Indicators of depression in elderly and different screening methods

Matias, Amanda Gilvani Cordeiro; Fonseca, Marília de Andrade; Gomes, Maria Rosemary da Silva; Matos, Marcos Almeida

doi:10.1590/s1679-45082016ao3447

Cited by 26 publications

(23 citation statements)

References 20 publications

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“…PHC, with integrated care and networks, therefore, is vital for the promotion of active and healthy aging, as well as for the resolution of basic health demands in both countries. Collective measures are essential, mainly because they increase user participation in the educational process, team involvement with the participant and work optimization (17,21,46) . With the ndings of two different scenarios, the importance of identifying changes in both nutritional status and mental health in the PHC scope is observed to improve the quality of life of the population towards healthy and active aging.…”

Section: Discussionmentioning

confidence: 99%

“…The screening, diagnosis and treatment of depression, despite the increase in its prevalence, remain de cient in clinical practice (21) . However, when identifying the need for hospitalization due to malnutrition, elderly PHC users should be referred to secondary or tertiary care, a scenario in which the level of malnutrition in elderly people was found to be twice as high compared to those treated at the hospital itself (22) .…”

Section: Introductionmentioning

confidence: 99%

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Correlation Between Nutritional Deficit and the Presence of Depressive Symptoms: Comparative Study Between Elderly Brazilians and Portuguese in Primary Health Care

Toscano¹,

Cavalcante²,

Torres³

et al. 2020

Preprint

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Background: Among the countless diseases that affect the world population, malnutrition has stood out in several social and demographic contexts; among them, there has been an exponential progression in elderly people, a population group that presents a strong tendency to develop depression and malnutrition. Data from the World Health Organization show that the worldwide prevalence of depressive disorders among elderly people is in the range of 10 to 20%. Similarly, the prevalence of depression, in turn, combined with chronic diseases, accounts for 50% of premature mortality.Objective: To compare the nutritional status and the level of depressive symptoms and to evaluate the correlation between both aspects in Brazilian and Portuguese elderly people assisted in Primary Health Care (PHC).Methods: A cross-sectional, comparative study with a quantitative approach conducted among PHC elderly people in Brazil and Portugal. The sociodemographic and health questionnaire, Mini-Mental State Examination (MMSE), Geriatric Depression scale (GDS-15) and Mini-Nutritional Assessment (MNA) were used.Results: We included 160 participants (110 Brazilians and 50 Portuguese) in the study. In this sample, 81.9% of participants had a risk of malnutrition or malnutrition and 45.0% of participants had mild depressive symptoms. There was a significant association and correlation in Brazil with the presence of a risk of malnutrition and mild symptoms of depression. Portugal also demonstrated a significant association, however, for the chance of not presenting alterations.Conclusion: Our research showed that the risk of malnutrition or the presence of malnutrition was associated with the presence of depressive symptoms in the studied sample. In the intergroup comparison, among Brazilians, those at risk of malnutrition were more likely to have changes associated with depression, while for participants in Portugal, the odds ratio tended to show no changes, as the majority were individuals without nutritional or depressive demands. Screening and prevention measures should be emphasized in PHC to avoid the progression of symptoms in order to refer patients with medium and high complexity since this segment of the public is susceptible to malnutrition and depression.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlation Between Nutritional Deficit and the Presence of Depressive Symptoms: Comparative Study Between Elderly Brazilians and Portuguese in Primary Health Care

Toscano¹,

Cavalcante²,

Torres³

et al. 2020

Preprint

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“…É necessário que se tenha conhecimento da sintomatologia depressiva no individuo idoso, pois, a depressão nesta faixa etária ainda é subdiagnosticada e a presença da sua sintomatologia é confundida na maioria das vezes como manifestações naturais consequentes do envelhecer (6) .…”

Section: Introductionunclassified

“…Ademais, vale salientar que os distúrbios psiquiátricos, entre eles a depressão, têm uma grande influência na diminuição da habilidade do indivíduo idoso em realizar atividades instrumentais do seu cotidiano, diminuindo assim sua autonomia e sua qualidade de vida (6) . A atividade física suficiente pode ser uma terapêutica não farmacológica na diminuição dos sintomas em idosos com depressão (8) .…”

Section: Introductionunclassified

Depressive symptomology in elderly assets and non-assets / Sintomatologia depressiva em idosos ativos e não ativos / Sintomatología depresiva en activos activos y no activos

