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1
Omagari, Lynda Lee. "Depression among the elderly." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3336.
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This study will examine depression among the elderly in an assisted living facility. The main problem in depression in the elderly is the lack of diagnosis and treatment. Left untreated it affects the elderly person's overall well-being and may eventually lead to their mortality.
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Pulska, T. (Tuula). "Mortality of the depressed elderly." Doctoral thesis, University of Oulu, 2001. http://urn.fi/urn:isbn:9514259092.
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Cepoiu, Monica Elena. "Recognition of depression in elderly medical inpatients." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97920.
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Background. Studies of recognition of depression in elderly (aged 65 or more) medical inpatients showed low recognition of depression by attending physicians. However, few studies have compared different measures of recognition of depression.Objectives. To evaluate the validity of four recognition indicators and a global measure of recognition against a diagnosis of depression and the effect of patient characteristics on recognition of depression.
Methods. In a cohort of 264 medical inpatients 65 years and over (115 with major or minor depression, 78 with no depression), using data from two previous studies, sensitivities, specificities, and diagnostic odds ratios (DOR) of four indicators of recognition (Diagnosis, Symptoms, Treatment and Referral) and a global measure of recognition (any of the four indicators) were calculated. Stratified analysis was conducted to assess recognition by age, gender, history of depression, antidepressant use before admission, severity of depression, comorbidity, duration of hospitalization, disability and hospital of admission. The associations of patient characteristics with recognition were described among patients with major or minor depression using multiple logistic regression.
Results. Less than half of the patients were recognized according to the global measure of recognition. The indicator with the highest sensitivity was Treatment (27.8%, 95% CI: 20.0-37.0), while the indicator with the best specificity was Diagnosis (96.6%, 95% CI:91.9-98.7). The unadjusted DOR of global recognition was 2.6 (95% CI: 1.5, 4.4). Comorbidity, severity of depression, history of depression, duration of hospitalization, antidepressant use before admission and hospital of admission were significantly associated with global recognition.
Conclusion. Recognition of depression in elderly medical inpatients is low. Identifying factors that hinder recognition may guide interventions aimed at improving diagnosis and treatment of depression in elderly medical inpatients.
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Sheldon, Christina Tess. "Diagnostic criteria for depression in the elderly." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0009/MQ34295.pdf.
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Fairchild-Ollivierre, Sara. "Anxiety, depression, and coping in the elderly." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1634.
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Silva, Gisele Wendeborn Marçon. "Associação entre sintomas depressivos e aspectos nutricionais em idosos residentes do município de São Paulo: um estudo de base populacional." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/89/89131/tde-22082017-152026/.
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Introdução: Depressão ou morbidade depressiva, é uma doença mental complexa que inclui diferentes fenótipos e sintomas, com desfechos negativos na saúde. Os diferentes distúrbios psiquiátricos, assim como a presença de sintomas depressivos, têm sido associados a dieta e hábitos alimentares. Objetivos: Investigar a associação entre sintomas depressivos e aspectos relacionados ao estado nutricional e alimentação, em idosos residentes na da Zona Oeste do município de São Paulo. Métodos: O presente estudo é epidemiológico, transversal, de base comunitária, com 2.643 idosos com idade igual ou superior a 60 anos. Foram consideradas como variáveis: a- Dependente: Sintomas Depressivos pela escala proposta pelo Centro de Estudos Epidemiológicos para identificação de sintomas depressivos (CES-D); Variáveis independentes (preditores): Estado nutricional a partir das medidas antropométricas (peso e altura com posterior cálculo do IMC, e circunferência da cintura); Respostas a algumas questões relacionadas ao hábito de consumir determinados alimentos ou grupos de alimentos, e hábito de fazer as refeições diárias. Foram ainda avaliadas as variáveis relacionadas a presença de doenças crônicas (hipertensão, diabetes e hipercolesterolemia); características sócio econômicas e demográficas (critério de Classificação Econômica Brasileira (CCEB). As variáveis foram analisadas por regressão logística binária, adotando significativos os valores de p <0,05. Resultados: Foi encontrada uma prevalência elevada de sintomas depressivos (38%); associaram-se positivamente aos sintomas depressivos o hábito em consumir frutas, feijões, leites e derivados, azeite, água e vinho. Após ajustes pelas variáveis clínicas, socioeconômicas e demográficas, permaneceram significantes no modelo final o hábito em consumir leites e derivados, azeite e vinho; o hábito em realizar o almoços e jantar; relatar a presença de HAS; pertencer ao sexo feminino e estar divorciado ou separado. Conclusões: O presente estudo mostrou a existência de associações significativas entre sintomas depressivos e o hábito em consumir determinados alimentos (leite e derivados, azeite e vinho). Porém tais dados ainda não são totalmente conclusivos para a população brasileira. Novos estudos fazem-se necessários para esclarecer a relação entre o hábito em consumir determinados grupos de alimentos e a chance em desenvolver sintomas depressivos em idosos.Background: Depression or depressive morbidity is a complex mental disease that includes different phenotypes and symptoms, with negative health outcomes. The different psychiatric disorders, as well as the presence of depressive symptoms, have been associated with diet and eating habits. Aims: To investigate the association between depressive symptoms and aspects related to nutritional status and feeding, of elderly residents from the West Zone of the city of São Paulo. Methods: The present study is a cross-sectional, community-based epidemiological study with 2,643 elderly individuals aged 60 or over. The following variables were considered: a-) Depedemt: Depressive Symptoms by the scale proposed by the Center for Epidemiological Studies to identify depressive symptoms (CES-D); Independent (predictors): Nutritional status from anthropometric measures (weight and height with subsequent calculation of BMI, and waist circumference); Answers to some questions related to the habit of consuming certain foods or food groups, and habit of making daily meals (Brazil, 2006). The variables related to the presence of chronic diseases (hypertension, diabetes and hypercholesterolemia) were also evaluated; Socioeconomic and demographic characteristics (Brazilian Economic Classification, CCEB) (ABEP, 2011). The variables were analyzed by binary logistic regression, adopting significant values of p <0.05. Results: There was found a high prevalence of depressive symptoms (38%); The habit of consuming fruits, beans, milks and derivatives, olive oil, water and wine were positively associated with depressive symptoms. After adjusting for the clinical, socioeconomic and demographic variables, the habit of consuming milk and derivatives, olive oil and wine remained significant in the final model; The habit of holding lunch and dinner; Have HAS; Belong to the female sex and be divorced or separated. Conclusions: The present study showed the existence of significant associations between depressive symptoms and eating habits (milk and dairy products, olive oil and wine). However, these data are not yet fully conclusive for a Brazilian population. New studies are needed to define a relationship between the habit and consumption of food groups and a chance to develop depressive symptoms in the elderly.
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Carvalho, Janaina Mota Alves de. "Prevalência de sintomas depressivos em uma população de idosos usuários de serviços públicos." Universidade do Estado do Rio de Janeiro, 2010. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=3382.
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Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorEsta dissertação pretende estimar a prevalência de sintomas depressivos em idosos segundo três níveis de complexidade de atenção à saúde e estudar a co-ocorrência de sintomas depressivos e incapacidade funcional. No Brasil, a transição demográfica ocorreu de forma rápida e explosiva. À medida que o número de idosos cresce ocorre o aumento da prevalência de doenças crônicas e suas complicações. A habilidade funcional pode ser vista como uma medida de resumo do impacto geral das condições médicas no contexto do ambiente e do sistema de apoio social do indivíduo, e deve ser uma consideração importante em qualquer planejamento de saúde. Uma enfermidade associada a elevado grau de incapacidade funcional é a depressão. Entre os agravos de saúde mental, a depressão é um dos mais comuns e importantes problemas psiquiátricos entre indivíduos idosos. Trata-se de estudo transversal com tamanho amostral de 643 idosos com idade de 65 ou mais anos selecionados aleatoriamente e usuários de três serviços públicos de saúde com níveis crescentes de complexidade (primário, secundário e terciário). A prevalência de sintomas depressivos foi estimada a partir da EDG-15, já traduzida e validada para uso no Brasil. O nível de estado funcional foi definido conforme os escores dos instrumentos SF-36 e HAQ. A prevalência de sintomas depressivos na amostra total foi de 45,2% (IC=41,1 49,3). Estratificando por unidade, a prevalência foi de 35,3% no nível primário, 47,6% no nível secundário e 51,7% no nível terciário (p=0,004). As prevalências encontradas foram altas nos três níveis de complexidade de atendimento, inclusive na população de idosos da unidade básica de saúde, apesar de serem idosos mais independentes e mais saudáveis. A prevalência geral de sintomas depressivos aumentou à medida que o grau de incapacidade funcional também aumentou. A busca ativa por idosos com sintomas depressivos é importante em todos os níveis de complexidade de atendimento do sistema de saúde.
