Depression in old age in Austria, Ireland, Portugal and Sweden

Gustafson, Yngve; Nogueira, V.; O’Dwyer, Sarah T; Roller, Regina E.; Egger, Tamara; Firmino, Horácio; Fruehwald, T.; Hörnsten, Carl; Lagarto, L.; Lawlor, Brian A.; Cruz-Jentoft, Alfonso J.

doi:10.1016/j.eurger.2013.04.011

Cited by 4 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Worthwhile mentioning is one of the papers included in the review here presented (Gustafson, 2013), which refers to a study from 2010 that was based on a primary care setting and found a surprising 42% prevalence of depression, being the female gender, lower education achievement, and unmarried status the main factors associated with depression (Sousa et al, 2010). These findings 17.6% in those aged 75-84, and 19.7% in those aged 85+.…”

Section: Discussionmentioning

confidence: 95%

“…One paper presented a theoretical review about the epidemiology, screening, diagnosis and management of depression in old age in four European countries; it also provided a clinical vignette of an old depressed person and actions that would be taken in different countries (Gustafson, 2013). In the specific case of Portugal, the paper highlights the scarceness of epidemiological data about geriatric depression (presenting findings from a community-based study from the 80's, data from the 2001 Portuguese Psychiatric Census revealing a prevalence of 14.9% for the general population, and a study from 2010 based on a primary care setting that presented a surprising 42% prevalence), the way depression is usually diagnosed (essentially by means of specific clinical criteria described on international classifications, as in the DSM-IV and in the ICD-10), and the lack of available data concerning the use of specific antidepressants.…”

Section: Late-life Depression and Its Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Late-Life Depression: Portuguese Research Trends over the last Decade (2007-2017)

Kisieliūtė

Ribeiro

Paúl

2018

Psychologist Practice & Research

View full text Add to dashboard Cite

Background: Depression is the second major mental health concern in older people and it is generally accepted that it highly contributes to diminished wellbeing and worse general health. Population aging has raised the need to enlarge depression research in older adults so that it may be properly prevented, diagnosed and treated. In Portugal, the extent of research conducted on geriatric depression is unknown. Goals: This study aims to explore the scope of depression research with elderly population in Portugal, and to provide insights on the prevailing research topics that have been considered, highlighting possible trends and research gaps.Methods: A scope review was conducted. Research papers having “older people” (or similar words) AND “Portugal” AND “Depression” in their title, abstract or keywords were screened across main international scientific databases (SCOPUS, Web of Science, PsycINFO and PUBMED) for a ten-year period [2007-2017]. Results: A total of 50 papers were selected and analysed. Six main categories were distinguished: depression, health status and social conditions; late life depression and its characteristics; assessment of late life depression; intervention outputs; attitudes towards depression and help seeking behaviors; and sociodemographic characteristics of people with depression. Discussion: The considerable expressiveness of geriatric depression in our country and the lack of attention it is given as a primary research topic (rather than as an associated variable to other conditions) suggest the need for a greater investment by Portuguese researchers in order to improve accurate diagnosis and adequate psychological interventions.Keywords: Depression; Systematic review; Geriatric; Older adults; Portugal.

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Late-life Depression and Its Characteristicsmentioning

confidence: 99%

Late-Life Depression: Portuguese Research Trends over the last Decade (2007-2017)

Kisieliūtė

Ribeiro

Paúl

2018

Psychologist Practice & Research

View full text Add to dashboard Cite

show abstract

“…Depression is a serious, common mental health condition that incorporates feelings of sadness or hopelessness necessitating clinical intervention. Depression prevalence increases with age and is associated with higher levels of morbidity, suicide, self-neglect and reduced physical, cognitive and social functioning [1][2][3][4]. As lifespans increase, identification of those at greater risk of agerelated conditions, including depression, becomes increasingly important to ensure appropriate provision of treatment [5,6].…”

Section: Introductionmentioning

confidence: 99%

Association of reduced retinal arteriolar tortuosity with depression in older participants from the Northern Ireland Cohort for the Longitudinal Study of Ageing