Macedo

Oliveira

et al. 2018

Rev Enferm UFPI

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Objective: to investigate depressive symptomatology in active and nonactive elderly and to evaluate the influence of physical activity practice on the analyzed variables. Methodology: this is a descriptive study with a quantitative approach, which was carried out with 244 elderly people from two municipalities in the interior of Bahia during the months of August and September 2016. To reach the objective was applied a Depression Scale, and a physical activity questionnaire. The statistical analysis was obtained with the aid of the Statistical Package for the Social Sciences SPSS® 22.0. The present study was approved by the Research Ethics Committee of the Faculdade Independente do Nordeste with Certificate of Presentation for Ethical Appraisal n.º 44876215.8.0000.5578 and approval opinion nº 1.859.545. Results: among the active elderly, the symptoms that presented the highest percentage were: difficulty working 59,6%, fatigue 57,7%, health concern 53,9% loss of sexual interest 42,3% and loss of appetite 42,3%. As for the non-active elderly, all the symptoms presented a high percentage, so the five main ones stand out: fatigue 76,2%, difficulty to work 76,2%, loss of sexual interest 72,4%, concern for health 66,1%, loss of appetite 55,5%. Conclusion: there is a higher prevalence of depressive symptoms in the non-active elderly. Descriptors: Elderly. Physical activity. Aging. Depression. RESUMO Objetivo: investigar a sintomatologia depressiva em idosos ativos e não ativos e avaliar a influência da prática de atividade física nas variáveis analisadas. Metodologia: trata-se de um estudo descritivo com abordagem quantitativa, que foi realizado com 244 idosos de dois municípios do interior da Bahia, durante os meses de agosto e setembro de 2016. Para alcançar o objetivo foi aplicada uma Escala de Depressão, Questionário socioeconômico e um questionário de atividade física. A análise estatística foi obtida com o auxílio do programa estatístico Statistical Package for the Social Sciences SPSS® 22.0. O presente estudo foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade Independente do Nordeste com Certificado de Apresentação para Apreciação Ética n.º 44876215.8.0000.5578 e parecer de aprovação nº 1.859.545. Resultados: entre os idosos ativos, os sintomas que apresentaram maior porcentagem foram: dificuldade para trabalhar 59,6%, fadiga 57,7%, preocupação com a saúde 53,9% perda do interesse sexual 42,3% e perda de apetite 42,3%. Quanto aos idosos não ativos todos os sintomas apresentaram alta porcentagem, portanto destacam-se os cinco principais: fadiga 76,2%, dificuldade para o trabalho 76,2%, perdeu o interesse sexual 72,4%, preocupação com a saúde 66,1%, perda de apetite 55,5%. Conclusão: nota-se uma maior prevalência dos sintomas depressivos em idosos não ativos. Descritores: Idosos. Atividade Física. Envelhecimento. Depressão. RESUMÉN Objetivo: investigar la sintomatología depresiva en ancianos activos y no activos y evaluar la influencia de la práctica de actividad física en las variables analizadas....

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“…The highest prevalence of depression in the age pyramid relates to the elderly and the prevalence of severe type is estimated to be around 10 to 20% depending on the culture of each region [8]. Furthermore, the incidence of depression in Brazilian and Dutch elderly people was estimated at 52.6 and 17.1%, respectively [9,10]. Moreover, its prevalence varies between 10 and 77.5% in low-to middle-income countries [11].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Depression and its Associated Demographic Factors in the Elderly with Electronic Health Records in Zanjan

Pourrahimi

sheykhlar

Afshar

et al. 2018

PCNM

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Background: The highest prevalence of depression is observed in the elderly, and the cultural difference in each region causes a difference in the incidence of this disorder. Objectives: Therefore, this study aimed to investigate the prevalence of depression and its associated demographic factors in the elderly with electronic health records in Zanjan during 2018. Methods: A total of 400 elderly people with electronic health records participated in this descriptive crosssectional study, who were selected by the cluster random sampling method from 18 urban community health centers of Zanjan. The data were collected using a demographic questionnaire and the geriatric depression scale(. Finally, data entered the SPSS software and analyzed utilizing descriptive statistics, as well as Chisquare, ANOVA, and logistic regression tests. Results: The mean age of the elderly was 77.7±5.56 and 68.5% of them had some degrees of depression, including mild (40.5%), moderate (19.2%), and severe (8.8%) depression. Mild depression was more prevalent among younger adults while moderate to severe depression was common in older adults over 75. The results revealed that depression had a significant relationship with age and educational level while not having any significant relationship with sex, marital status, and the dwelling place. Conclusion: Considering the high prevalence of depression among the elderly in Zanjan, health managers re suggested to prioritize educational programs and social support for this group of individuals and monitor the performance of supportive institutions such as insurance in this rgard. Eventually, they are recommended to pay attention to the geographical and cultural diversity of different regions of the country to reduce the elderly's depression level.

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Indicators of depression in elderly and different screening methods

Cited by 26 publications

References 20 publications

Correlation Between Nutritional Deficit and the Presence of Depressive Symptoms: Comparative Study Between Elderly Brazilians and Portuguese in Primary Health Care

Correlation Between Nutritional Deficit and the Presence of Depressive Symptoms: Comparative Study Between Elderly Brazilians and Portuguese in Primary Health Care

Depressive symptomology in elderly assets and non-assets / Sintomatologia depressiva em idosos ativos e não ativos / Sintomatología depresiva en activos activos y no activos

The Prevalence of Depression and its Associated Demographic Factors in the Elderly with Electronic Health Records in Zanjan

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