This dissertation aims to estimate the prevalence of depressive symptoms in the elderly according to three levels of complexity of health care and to study the co-occurrence of depressive symptoms and levels of functional capacity. In Brazil, the demographic transition occurred quickly and explosive. As the number of elderly grows there is an increase in the prevalence of chronic diseases and their complications. The functional ability can be seen as a summary measure of overall impact of medical conditions in the context of environment and social support system of the individual, and should be an important consideration in any planning of health. A condition associated with a high degree of disability is depression. Among the grievances of mental health, depression is one of the most common and important psychiatric problems among the elderly. This is cross-sectional study with a sample size of 643 elderly aged 65 or over, randomly selected, and users of three public health services with increasing levels of complexity (primary, secondary and tertiary). The prevalence of depressive symptoms was estimated from the EDG-15, already translated and validated for use in Brazil. The level of functional status was defined as the scores of instruments SF-36 and HAQ. The prevalence of depressive symptoms in the total sample was 45.2% (CI = 41.1 to 49.3). Stratified by unit, the prevalence was 35.3% at primary level, 47.6% at secondary level and 51.7% at the tertiary level (p = 0.004). Prevalence rates were high in the three levels of complexity of care, including the elderly population in primary care unit, although the elderly are more independent and healthier. The overall prevalence of depressive symptoms increased as the degree of disability has also increased. The active search for elderly patients with depressive symptoms is important at all levels of complexity of care in the health system.
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Baldwin, Robert C. "The prognosis of depression in elderly psychiatric patients." Thesis, University of Southampton, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.307281.
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Davis, Rebecca Jo Poff. "Social network conflict and depression among rural elderly." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000davisr.pdf.
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Leet, Jared Errol. "Benefits of Prayer on Depression in Elderly Adults." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5744.
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Depression in the elderly population is a growing concern in the United States. A decrease in depression in the elderly could lead to greater quality of life and reduced cost of healthcare services. The Sense of Coherence Theory was utilized as the theoretical foundation for this study. The purpose of this study was to use archival data to analyze differences in depression scores by groups based on prayer (yes/no) and over time (wave 1/wave 2 of data collection) when controlling for amount of time spent in prayer by category, gender, and ethnicity. The data were retrieved from the National Archive of Computerized Data on Aging, which included interviews with adults aged 65 and over living in the coterminous United States. The first wave was collected in 2001 and consisted of 1,500 interviews. Wave 2 was collected in 2004 and consisted of 1,024 of the original participants. A mixed ANOVA was used to analyze the data. Results showed that change in depression over time differed depending on use of prayer after controlling for frequency of prayer. Comparisons of the 2 waves in the sample revealed that depression significantly decreased for people who prayed but not for people who did not pray. Implementing prayer as a supplemental form of treatment for depression may alter the way that some clinicians and providers conduct mental health treatment, reduce the emotional burden on families who are often the caretakers of the elderly, and become a cost-effective method of reducing depressive symptoms.
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Wada, Taizo. "Depression Screening in the Community-Dwelling Japanese Elderly." Kyoto University, 2004. http://hdl.handle.net/2433/147524.
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Downer, Patricia. "Characteristics of depression in neurologically impaired and normal elderly." Diss., The University of Arizona, 1989. http://hdl.handle.net/10150/184817.
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Severity and pattern of depressive symptomatology were examined among four groups of elderly individuals, i.e., patients with DSM-III diagnoses of major depression (n = 54), patients with presumed dementia of the Alzheimer's type (DAT) (n = 27), patients with idiopathic Parkinson's disease (PD) (n = 30), and normal controls (n = 29). The depressed elderly group obtained significantly (p < .001) higher means, and the control group obtained significantly (p < .01) lower means, than the neurologically impaired groups on clinician ratings (Hamilton Rating Scale for Depression, HRS-D) and self-report (Beck Depression Inventory, BDI) of depression. However, HRS-D means of the PD and DAT groups did not differ significantly (p < .125). The depressed elderly group also obtained significantly (p < .001) higher means than the contrast groups on HRS-D vegetative and cognitive depression primary factors (adapted from Rhoades & Overall, 1983), while the control group obtained significantly (p < .001 to 0.01) lower means. At the intermediate level, the PD mean on the vegetative factor was significantly (p < .05) higher than the DAT mean, while the groups did not differ significantly (p < .79) on the cognitive factor. The depressed elderly group obtained a substantially lower interfactor correlation coefficient than the neurologically impaired groups, suggesting greater heterogeneity in manifestation of depression at moderate than at mild levels of severity. However, the finding of zero variance on some HRS-D items for the neurologically impaired groups suggested that factor structures may differ for PD, DAT, and depressed groups. For PD patients, the prediction that PD symptom severity ratings would correlate more highly with clinician ratings (HRS-D) than self-report (BDI) of depression, due to PD symptoms that resemble depression, was not supported. Speculation that the DAT group might report less depression due to loss of insight was not supported in this group of mildly to moderately demented patients. Only 22% demonstrated loss of insight, while 93% exhibited some degree of depressed mood on the HRS-D. Over 50% of the control group of PD spouses and community volunteers endorsed some degree of fatigue, work inhibition, and decreased libido, illustrating the need for considering base-rates in assessment.
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Stort, Bueno Denise Ribeiro 1977. "Perfil de idosos com demencia e depressão : status cognitivo medido pelo CAMCOG, escolaridade e historico de habilidade socio-cognitivas." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311606.
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Orientador: Paulo DalgalarrondoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-14T17:35:50Z (GMT). No. of bitstreams: 1 StortBueno_DeniseRibeiro_M.pdf: 2338902 bytes, checksum: c7a13857644450cf7a089b9abf91acba (MD5) Previous issue date: 2009
Resumo: O presente estudo buscou identificar relações entre o desempenho em teste neuropsicológico (CAMCOG), histórico de habilidades sócio- cognitivas, escolaridade e idade em idosos atendidos em ambulatório com diagnostico de demência ou com diagnostico de depressão em comparação com idosos saudáveis. Foram pesquisados sujeitos com 60 anos ou mais, com depressão e demência, que estavam em acompanhamento no ambulatório de Psiquiatria Geriátrica do Hospital das Clinicas da UNICAMP, e que tenham sido submetidos a aplicação do CAMCOG. Como grupo controle, foram pesquisados idosos com 60 anos ou mais que freqüentavam as atividades de uma Universidade da Terceira Idade. Para coleta de dados, os instrumentos utilizados foram: CAMCOG, um inventario contendo informações referentes ao historico de habilidades sociocognitivas do sujeito, uma entrevista estruturada para obtenção de dados sociodemograficos e informações obtidas no prontuário medico dos pacientes. Para o grupo controle, alem desses instrumentos, aplicou-se o mini exame do estado mental (MEEM) e a escala de depressão geriátrica (GDS). Foram avaliados 101 sujeitos com media de idade 71,43 anos e escolaridade 3,98 anos, 34 com diagnostico de depressão, 30 demência e 37 controles. A media do escore do CAMCOG da amostra total foi 66,68 (d.p.=23,21), nos idosos com demência foi 45,13 (d.p.= 23,85), com depressão 67,15 (17,34) e controles 83,73 (d.p.=8,77). A relação linear (Spearman) entre o escore total no CAMCOG com a pontuação derivada do historico de habilidades sócio cognitivas mostrou-se significativa nos três grupos estudados (demência p= 0,0002, depressão p= 0,0001 e controles p=0,0002), assim como a relação entre CAMCOG e escolaridade. E possível observar que nesta amostra, o historico sócio cognitivo do sujeito esteve associado mais fortemente que anos de escolaridade no desempenho dos sujeitos no CAMCOG; idosos com diagnostico de depressão tiveram desempenho inferior em comparação aos do grupo controle e superior aos sujeitos com demência.
