Association between common mental disorders and quality of life in older adults

Abstract

Objective: to analyze the association between common mental disorder and quality of life in older adults. Method: cross-sectional study developed with a total of 721 Brazilian older adults between July and October 2020. Participants completed three instruments to assess bio sociodemographic, mental health and quality of life data. Data were analyzed using Mann-Whitney U, Kruskal-Wallis H, Chi-square, Pearson correlation and multivariate linear regression tests, considering a 95% confidence interval (p < 0.05) for all analyses. Results: among the four components that assess common mental disorder, only three remained associated with negative coefficients with the participants’ general quality of life: depressive-anxious mood (β = −2.050; [CI95% = −2.962 – −1.137]; p < 0.001); decrease in vital energy (β = −1.460; [CI95% = −2.197 – −0.723]; p < 0.001) and depressive thoughts (β = −4.124; [CI95% = −5.211– −3.038]; p < 0.001). Conclusion: most components that assess common mental disorders are negatively associated with quality of life, that is, the increase in these disorders resulted in a reduction in the quality of life of older adults.

Changes in treatment outcomes in patients undergoing an integrated psychosomatic inpatient treatment: Results from a cohort study

“…Among individuals with chronic physical diseases, mental disorders are highly prevalent (1)(2)(3)(4) and are associated with impaired quality of life (QoL) (3,(5)(6)(7), high disability burden (3,4,7,8), medical complications (7), high healthcare utilization and costs (3,9), and premature mortality (3,10). Specifically, mental disorders have been linked to adverse cardiovascular outcomes (e.g., major adverse cardiac events or mortality in coronary heart disease patients) (11,12), and patients with cardiovascular diseases require complex emotional-cognitive adaptations (11).…”

Rastreamento de transtorno mental comum em idosos residentes no interior: estudo transversal

“…Apesar de sua importância clínica para idosos, famílias e sociedade, seu reconhecimento e acompanhamento ainda são desafiadores. Estudos avaliando TMC em idosos com uso do Self-Report Questionnaire 20 (SRQ-20) (6) mostraram prevalência oscilante: 17,9% em Jacobina, Bahia (7) ; 25,3% em pessoas acima de 60 anos em outra investigação realizada na área urbana de um município de São Paulo (8) ; 28,3% em São Vicente, Rio Grande do Norte (9) ; 29,7% em idosos residentes na cidade de Campinas, São Paulo (10) ; 30,8% em idosos residentes no território brasileiro e que possuíam conta ativa no Facebook (11) ; e 55,8% em Ibicuí, Bahia (12) . Embora haja uma crescente produção científica no âmbito do envelhecimento humano, ainda existe necessidade de maior investigação quanto à saúde mental dos idosos nos países em desenvolvimento, principalmente em municípios de pequeno porte (12) .…”

Screening for common mental disorder in elderly residents in the countryside: a cross-sectional study

“…Despite its clinical importance for the elderly, families, and society, its recognition and monitoring are still challenging. Studies evaluating CMD in the elderly with the use of Self-Report Questionnaire 20 (SRQ-20) (6) showed oscillating prevalence: 17.9% in Jacobina, State of Bahia (7) ; 25.3% in people over 60 years of age in another investigation conducted in the urban area of a city of the State of São Paulo (8) ; 28.3% in São Vicente, State of Rio Grande do Norte (9) ; 29.7% in elderly residents in the city of Campinas, State of São Paulo (10) ; 30.8% of elderly residents in Brazil who had an active Facebook account (11) ; and 55.8% in Ibicuí, State of Bahia (12) . Although there is a growing scientific production in the context of human aging, there is still a need for further research on the mental health of the elderly in developing countries, especially in small municipalities (12) .…”