in this area.

Terapi Komplementer untuk Penatalaksanaan Kecemasan atau Depresi pada Lansia yang Tinggal di Komunitas

This study aims to determine complementary therapies that can be applied to managing anxiety and depression in the elderly in the community. Methods for searching articles through English databases: EBSCO host, Scopus, Pro-Quest, Wiley Online Library, Sage Publications, Science direct, and Springer Link in the last ten years. The search results obtained 282 articles, and six reports identified that met the inclusion criteria. Systematic review analysts use the PRISMA diagram. There are six complementary therapies used: aromatherapy, reiki, laughter therapy, acupressure, religion, aromatherapy, music, and reiki. In conclusion, all of these complementary therapies are effective in the management of anxiety or depression. The complementary treatment suggested in the direction of pressure is aromatherapy, while depression is religious therapy. Keywords: Depression, Anxiety, Parents, Complementary Therapy

DEPRESSION SYMPTOMS RECOGNITION "STOP SUICIDE" IN ADOLESCENTS

Health promotion activities on the Recognition of the Symptoms of Depression "Stop Suicide" in Junior High School of Al-Aziziyah is one form of community service in the form of counseling aimed at increasing students' knowledge about how to recognize depression symptoms which are frequent events that cause death. The implementation of these activities on November 27, 2019 took place at Junior High School of Al-Aziziyah, Kebonsari, Candi Sub-District, Sidoarjo. The target of this event was the students of Junior High School of Al-Aziziyah, Kebonsari, Candi Sub-District, Sidoarjo. Before the activity is carried out, there is a process of compiling the activity for approximately 3 weeks before the activity is carried out, starting from determining the theme of counseling to submitting permits to the parties concerned. As a form of evaluation, the activity was attended by 27 students and 1 teacher, participants participated in the activity happily and looked very enthusiastic, health promotion activities could run on time and smoothly. Keywords: Depression symptoms, adolescent, health promotion.

DEPRESSÃO: PROCESSOS EDUCOMUNICACIONAIS ESTABELECIDOS A PARTIR DA PRODUÇÃO DE UM CURTA-METRAGEM

Este estudo objetiva problematizar a construção de um curta-metragem como processo educomunicativo para o entendimento/conscientização da depressão. Nesta construção apresentamos os conceitos de educomunicação (FREITAS, 2015 e SOARES, 2006) e, os conceitos, causas e sintomas da depressão a partir dos estudos de Furegato (2008) e Teodoro (2009). Como proposta metodológica trabalhamos na perspectiva de uma pesquisa qualitativa a qual iniciamos com uma investigação bibliográfica no sentido de estudar/investigar estratégias de recepção do espectador ao curta-metragem bem como estratégias de execução da proposta. Diante do processo de realização do curta-metragem e, depois, com o convite para expor o trabalho em diferentes locais pudemos perceber os processos educomunicativos viabilizados pelo curta-metragem no ambiente universitário e, nos mais distintos espaços da sociedade. PALAVRAS-CHAVE: Depressão; Educomunicação, Curta-metragem. ABSTRACT This study aims to problematize the construction of a short film as an educommunicative process for the understanding/awareness of depression. In this construction we present the concepts of educommunication (FREITAS, 2015 and SOARES, 2006) and the concepts, causes and symptoms of depression from the studies by Furegato (2008) and Teodoro (2009). As a methodological proposal we work from the perspective of a qualitative research which we start with a bibliographic investigation in order to study/investigate strategies of reception of the viewer to the short film as well as strategies of execution of the proposal. Given the process of making the short film and then, with the invitation to expose the work in different places, we could understand the educational and communication processes made possible by the short film in the university environment and in the most different spaces of society. KEYWORDS: Depression; Educommunication, Short film. RESUMEN Este estudio tiene como objetivo problematizar la construcción de un corto metraje como un proceso educomunicativo para la comprensión/conciencia de la depresión. En esta construcción presentamos los conceptos de educomunicación (FREITAS, 2015 y SOARES, 2006) y los conceptos, causas y síntomas de depresión de los estudios de Furegato (2008) y Teodoro (2009). Como propuesta metodológica, trabajamos desde la perspectiva de una investigación cualitativa que comenzamos con una investigación bibliográfica para estudiar/investigar estrategias de recepción del espectador al cortometraje, así como estrategias de ejecución de la propuesta. Dado el proceso de realización del cortometraje y luego, con la invitación a exponer el trabajo en diferentes lugares, pudimos comprender los procesos educativos y de comunicación que el cortometraje hizo posible en el entorno universitario y en los espacios más diferentes de la sociedad. PALABRAS CLAVE: Depresión; Educommunication, Corto metraje.

LIBBY’S DEPRESSION AS SEEN IN JENNIFER NIVEN’S HOLDING UP THE UNIVERSE

The thesis writer focuses on the analysis of Libby’s Depression as seen in Jennifer Niven’s Holding Up The Universe. The objectives of the study are, to find out the types of Libby's Depression, the causal factors of Libby's Depression and the effects of Libby's Depression as see in Jennifer Niven's Holding Up The Universe on herself, the society, and Jack Masselin. The thesis writer applies the theory of concept of depression, sign and symptoms of depression, the causes of depression, and she also applies a qualitative research. Keywords: Depression

Levels of Self Esteem and Depression among the Married Employed and Unemployed Woman: A Comparative Study

Introduction: The status of women in the Indian society is now able to lead a more independent lifestyle. But women in Indian society are not completely free from custom due to social structure. An attempt was made to compare certain need related to self-esteem and depression of women who are employed and unemployed. Material and Method: It was a cross-sectional comparative study. Using convenient sampling of fifty samples; 25 participants were the married employed women and 25 married unemployed women were drown from J.P Nagar, Jaya Nagar and Koramangala at Bangalore. Result: Employed women have significantly higher self-esteem than unemployed women and the majority of the in employed women were having less depression than unemployed status. Conclusion: Married women who are not employed outside the home experience poorer self-esteem than employed married women. Some unemployed married women cope better and even find the source of satisfaction in the alternative lifestyles that they adopt but employment outside the home has positive impact on self-esteem of women. Keywords: Depression, self-esteem, married women, employment