Abstract: The current study aimed to identify relations among the performance in neuropsychological test (CAMCOG), history of social cognitive abilities, education and age in the elderly with dementia and depression diagnosis who attend the Geriatric Psychiatric Ambulatory of Hospital das Clínicas da UNICAMP in comparison to health older adults. The research included people above 60 years with dementia and depression under treatment in the Geriatric Psychiatric Ambulatory and that had been submitted to CAMCOG evaluation. As for the health group, we considered elderly people above 60 years that attended the activities of Universidade da Terceira Idade Santa Lúcia. It was used the following instruments for data collection: CAMCOG, an inventory with information regarding the person social cognitive abilities history, an interview structured to obtain social demographic data and information obtained from the patients medical reports. For the health group, besides these instruments, we applied Mini Mental State Examination (MMSE) and Geriatric Depression Scale (GDS). It was evaluated 101 people of average of 71,43 years and education 3,98 years, 34 with depression, 30 with dementia e 37 without problems. The total sample of CAMCOG average score was 66,68 (sd=23,21), in the older adults group with dementia was 45,13 (sd=23,85), with depression, 67,15 (sd=17,34), and healthy people, 83,73 (sd=8,77). The linear relation (Spearman) between the total score in the CAMCOG and the sum generated from the social cognitive abilities history was significant in the three groups (dementia p=0,0002, depression p=0,0001 and health group p=0,0002) like the relation between CAMCOG and education. Was possible to verify in this sample that the person social cognitive history had more influence than that education years in the CAMCOG people performance. Elderly with depression had worst performance in comparison to the heath group.
Mestrado
Mestre em Gerontologia
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Hammond, Margaret Fay. "The symptomatology of depression in elderly physically ill people." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367249.
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Simmons, Daniela. "Social Participation and Depression Among Elderly People in Greece." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc848194/.
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The researcher had two objectives: first, explore how social involvement changes by age among Greek elderly, and second, examine the relationship between social involvement and depression by age among study participants, controlled for education, marital status, and gender. The researcher used data from the 2004 Survey of Health, Aging, and Retirement in Europe (SHARE) database subjecting a sample of 2,898 elderly aged 50 or older to analysis in terms of the study questions. Approximately 43% of the participants (n = 1,244) were males and 57% were females (n = 1,654).
Study results showed Greek elderly participated more in religious activities and less in non-religious activities with increasing age. The study results showed the level of education did not have an effect on the level of religious or non-religious participation. Marital status could influence Greeks’ tendency to participate in religious activities, however, it did not have an effect on non-religious participation. Women are more likely to participate in religious activities than the men. The gender of the participants did not have an effect on non-religious participation. Older Greek elderly were more likely to be depressed than the younger elderly. Participation in religious activities was not shown to relate to decreasing the risk of depressive symptoms; while participation in non-religious activities increased it. Further elaboration showed that caring for family increased the risk of depressive symptoms. Participation in other non-religious activities did not show significant relationships to depressive symptoms.
The study findings imply those caring for others are in need of social and mental health support services; and the quality of available social activities need significant improvement.
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Kunsak, Nancy Elizabeth. "Factors of Depression in the Elderly: Assessment and Implications for Diagnosis." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc331201/.
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The problem of assessment and diagnosis of depression in the elderly begins with the definition of depression being indefinite. In this study, the theory of learned helplessness was chosen because of its value in organizing research within a learning theory framework. The Beck Depression Inventory, measures of fluid and crystallized intellectual ability, locus of control, and attribution of success and failure were chosen as variables for an exploratory factor analysis. The purpose of selecting these variables was to assess the cognitive, motivational, and affective components of learned helplessness as they affected the responses of elderly subjects to depression items. Self report measures of income, education, and health, were included to assess the relationship of these variables to depression. A somatic factor was predicted to correlate with an affective factor of depression.
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Woods, Dionne L. "Depression and burdem in African American categories of the elderly." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1996. http://digitalcommons.auctr.edu/dissertations/510.
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The purpose of this study was to compare the experience of depression and burden in African American caregivers in two different living arrangements: those coresiding with the care recipient and those living separately from the care recipient. As caregivers struggle to balance the roles they must play, burden and depression are often a result. A purposeful sample was used to identify caregivers of a day care and a day activity center in the Atlanta area. There was no difference in the level of depression experienced by caregivers coresiding as compared to those not coresiding with the care recipient. Also, there was no difference between those caregivers coresiding as compared to non coresiding caregivers in the experience of burden.
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McCormick, Christine Viola. "Cognitive coping and depression in elderly long-term care residents." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3194.
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The purpose of this research was to examine specific coping methods used by the elderly as they adjust to the environment of a long-term care facility, and to examine the correlations between these coping methods and levels of depressive symptomatology.
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Kung, Kevin Hsiang-Hsing. "Correlates of Depression in Elderly Asians in the United States." Thesis, University of North Texas, 2013. https://digital.library.unt.edu/ark:/67531/metadc407809/.
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The primary purpose of this study was to examine the correlation between depression and the personal characteristics of Asians who are 50 years or older. The secondary objective was to determine whether Asians 50 years or older living in the United States are more likely to be depressed than other ethnicities. The information for this study was secured from the National Health Interview Survey, spanning the years 2001 to 2010. In this study, I utilized the SAS-Callable SUDAAN statistical system. Multivariate regression was used to predict and determine significant correlations. The results indicated that Asians 50 and older living in the U.S. and who experience functional limitations, poor vision, hypertension, poor health, not married, and unemployed in previous year were in general more prone to depression. Furthermore, the study indicated that Asian elderly living the U.S. showed lower rates of depression than all non- Asian ethnicities. However when controlled for personal characteristics only Whites and Hispanics had higher depression incidences than Asian elderly. Recommendations for future studies include: conducting more micro and macro studies of Asian elders, such as in-depth case studies for each ethnicity, longitudinal studies of various Asian subgroups, and studies of Asian elderly with hypertension who have committed suicide.
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Ljunggren, Malin. "Elderly abuse and depression in developed countries: Does religion/spirituality matter?" Thesis, Högskolan i Gävle, Akademin för hälsa och arbetsliv, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-11410.
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The purpose of this thesis was to investigate how spirituality and religion could serve as a protective factor for depressed elderly (65 and older) who are victims of abuse. The review was carried out using scientific articles found through searches of various scientific databases with no limitation date. Results found no studies which investigated that relationship across developed countries and especially not in the European context. However, the review gave some indications that spirituality might serve as an asset for depressed elderly. In addition the study found that professionals working with abused elderly should encourage them to be involved in spiritual actions and discussions. Studies on what role spirituality can influence and improve coping strategies across abused elderly are urgently needed in order to improve interventions aimed to curb the ever growing problem of elderly abuse.
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Marrs, Doyle T. "The role of personality and intimacy with depression in elderly widows." Texas A&M University, 2005. http://hdl.handle.net/1969.1/4699.
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As the average age of the population in the United States gets older each year, the
problem of depression has been recognized as a chronic problem that affects the quality
of life and mental health of many of our nation's elderly. Widowed females, who
represent the largest segment of older adults, are particularly at risk for suffering from
depression in their elder years. One of the primary difficulties in treating depression in
this population is lack of understanding of the factors that contribute to its etiology, in
the context of an environment which restricts development of social relationships and
limits resources for treatment of depression symptoms. This study examined the
reported levels of interpersonal intimacy, depression and the personality characteristics
of introversion or extroversion, and examined the relationship between the three factors.