O'Neill¹,

Maxwell²,

Kee³

et al. 2021

BMC Geriatr

View full text Add to dashboard Cite

Introduction The retina shares similar anatomical and physiological features with the brain and subtle variations in retinal microvascular parameters (RMPs) may reflect similar vascular variation in the brain. The aim of this study was to assess associations between RMPs and measures of depression in the Northern Ireland Cohort for the Longitudinal Study of Ageing. Methods RMPs (arteriolar and venular caliber, fractal dimension and tortuosity) were measured from optic disc centred fundus images using semi-automated software. Depression was characterised by the Centre for Epidemiologic Studies Depression Scale (CES-D) in the absence of mild cognitive impairment or use of anti-depressive medications. Associations between depression and RMPs were assessed by regression analyses with adjustment for potential confounders. Results Data were available for 1376 participants of which 113 (8.2%) and 1263 (91.8%) were classified with and without depression. Participants had a mean age of 62.0 ± 8.4 yrs., 52% were female, and 8% were smokers. Individuals with depression had a higher CES-D score than those without (22.0 ± 6.2 versus 4.4 ± 3.9). Lower values of arteriolar tortuosity were significantly associated with depression, before and after adjustment for potential confounders (odds ratio = 0.79; 95% confidence intervals: 0.65, 0.96; P = 0.02). Conclusion Decreased retinal arteriolar tortuosity, a measure of the complexity of the retinal microvasculature was associated with depression in older adults independent of potential confounding factors. Retinal measures may offer opportunistic assessment of microvascular health associated with outcomes of depression.

show abstract

“…Os baixos níveis de alfabetização (Teixeira, Vasconcelos-Raposo, Fernandes, & Brustad, 2013), a progressiva perda do papel do idoso na sociedade, o luto, o sentimento de isolamento social, assim como a institucionalização são considerados como fatores adjuvantes ao desenvolvimento de sintomatologia depressiva (Carmen, 2013;Runcan, 2012), apresentando um maior declínio cognitivo (Akdag, Telci, & Cavlak, 2013;Harmand et al, 2014), com implicações negativas ao nível da saúde (Ford, 2014), especialmente em idades mais avançadas (Gustafson et al, 2013).…”

Section: Introductionunclassified

Interação entre a idade, escolaridade, tempo de institucionalização e exercício físico na função cognitiva e depressão em idosos

2016

View full text Add to dashboard Cite

RESUMOO objetivo deste estudo foi verificar o efeito e interação entre a idade, escolaridade, institucionalização e exercício físico na função cognitiva e depressão em Idosos. Foi utilizada uma amostra constituída por 39 idosos institucionalizados (33 mulheres e 6 homens), com idades compreendidas entre os 64-96 anos (82.13±6.66). Os instrumentos de avaliação utilizados foram: Mini Mental State Examination, Escala de Depressão Geriátrica, Matrizes Progressivas Coloridas de Raven e um questionário sociodemográfico. Para verificar o efeito e a interação entre variáveis, foi aplicado o modelo geral linear, introduzindo como covariável o tempo de institucionalização, e como variáveis fator a idade (<85 anos; ≥85 anos), a escolaridade (analfabetos; 1ºciclo) e a prática de exercício. Os resultados demonstraram um efeito significativo do tempo de institucionalização (p= 0.003) na depressão; e da escolaridade na função cognitiva (p= 0.030). Os resultados da interação escolaridade x idade foram significativos na função cognitiva (p= 0.010) e na capacidade intelectual (p= 0.032). Os indivíduos mais velhos e com nível de escolaridade superior apresentaram resultados mais elevados na função cognitiva e na capacidade intelectual. Podemos concluir que em idosos mais velhos, a escolaridade é a variável mais determinante da função cognitiva, enquanto a depressão depende do tempo de institucionalização.Palavras-chaves: idosos, função cognitiva, depressão, escolaridade, institucionalização, exercício físico ABSTRACT The purpose of this study was verifying the effect and interaction between age, schooling, institutionalisation and physical exercise in the cognitive function and depression in the elderly. The study comprised 39 institutionalized senior citizens (33 females and 6 males) aged between 64 and 96 (82.13±6.66). We used as evaluation tools: Mini Mental State Examination, Geriatric Depression Scale, Raven's Coloured Progressive Matrices and a socio-demographic questionnaire. In order to understand the effect and interaction between variables we used the General Linear Model, introducing the time of institutionalization as a co-variable, and age (<85 years; ≥85 years), schooling (illiterate; 1st cycle of basic education) and physical exercise as variables. The results revealed a statistically significant difference regarding the time of institutionalization when dealing with depression (p= 0.003); and regarding schooling in the cognitive function (p= 0.030). Also, results concerning schooling versus age were significantly different in the cognitive function (p= 0.010) and intellectual ability (p= 0.032). Older individuals with higher levels of education presented superior results regarding the cognitive function and intellectual ability. We can thus infer that when it comes to older seniors schooling is the most decisive variable of the cognitive function, while depression depends on the time of institutionalization.

show abstract

Depression in old age in Austria, Ireland, Portugal and Sweden

Cited by 4 publications

References 17 publications

Late-Life Depression: Portuguese Research Trends over the last Decade (2007-2017)

Late-Life Depression: Portuguese Research Trends over the last Decade (2007-2017)

Association of reduced retinal arteriolar tortuosity with depression in older participants from the Northern Ireland Cohort for the Longitudinal Study of Ageing

Interação entre a idade, escolaridade, tempo de institucionalização e exercício físico na função cognitiva e depressão em idosos

Contact Info

Product

Resources

About