Results indicated that, with this study sample (N=99), 23.2% of the sample met cut-off
scores indicating depression. Overall, the participants reported being satisfied with their
current level of intimacy in relationships; however those who also reported being
depressed were less likely to be satisfied. Likewise, those participants who were
depressed were more likely to be in the introvert group of personality characteristics.
There was no significant relationship established between satisfaction with intimacy and the personality traits. The study showed that the variables examined, including some
demographic variables, were correlated, but more work and a larger sample is needed to
allow the variables to be used for the purpose of prediction of depression or satisfaction
with intimacy in this population.
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Ahlström, Evelina, and Nicklas Hellman. "Effekt av fysisk aktivitet hos äldre personer med depression och depressiva symtom : - En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:du-35299.
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Bakgrund: I dagens samhälle anses depression som ett världsproblem. En nedsatt livslust, dålig självkänsla, trötthet och orkeslöshet är ett fåtal av de symtom som en person med depression och depressiva symtom lider av. Att använda sig av fysisk aktivitet i olika former rekommenderas som en behandling vid depression och depressiva symtom hos äldre personer. Personcentrerad vård syftar till att individens egen upplevelse av hälsa är i fokus vilket ökar välbefinnandet hos en person som lider av depression eller depressiva symtom.Syfte: Syftet med litteraturöversikten är att undersöka effekten av fysisk aktivitet hos äldre personer med depression och depressiva symtom.Metod: Examensarbetet genomfördes som en litteraturöversikt. 14 artiklar söktes fram i databaserna PubMed och CINAHL med sökord utformade ifrån syftet. Artiklarna granskades utifrån Högskolan Dalarnas granskningsmall och sammanställdes utifrån olika kvalitetsgrader. Artiklar med medel och hög kvalitet inkluderades. Resultatet kategoriserades och sammanställdes utifrån likheter och skillnader som framkom i analysen.Resultat: Olika typer av fysisk aktivitet har effekt på depression och depressiva symtom hos äldre personer. Att vara fysiskt aktiv genom ett tilldelat individuellt träningsprogram, träning i grupp eller i form av yoga visade sig kunna påverka de depressiva symtomen och depression positivt. Vilken intensitet av träning och frekvens som kan ha påverkan på effekten av de depressiva symtomen eller depressionen. Slutsats: Effekten av fysisk aktivitet i olika former har visat sig kunna minska depressiva symtom hos äldre personer.Background: In today's society, depression is considered a world problem. A reduced desire for life, low self-esteem, tiredness and low energy are a few of the symptoms that a person with depression and depressive symptoms suffer from. The use of physical activity in various forms is recommended as a treatment for depression and depressive symptoms in elderly people. Person-centered care aims to ensure that the individual's own experience of health is in focus which increases the well-being of a person suffering from depression or depressive symptoms.Purpose: The purpose of the literature review is to investigate the effect of physical activity in elderly people with depression and depressive symptoms.Method: The degree project was carried out as a literature review. 14 articles were searched in the PubMed and CINAHL databases with keywords designed from the purpose. The articles were reviewed based on Dalarna University's review template and compiled based on different quality grades. Articles with medium and high quality were included. The results were categorised and compiled based on similarities and differences that emerged from the analysis.Results: The results of the literature review are shown to have an effect in depression and depressive symptoms in elderly people. Being physically active through an assigned individual exercise program, training in groups or in the form of yoga was shown to be able to positively affect the depressive symptoms and depression. The intensity of exercise and frequency may have an impact on the effect of depressive symptoms or depression.Conclusion: The effect of physical activity in various forms has been shown to reduce depressive symptoms in elderly people.
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Johnson, Jo Anne Pauline. "Factors Influencing Grief Adjustment in the Elderly." DigitalCommons@USU, 1986. https://digitalcommons.usu.edu/etd/5602.
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The purpose of this paper was to attempt to identify variables which may enhance the ability of older widowed persons to adjust to viii bereavement. Depression and perceptions of physical health were the two aspects of adjustment selected for study. Several variables which current literature suggests may mediate grief adjustment were examined for their potential relationship to bereavement outcome. These were gender, level of grief, anticipatory grief and social network. The possible relationship between depression and perceptions of physical health was also examined for.
Subjects were 75 men and women, age 55 and over, who were recently widowed, and 29 non-bereaved men and women who served as controls. All subjects were caucasian, Mormon, and lived in small rural communities. To gather data on the variables in question, these instruments were used: the Beck Depression Inventory, and the Texas Inventory of Grief. Information on anticipatory grief, social network, and self-ratings of physical health was obtained using a structured interview developed at the Andrus Gerontology Center at the University of Southern California. Data was gathered at two times. The initial interview was held within two months of the death of each bereaved subject's spouse, and again six months later. Control subjects were interviewed twice, six to eight months apart.
Multiple regression equations with foreward inclusion were computed to identify those variables which accounted for most of the cvariance in depression scores and self-ratings of physical health.
Gender and bereavement status (whether a subject was bereaved or control) were not found to be significantly related to depression or self-ratings of physical health. Social network variables were found to facilitate lower depression scores and higher ratings of physical health, although the aspects of social network which were significant varied over time (initially family, then later non-family relationships were most important.) Depression and self-ratings of physical health were closely related. High level of grief was closely associated with high depression scores, but not with self-ratings of physical health. Expectation of the spouse's death was associated with lower self-ratings of physical health.
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See, Sau-king. "Exercise and depression in Chinese older people elderly health centers study /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972135.
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Shetye, Shobha S. "Prevalence and correlates of depression in elderly Chinese in Hong Kong." Thesis, View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38478596.
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Nussbaum, Paul David. "Depression and cognitive deterioration in the elderly: A follow-up study." Diss., The University of Arizona, 1991. http://hdl.handle.net/10150/185628.
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The extent of cognitive deficit in depressed elderly remains unclear. Recent follow-up studies of elderly patients diagnosed as depressed suggest that depression may present as the initial sign of progressive dementia. This raises questions regarding the nature of the depression in those individuals who deteriorate cognitively over time, and encourages the search for clinical indicators of those depressed who are likely to deteriorate. Thirty-five depressed older adult outpatients were comprehensively examined and re-evaluated with a brief neuropsychological battery after one or more years. Twenty-three probable dementia of the Alzheimer's type patients (DAT) provided a comparison with a known progressive disorder. Patients with a decline of four points from their original score on a mental status examination comprised the "depressed with cognitive deterioration" sample (N = 8) and all others made up the "depressed without cognitive deterioration" sample (N = 27). These two samples were then compared on clinical variables from the initial neuropsychological, medical, radiological, and patient history examination. A Multivariate analysis of variance using the following variables: initial age, education, modified Hachinski, initial Mini-Mental State, Wechsler Memory Quotient, vocabulary, digit span, similarities, picture completion, block design, and digit symbol subtests of the Wechsler Adult Intelligence Scale-Revised, initial Geriatric Depression Scale, and Grocery Store Test of verbal fluency failed to differentiate those depressed elderly that declined from those who did not. A series of Chi-square analyses using the medical and radiological variables demonstrated a significant association between depressed with deterioration and magnetic resonance imaging (MRI) abnormalities, computerized tomography (CT) abnormalities, and Electrocardiogram (EKG) abnormalities. Those depressed patients with cognitive deterioration demonstrated a higher frequency of white matter abnormalities on the combined CT and MRI than did those depressed patients with no deterioration. Leuko-araiosis in depressed elderly may represent a clinical marker for the identification of later cognitive deterioration. Results indicate: (1) a need for the development of more sensitive neuropsychological measures for accurate prediction of deterioration; (2) the importance of follow-up neuropsychological evaluations on depressed elderly; (3) relationship between white matter abnormality and cognitive deterioration in depressed elderly, and (4) support for the hypothesis that depression may present as an early sign of a later developing progressive dementia.
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See, Sau-king, and 施秀琼. "Exercise and depression in Chinese older people: elderly health centers study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972135.
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Cabrera, Amparita L. "The role of group activity participation in depression among institutionalized elderly." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1954.
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The role of group activity participation in depression among a group of residents (N=65), age 80 and older, in a nursing home was examined using the framework of Roy's Adaptation Theory and Nolen-Hoeksema's Response Style Theory of Depression. Roy views depression as a maladaptation. Nolen-Hoeksema views group activity participation as a therapeutic distraction to break depressed moods and thus allow for positive adaptation.
This study utilized data from medical records, group activity attendance, and self-report questionnaires. Demographic distributions were computed and correlational statistics were performed between subjects' participation and their degree of depression, pain experience, functional status, presence of social support, and perception of benefits. Results show a negative correlation between frequency of participation and Geriatric Depression Scale score (GDS). The wide range of measured frequencies among low GDS-scored subjects suggests that less depressed individuals exercise more freedom of choice to participate than those who are more depressed. Significant finding show a positive correlation of group activity participation with functional status in terms of ambulation. Data shows that the experience of pain was not a significant deterrent to participation. The presence of social support from the staff and family did not increase participation. However there is a lesser GDS score among subjects who had recent family/friends visit suggesting a positive role of family in decreasing depression.
These results are significant not only for optimizing group therapeutic effects but also for understanding basic human and environmental correlates of depression. Study limitations are pointed out and recommendations are presented.
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Costa, Marisa Raquel Adão. "Relação entre o equilíbrio e a depressão em idosos institucionalizados." Bachelor's thesis, [s.n.], 2011. http://hdl.handle.net/10284/2535.
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Trabalho apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaComo fisioterapeutas podemos intervir no equilíbrio, reduzir o risco de quedas e melhorar o estado psicológico do adulto sénior. Na realidade a depressão apesar de não ser um factor de alto risco para quedas pode estar relacionada com o equilíbrio. Com este estudo propôs-se verificar se existe relação entre a depressão e os equilíbrios estático, dinâmico e total em idosos que se encontram institucionalizados num lar. O estudo foi realizado na Santa Casa da Misericórdia de Vila Pouca de Aguiar com a aplicação de um questionário, a Escala de Depressão Geriátrica (EDG) e a Escala de Equilíbrio de Berg (EEB), em 28 adultos séniores com média de idades 83,25 ± 6,54 anos, com marcha autónoma. A maior parte dos dados deste estudo estão de acordo com o que é referido pela bibliografia, no entanto a correlação entre a EEB e a EDG é negativa e não significativa. Conclui-se que neste estudo não se verificou relação entre a EDG e a EEB. As physiotherapists we can intervene in balance, reduce the risk of falls and improve the psychological state of the senior adult. In fact depression although not a high risk factor for falls may be related to the balance. This study aim is to investigate whether there is a relationship between depression and static, dynamic and total balance in the elderly who are institutionalized in a nursing home. The study was conducted at Santa Casa da Misericórdia de Vila Pouca de Aguiar with the application of a questionnaire, the Geriatric Depression Scale (GDS) and the Berg Balance Scale (BBS), 28 senior adults with mean age 83.25 ± 6.54 years, with independent gait. Most of the data from this study is in agreement with what is referred to the bibliography, however the correlation between BBS and GBS is negative and not significant. This study concluded that there was no relationship between the GDS and BBS.
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Lindén, Thomas. "Late neuropsychiatric consequences of stroke in the elderly /." Göteborg : Institute of Clinical Neuroscience and Physiology, The Sahlgrenska Academy at Göteborg University, 2006. http://hdl.handle.net/2077/739.
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Dean, David G. "Mediators of depression in secondary carers of a spouse with dementia." Thesis, Bangor University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.239968.
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Chan, Kin-tak Anderson. "Depressive symptoms and alcohol use in Hong Kong elderly." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/b39723999.
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Tenbrink, Gunnel, and Markus Thordsson. "Äldres upplevelser av att leva med depression." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-19673.
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Äldre med depression är ett växande problem och utgör en utmaning för oss som arbetar med vård och omsorg. Undersökningar visar att ca 15 procent av äldre över 65 har depression och flera av dem är dessutom obehandlade. Åldersgruppen över 65 år ökar totalt. År 2020 har Sverige förmodligen det högsta antal äldre bland jordens länder. Det är otillfredsställande att äldre mår dåligt samt att deras psykiska ohälsa inte alltid uppmärksammas. Det är därför angeläget och viktigt att lyfta fram denna grupp och belysa deras upplevelser av hur det är att leva med en depression.Syftet med uppsatsen är att belysa äldres upplevelser av att leva med en depression. En kvalitativ litteraturstudie genomfördes med hjälp av Evans (2003) analysmodell.Resultatet redovisas i form av två huvudteman: ensamhet och livslidande med vardera två subteman: upplevd ensamhet och eget ansvar samt känsla av värdelöshet och beroende av andra.Diskussionen behandlar metod och resultat. I resultatdelen framkommer det att upplevd ensamhet utgör en mycket stor del av deras livsvärld. Samtalet visar sig vara en omvårdnadsåtgärd som har stor betydelse för att lindra det lidandet det innebär att leva med en depression.Ämne till fortsatt forskning kan vara att studera innebörden i det vårdande samtalet mellan sjuksköterskan och den äldre patienten som lever med en depression.Program: Fristående kurs
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Li, Zhibin, and 李志斌. "Smoking, obesity, depression and mortality in a Chinese elderly cohortin Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B36182230.
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Leung, Yee-man Emily, and 梁綺雯. "Systematic review : effectiveness of non-pharmacological interventions in managing depression in elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193788.
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Introduction
Geriatric depression is one of the major public health issues around the world. Geriatric depression is often being misinterpreted as a normal aspect of aging process, but it is indeed a complex psychological problem that would result in significant increases in DALYs. With effective treatments, depressive symptoms and signs can be reduced. Nevertheless, pharmacological intervention is often used as the first-line treatment for geriatric depression. In recent years, different types of non-pharmacological intervention have been getting more attention in terms of theirs effectiveness in treating geriatric depression.
Objectives
Primary objective is to determine whether two categories of non-pharmacological intervention (physical activity and reminiscence therapy) are effective in relieving depression in elderly that are 60 years old or older. The other objectives are to examine enduring effects of physical activity and reminiscence therapy, and compare the effectiveness of reminiscence therapy and physical activity in alleviating depressive symptoms in elderly compared with no intervention and/or other intervention.
Methods
Relevant studies published between the year of 2000 and 2013 were searched and identified through several electronic databases, including the Cochrane Library, PubMed, Medline, PsycINFO and Google Scholar, with a combination of keywords. All randomized controlled trials that examine physical activity and reminiscence therapy on elderly that are 60 years old or older, being diagnosed or indicated as suffering from depression were included. The methodological quality of each study was assessed. The outcome measure of this review is the depression symptom level.
Main Result
A total of 12 randomized controlled trials met the inclusion criteria, in which seven were about physical activity and five of them were about reminiscence therapy. Significant immediate reduction in depressive symptoms was found in five out of seven physical activity studies and in four out of five reminiscence studies. Three and two studies respectively on physical activity and reminiscence therapy had assessed the effect at follow-up and looked at the lasting effect. In two physical activity studies that have assessed the short-term effect beyond the completion of intervention, incongruent findings were found. Only one physical activity study has examined the long-term effect and it reported significant positive result. On the other hand, there were two reminiscence therapy studies assessing the short-term effect on depressive symptoms. These two studies reported significant improvement in depressive symptoms. Since there were few studies reporting the medium and long-term effect of physical activity and reminiscence therapy, no conclusion can be made on their enduring effect of reducing depressive symptoms.
Conclusions
Physical activity and reminiscence therapy appear to be effective non-pharmacological interventions for relieving depressive symptoms in elderly. They may complement pharmacological intervention and/or may offer alternative treatment option for elderly with depression. However, the mode, intensity, duration, type, format of physical activity and reminiscence therapy on depressive symptoms in elderly remain unclear. Further testing is need before these interventions can be routinely used to alleviate depressive symptoms in elderly with depression.published_or_final_version
Public Health
Master
Master of Public Health
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LEÃO, Rita de Cássia Hoffmann. "Depressão e fatores associados em homens idosos assistidos na Atenção Básica." Universidade Federal de Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/18863.
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INTRODUÇÃO: O envelhecimento populacional é um fenômeno global e traz consigo novos desafios aos Serviços de Saúde e a sociedade. A depressão é uma das doenças que mais acomete a população idosa, podendo ocasionar alterações em sua funcionalidade e comprometer a sua qualidade de vida, e por isso, precisa ser bem investigada, começando pela Atenção Básica e com um olhar diferenciado para o homem idoso, por se tratar de um público com suas particularidades. OBJETIVO: Identificar a prevalência da depressão em idosos do sexo masculino e os fatores associados. MÉTODO: Foi realizado um estudo epidemiológico, de corte transversal, com avaliação de 162 homens idosos, sem déficit cognitivo e sem comprometimento de comunicação, atendidos na Atenção Básica em comunidade do Recife. A análise descritiva foi feita por meio de tabela de frequência e de medida de tendência central conforme a natureza das variáveis analisadas. Através da Análise de Classes Latentes foi criada a variável dependente da depressão com 4 categorias em uma escala ordinal a partir de 15 variáveis indicadoras. Testes de QuiQuadrado ou Exato de Fisher e Análise de Resíduos Padronizados testaram a associação e modelos de regressão logística ordinal simples e múltipla testaram o efeito das variáveis independentes sobre a variável dependente. O nível de significância foi de 5%. RESULTADOS: Dos 162 idosos investigados, observou-se que tanto os dados clínicos quanto a escolaridade apresentaram efeitos significantes e independentes das demais variáveis sobre a depressão. Os idosos sem grau de escolaridade apresentaram 90% de probabilidade de se tornarem deprimidos, enquanto que naqueles com até 4 anos de estudo, a chance é de 2,43 vezes maior, em relação aos que tem 5 anos ou mais de estudo. No que se refere aos dados clínico-laboratoriais, observou-se que os idosos que apresentaram níveis normais de cortisol tinham 66% menos chances de se tornarem deprimidos, e uma chance maior para aqueles com baixos níveis de Vitamina D (10 vezes mais) e de Testosterona (2,24 vezes mais), e altos níveis de TSH (15 vezes mais). O instrumento de rastreamento utilizado neste estudo foi a Escala de Depressão Geriátrica com versão reduzida - GDS 15. Foi observado que três perguntas (Diminuiu a maior parte de suas atividades e interesses? Prefere ficar em casa a sair e fazer coisas novas? e Acha que tem muita gente em situação melhor?) podem ser parte da realidade de muitos idosos, sem que necessariamente isto signifique sintomatologia depressiva. Estas perguntas possuem o mesmo peso que outras perguntas mais direcionadas ao diagnóstico de depressão, o que torna mais frágil uma análise principalmente nos pontos de corte. CONCLUSÃO: A prevalência da depressão na população estudada foi de 29% estando associada ao baixo grau de escolaridade e às alterações dos dados clínicos investigados. Cabem neste contexto, ações para a melhoria dos serviços de saúde e ações educativas, bem como a capacitação na área Gerontológica para as equipes multi e interdisciplinares, contribuindo para um diagnóstico precoce e condução adequada do tratamento.
INTRODUCTION: Population aging is a global phenomenon and brings new challenges to health services and society. Depression is a disease that affects more the elderly and can cause changes in its functionality and compromise their quality of life, and therefore must be well investigated, starting with primary care and with a different look for the old man, because it is a public with its peculiarities. OBJECTIVE:. Identify the prevalence of depression in elderly men and the associated factors. METHOD: an epidemiological study, cross-sectional was conducted with evaluation of 162 elderly people without cognitive impairment and without communication commitment, met in Primary Recife community. A descriptive analysis was made by means of frequency and central tendency measure table depending on the nature of the variables. By Latent Class Analysis was created the dependent variable with 4 categories on an ordinal scale from 15 indicator variables. Chi-square test or Fisher's exact and standardized waste analysis tested the association and regression simple and multiple ordinal logistic models tested the effect of independent variables on the dependent variable. The level of significance was 5%. OVERALL RESULT: Of investigated 162 elderly, it was observed that both the clinical data and the level of education showed significant and independent effects of other variables on depression. Older people without schooling had 90% probability of becoming depressed, while those with up to 4 years of study, the chance is 2.43 times higher than those who have five years or more of study. With regard to the clinical and laboratory data, it was observed that the elderly with normal cortisol levels were 66% less likely to become depressed, and a greater chance for those with lower levels of vitamin D (10 times more) and testosterone ( 2.24 times more) and high TSH levels (15 times more). The screening instrument used in this study was the Geriatric Depression Scale with reduced version - GDS 15. It was observed that three questions (decreased most of its activities and interests? Prefer staying home to going out and doing new things? And Think there are many people better off? ) can be part of the reality of many elderly without necessarily mean that depressive symptoms . These questions have the same weight as other more questions directed to diagnosis of depression , which makes primarily weaker analysis in cutoffs . CONCLUSION: The prevalence of depression in this population was 29% and is associated with low level of education and changes in clinical data investigated. Fit this context, actions to improve health services, educational actions and training in Gerontology area for multi and interdisciplinary teams, contributing to early diagnosis and proper conduct of the treatment.
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Rodrigues, Giselle Helena de Paula. "Determinantes clínicos de dependência e qualidade de vida em idosos atendidos em um ambulatório de cardiologia." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-01022011-164547/.
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INTRODUÇÃO: Com o envelhecimento da população, a prevalência de doenças crônico-degenerativas sofreu aumento progressivo. A repercussão dessas doenças sobre a capacidade funcional foi reconhecida. Outro parâmetro de saúde é a \"qualidade de vida\" ou, preferivelmente, \"qualidade de vida relacionada à saúde. A avaliação destes parâmetros emergiu como parte importante do exame clínico do idoso. Na população idosa, as doenças cardiovasculares destacam-se pelo enorme impacto epidemiológico e clínico. Elas, geralmente, vêm associadas a outras afecções, inclusive neuropsiquiátricas. Esse conjunto de problemas pode comprometer a independência e a qualidade de vida do idoso que busca tratamento cardiológico. Esses parâmetros de saúde têm sido relativamente pouco contemplados pelos cardiologistas. OBJETIVO: Avaliar, em uma população de idosos atendidos em um ambulatório de cardiologia de um hospital de referência, se os determinantes clínicos mais relevantes de dependência e de qualidade de vida são doenças e fatores de risco cardiovascular ou ainda comorbidades, particularmente as neuropsiquiátricas. MÉTODOS: Os idosos deste estudo foram selecionados aleatória e consecutivamente. Aqueles com déficit cognitivo não foram considerados para o cálculo da qualidade de vida. A avaliação clínica dos pacientes foi feita por uma única médica de acordo com os dados obtidos em seus prontuários clínicos. Os pacientes foram ainda atendidos por uma única psicóloga que aplicou um conjunto de quatro questionários: HAQ, SF-36, PRIME-MD e Mini Exame do Estado Mental. RESULTADOS: O estudo incluiu 1020 idosos, 646 (63,3%) mulheres e 374 (36,6%) homens, entre 60 e 97 anos (média: 75,56 ± 6,62 anos). Nesta população, 61,4% mostrou-se independente ou com dependência leve. O escore total de qualidade de vida foi elevado (HAQ: 88,66 ± 2,68). 87,7% dos pacientes apresentou escore total do SF-36 > 66. No domínio emocional, 44,7% apresentou índices elevados de qualidade de vida (SF-36 > 66). Idosos entre 90 e 97 anos apresentaram escores do SF-36 acima da média: 66,66 ± 4,59, no domínio emocional. A regressão logística mostrou que a associação entre os diagnósticos e graus elevados de dependência foi significante (p<0,05) para: ausência de atividade física (OR: 0,08), obesidade (OR: 2,24), acidente vascular cerebral prévio (OR: 1,97), déficit cognitivo (OR: 3,17), osteoartrite (OR: 1,64) e depressão maior (OR: 2,76). A associação entre os diagnósticos e graus mais baixos de qualidade de vida permaneceu significante para: fibrilação atrial (OR: 0,61), osteoartrite (OR: 1,79), depressão maior (OR: 6,09) e depressão menor (OR: 1,91). CONCLUSÃO: Em uma população de idosos atendidos em um ambulatório de cardiologia de um hospital de referência, os determinantes clínicos mais relevantes de prejuízos para dependência e qualidade de vida são as comorbidades não cardiovasculares, particularmente as neuropsiquiátricasINTRODUCTION: The population aging promotes a progressive increase of chronic-degenerative diseases. The repercussion of these diseases on the functional capacity was well recognized. Another health parameter concerns quality of life or, rather, quality of life related to health. Such parameters evaluation emerged as an important part of the elderly clinical examination. Among the elderly population, cardiovascular diseases stand out due to a huge epidemiological and clinical impact. Usually, these diseases have been associated with others, including neuro-psychiatric ones. This set of problems may compromise both independence and quality of life in elderly patients who look for a cardiologic treatment. These health parameters havent been well contemplated by cardiologists. OBJECTIVE: Evaluating, among the elderly population attended in an outpatient cardiologic service, if the clinical determinants more relevant concerning dependence and quality of life are cardiologic diseases or cardiologic risk factors or even comorbidities, especially the neuro-psychiatric ones. METHODS: The elderly in this study have been selected randomly and consecutively. People with cognitive impairment have not been considered for accountability matters of quality of life. The clinical evaluation has been made by a physician according to the hospital clinical notes. The patients have also been evaluated by a psychologist who applied a set of four questionnaires: HAQ, SF-36, PRIME-MD e Mini Mental State. RESULTS: The population consisted of 1020 elderly, 63.3% women and 36.6% men, between 60 and 97 years of age (75.56 ± 6.62 years of age). Among these elderly, 61.4% were independent or slightly dependent. The quality of life total score was high (HAQ: 88.66 ± 2.68). 87.7% of the patients had SF-36 total score > 66. Regarding emotional domain, 44.7% had high quality of life scores (SF-36 > 66). Elderly between 90 and 97 years had SF-36 scores above the average: 66.66 ± 4.59, regarding emotional domain. The logistic regression model showed a significant association (p<0.05) between high dependence scores and: absence of physical activities (OR: 0.08), obesity (OR: 2.24), stroke (OR: 1.97), cognitive impairment (OR: 3.17), osteoarthritis (OR: 1.64) and major depression (OR: 2.76). The same logistic regression model showed a significant association (p<0.05) between quality of life low scores and: atrial fibrillation (OR: 0.61), osteoarthritis (OR: 1.79), major depression (OR: 6.09) and minor depression (OR: 1.91). CONCLUSION: Among an elderly population attended in an outpatient cardiologic service, dependence and quality of life clinical determinants are not cardiovascular comorbidities, especially the neuro-psychiatric ones
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Li, Zhibin. "Smoking, obesity, depression and mortality in a Chinese elderly cohort in Hong Kong." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B35809528.
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Leung, Kwok-fai Tony, and 梁國輝. "Relationship between perceived autonomy and depression amongst the elderly living in residential homes." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978320.
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Leung, Kwok-fai Tony. "Relationship between perceived autonomy and depression amongst the elderly living in residential homes." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19469986.
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Lamers, Femke. "Treating depression in chronically ill elderly the evaluation of a minimal psychological intervention /." Maastricht : Maastricht : Universitaire Pers ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=13486.
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Williams, Ann K. "Physical illness and depression: changes over time in middle aged and elderly persons." PDXScholar, 1985. https://pdxscholar.library.pdx.edu/open_access_etds/540.
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Recent research in gerontology and geriatrics has identified that one factor repeatedly associated with depression in the elderly is the presence of physical illness. The increasing numbers of elderly persons in the population and their high rate of chronic physical illness make it important to identify critical disease and individual characteristics that play a role in the association of depression and physical illness. In order to investigate and clarify these relationships and concerns, a panel survey of 133 middle aged and elderly persons with recent exacerbations of various physical illnesses was completed. Subjects were referred by medical offices and agencies in the Portland metropolitan area. Two in-depth interviews were completed approximately three months apart. The data were analyzed using descriptive statistics, correlational analysis, analysis of variance, multiple regression, and dynamic (change focused) correlational analysis. Results indicated a slight but consistent decrease in level of depression with increasing age. Increased levels of income, social support, religiosity, subjective health, internal locus of control for health, and life expectancy were associated with decreased levels of depression. Conversely, increased levels of pain, physical dependency, progressiveness of the disease, death anxiety, external locus of control for health, and worry about medical resources were associated with increased levels of depression. While the residential setting of urban, suburban, or rural had a significant effect on income and a slight effect on size of support system, it had no significant impact on level of depression. The four best predictors of level of depression at Time 1 were subjective health, pain, death anxiety, and income. Analysis of change over time revealed moderate stability in levels of depression. The best predictor of level of depression at Time 2 was level at Time 1. Only change in pain added significantly to the prediction of depression at Time 2. The results of this study will help to identify physically ill middle aged and elderly persons at risk for the development of depression. Analysis of change over time suggests causal relationships for further investigation.
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McGregor, Katherine DeWinter. "Reminiscence, life satisfaction, depression, and perceived health in elderly women a descriptive study." CSUSB ScholarWorks, 1988. https://scholarworks.lib.csusb.edu/etd-project/247.
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Mettlen, Christine A. "SOCIAL WORKER'S PERCEPTION OF IN HOME THERAPY TO REDUCE DEPRESSION AMONG THE ELDERLY." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/197.
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This paper will discuss the barriers to the elderly population and how providing in home therapy could reduce depression in order to provide a better long lasting life. There are high levels of depression related to psychological problems, aging and illness. Depression can be associated with cumulative loss, restricted sense of control and declining abilities. The main problem is that elderly individuals tend to isolate so they will not seek help to address their depression. Providing guidance and support to the elderly will allow them to be able to function longer, remain independent, and extend their life.
The total number of participants that were recruited for the study was twenty two. This study examined social workers’ awareness and knowledge regarding depression among the elderly and their perception if providing in home therapy will reduce depression among the elderly. Both quantitative and qualitative methodologies were used to give the researcher a systematic illustration of their perception. Findings from this study provide an understanding of the stigma associated with depression. Participants in the study indicated various levels of knowledge regarding depression among the elderly. Researcher suggests further research and examination if older adults would be receptive to receiving therapeutic services in their home and if those services will have a significant impact in improving their overall health, function and quality of life.
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Kimura, Yumi. "Eating alone among community-dwelling Japanese elderly: association with depression and food diversity." 京都大学 (Kyoto University), 2012. http://hdl.handle.net/2433/157858.
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Knarrström, Fredrik, and Christoffer Jackson. "Äldres upplevelser av att leva med depression : En litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-31265.
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Bakgrund: Depression är en vanlig sjukdom i världen, och äldre människor är särskilt utsatta. Den förväntas vara den näst vanligast funktionsnedsättning i världen efter hjärtsjukdom inom ett par årtionden. På grund av atypiska symtom är den inte alltid identifierad och därför underdiagnostiserad och underbehandlad, särskilt hos äldre. Syfte: Syftet med denna litteraturstudie var att beskriva äldres upplevelse av att leva med depression Metod: En beskrivande litteraturstudie som sammanfattar och analyserar resultatet av tretton kvalitativa studier. Huvudresultat: Identifierade teman var Känslolivets påverkan, Upplevelse avskamkänsla och stigmatisering, Syn på behandling och återhämtning, Samhörighet ochmeningsfullhet och Familjens roll i återhämtning.Flera studier visade på att de äldre inte förstod hur sjukdomen påverkade deras känsloroch tankar. De medgav att fördomar om sjukdomen var utbredd inom åldersgruppen ochbekände att deras egna tidigare obekantskap med depression hade lett till en saknadförståelse. De menade att det var en ledande faktor till att stigmatisering av sjukdomentillsammans med en rädsla för att associeras med galenskap. Att kunna dela erfarenhetermed vänner och familj ansågs viktigt för att bekämpa upplevelsen av ensamhet somvanligtvis är sammankopplad med depression. Slutsats: Denna litteraturstudie visade att upplevelsen av stigmatisering och känslor avensamhet var central i den äldres upplevelse av depression. För att förbättrabehandlingen och lindra upplevelsen var det av vikt att skingra fördomar ochförutfattade meningar om sjukdomen samt att inkludera familjen när relationen var godoch berikande.Background: Depression is a common disorder in the world, especially elderly are particularly exposed. It is expected to become the second most common disability after heart disease within a couple of decades. Because of atypical symptoms it is not always identified and thus underdiagnosed and undertreated, particularly in the elderly community. Aim: The aim of this litterature-review was to describe the experiences of depressionthe elderly. Method: A descriptive litterature-review compiling and analyzing the results of thirteenqualitative studies. Main Result: Themes identified were Impact on emotional life, Experience of shameand stigmatization, Views on treatment and recovery, Togetherness and meaningfulnessand The family’s role in recovery. Several studies have shown that the elderly did not understand the impact of thedisorder on their thoughts and feelings. They recognized that misconceptions about thedisorder were widespread within their age group and acknowledged that their ownprevious unfamiliarity with depression lead to a lack of understanding. They sourced this to be a leading factor in the stigmatization of the disorder alongside with a fear ofbeing associated with lunacy. To be able to share experiences with friends and familywere key to combat feelings of loneliness commonly associated with depression. Conclusion: The litterature-review revealed that the experience of stigmatization and feelings of loneliness were central to the elderly’s experience of depression. To improve treatment and ease the experience, it was useful to dispel false beliefs and misconceptions about the disorder and to include family when family-relations were deemed good and nurturing.
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Jackson, Christoffer, and Fredrik Knarrström. "Äldres upplevelser av att leva med depression : En litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-31211.
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Bakgrund: Depression är en vanlig sjukdom i världen, och äldre människor är särskilt utsatta. Den förväntas vara den näst vanligast funktionsnedsättning i världen efter hjärtsjukdom inom ett par årtionden. På grund av atypiska symtom är den inte alltididentifierad och därför underdiagnostiserad och underbehandlad, särskilt hos äldre. Syfte: Syftet med denna litteraturstudie var att beskriva äldres upplevelse av att levamed depression Metod: En beskrivande litteraturstudie som sammanfattar och analyserar resultatet avtretton kvalitativa studier. Huvudresultat: Identifierade teman var Känslolivets påverkan, Upplevelse avskamkänsla och stigmatisering, Syn på behandling och återhämtning, Samhörighet ochmeningsfullhet och Familjens roll i återhämtning.Flera studier visade på att de äldre inte förstod hur sjukdomen påverkade deras känsloroch tankar. De medgav att fördomar om sjukdomen var utbredd inom åldersgruppen ochbekände att deras egna tidigare obekantskap med depression hade lett till en saknadförståelse. De menade att det var en ledande faktor till att stigmatisering av sjukdomentillsammans med en rädsla för att associeras med galenskap. Att kunna dela erfarenhetermed vänner och familj ansågs viktigt för att bekämpa upplevelsen av ensamhet somvanligtvis är sammankopplad med depression. Slutsats: Denna litteraturstudie visade att upplevelsen av stigmatisering och känslor avensamhet var central i den äldres upplevelse av depression. För att förbättra behandlingen och lindra upplevelsen var det av vikt att skingra fördomar och förutfattade meningar om sjukdomen samt att inkludera familjen när relationen var god och berikande.Background: Depression is a common disorder in the world, especially elderly areparticularly exposed. It is expected to become the second most common disability afterheart disease within a couple of decades. Because of atypical symptoms it is not alwaysidentified and thus underdiagnosed and undertreated, particularly in the elderly community. Aim: The aim of this litterature-review was to describe the experiences of depressionthe elderly. Method: A descriptive litterature-review compiling and analyzing the results of thirteen qualitative studies. Main Result: Themes identified were Impact on emotional life, Experience of shameand stigmatization, Views on treatment and recovery, Togetherness and meaningfulness and The family’s role in recovery. Several studies have shown that the elderly did not understand the impact of the disorder on their thoughts and feelings. They recognized that misconceptions about the disorder were widespread within their age group and acknowledged that their own previous unfamiliarity with depression lead to a lack of understanding. They sourced this to be a leading factor in the stigmatization of the disorder alongside with a fear of being associated with lunacy. To be able to share experiences with friends and family were key to combat feelings of loneliness commonly associated with depression. Conclusion: The litterature-review revealed that the experience of stigmatization and feelings of loneliness were central to the elderly’s experience of depression. To improve treatment and ease the experience, it was useful to dispel false beliefs and misconceptions about the disorder and to include family when family-relations were deemed good and nurturing.
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Tam, Wai-yee Shawn. "Personal meaning and depressive symptomatology among clinical and community Chinese elderly populations." Click to view E-thesis via HKUTO, 2006. http://sunzi.lib.hku.hk/hkuto/record/B37102047.
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Bahrainian, Seyedabdolmajid. "Neuropsychological impairment in elderly recovered depressives : associations with EEG and MRI data." Thesis, University of Newcastle Upon Tyne, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320856.
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Gaspar, Teresa Maria Canané. "Intervenção gerontopsicomotora numa estrutura residencial para idosos." Master's thesis, Universidade de Évora, 2019. http://hdl.handle.net/10174/25257.
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Os dados demográficos evidenciam um panorama mundial de envelhecimento acentuado nas últimas décadas, assim como um aumento dos idosos institucionalizados. Esta tendência crescente é similar na população portuguesa, apresentando o Alentejo como a região mais envelhecida. O presente relatório diz respeito ao estágio realizado no lar de idosos da Fundação Obra São José Operário, em Évora, em que consta a descrição e reflexão de toda a intervenção psicomotora desenvolvida no mesmo, em pessoas com idades compreendidas entre os 74 e os 97 anos, com alterações fisiológicas e patológicas do envelhecimento. Particularmente, com o objetivo de ilustrar a intervenção gerontopsicomotora, realizaram-se Estudos de Caso (individuais e em pequeno grupo), com diagnóstico de depressão e um outro grupo com alterações fisiológicas do envelhecimento. Quanto aos resultados, a intervenção psicomotora verificou uma progressão resultante das técnicas de relaxação e de mediação corporal em idosos institucionalizados, em variáveis dos domínios cognitivo, psicomotor e emocional; ABSTRACT:
Gerontopsychomotor intervention in a Residential Structure for the Elderly
Demographic data show a worldwide panorama of aging in the last decades, as well as an increase in the institutionalized elderly. This growing trend is similar in the Portuguese population, presenting the Alentejo as the oldest region. This report refers to the stage carried out in the nursing home of the Obra São José Operário Foundation, in Évora, where the description and reflection of all the psychomotor intervention developed in it, in people aged between 74 and 97 years, with physiological and pathological alterations of aging. Particularly, to illustrate the gerontopsychomotor intervention, Case Studies (individual and small group), with diagnosis of depression and another group with physiological alterations of aging were carried out. Regarding the results, the psychomotor intervention verified a progression resulting from the techniques of relaxation and body mediation in institutionalized elderly, in variables of the cognitive, psychomotor and emotional domains.