Depression in older people in the general hospital: a systematic review of screening instruments

Dennis, Michael; Kadri, Adil; Coffey, John

doi:10.1093/ageing/afr169

Cited by 117 publications

(106 citation statements)

References 21 publications

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“…2,7 A presença da doença e a dificuldade de realização do diagnóstico são condições diretamente associadas ao aumento da morbidade e mortalidade na população idosa, assim como maior procura de serviços de saúde, permanência e tempo de ocupação de leitos hospitalares. 8,9 O transtorno também pode acarretar prejuízos na vida social do indivíduo e causar sofrimento psíquico para o idoso e familiares, sendo considerado fator de risco de suicídio. 1 Harwood et at.…”

Section: Introductionunclassified

Prevalência de sintomas depressivos entre idosos em um serviço de emergência

Cohen

Paskulin

Prieb

2015

Rev. bras. geriatr. gerontol.

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ResumoObjetivos: Estimar a prevalência de sintomas depressivos entre idosos internados no Serviço de Emergência do Hospital de Clínicas de Porto Alegre-RS e verificar a associação entre sintomas depressivos e características sociodemográficas e de utilização de serviços de saúde pelos idosos. Métodos: Estudo transversal com 96 idosos internados em um serviço de emergência. A presença de sintomas depressivos foi avaliada por meio da aplicação da Escala de Depressão Geriátrica -versão reduzida (EDG-15), e foi aplicado instrumento sobre variáveis sociodemográficas e de utilização dos serviços de saúde. Foram realizadas análises descritivas e bivariáveis, e o nível de significância estatística adotado foi de 5% ( p≤0,05). Resultados: Encontrou-se a prevalência de 36,5% de sintomas depressivos na amostra, sendo que destes, 6,3% dos idosos apresentavam pontuação sugestiva de depressão grave. Identificou-se associação significativa entre sintomas depressivos e viuvez, observando-se que os sintomas depressivos foram mais frequentes entre as mulheres, os de baixa escolaridade e os que não utilizaram serviços de saúde. Conclusão: O estudo encontrou alta prevalência de sintomas depressivos entre idosos internados no serviço de emergência. Ressalta-se a importância do reconhecimento e realização do diagnóstico de depressão em idosos nesses serviços com objetivo de se trabalhar com uma visão ampliada do processo de saúde-doença, oferecer tratamento e melhores intervenções na rede.Palavras-chave: Sintomas Depressivos. Idoso. Serviço Hospitalar de Emergência.http://dx

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Section: Introductionunclassified

Prevalência de sintomas depressivos entre idosos em um serviço de emergência

Cohen

Paskulin

Prieb

2015

Rev. bras. geriatr. gerontol.

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“…BMI scores were used as a mediator variable for the present study as previous researchers have found increased sleep problems in overweight individuals (Beebe et al, 2006). Depression was assessed using the 15-item Geriatric Depression Scale (GDS-15), a yes/no response format (Yesavage et al, 1982), with scores above 5 considered to be suggestive of depression (Dennis et al, 2012). Participants were also asked how many medications they took in total and specifically whether they were currently taking anticholinergics or benzodiazepines (yes, no) as these medications have been recognized to increase at-fault motor vehicle crash risk in older drivers (Rapoport et al, 2011), as well as unsafe driving actions in relation to collisions (e.g., speeding; Dubois et al, 2008).…”

Section: Control Variablesmentioning

confidence: 99%

The impact of subclinical sleep problems on self-reported driving patterns and perceived driving abilities in a cohort of active older drivers

Hickey¹,

Weegar²,

Kadulina³

et al. 2013

Accident Analysis & Prevention

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The present study sought to investigate the influence of subclinical sleep disturbances on driving practices and driver perceptions in a large cohort of healthy older drivers. Participants from the Candrive II prospective cohort study were investigated. Self-reported measures of sleep problems were used to determine the influence of sleep disturbance on self-reported driving practices and perceived driving abilities, as measured by the Situational Driving Frequency, Situational Driving Avoidance, and Perceived Driving Abilities scales. Hierarchical regression analyses were used to estimate whether mild self-reported sleep problems were predictive of driving restrictions and perceived abilities, while controlling for a variety of health-related factors and demographic variables known to mediate sleep problems or to impact driving.Cross-sectional analysis of baseline data from the Candrive II study suggests that subclinical sleep problems do not significantly influence self-reported driving patterns or perceived driving abilities in older drivers once control variables are considered. The relationship between sleep problems, driving frequency, avoidance and perceived abilities is better explained by mediating demographic, health, and cognitive factors. Further research examining sleep disturbances and driving should include objective measures of driving practices (exposure, patterns) and outcomes (crashes, violations) and should take in consideration the severity of sleep problems.

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“…It is even more common among ill patients admitted to health care institutions rising up to 29% [Dennis et al, 2012]. In a study conducted in day care centers in the Kingdom of Bahrain the prevalence of positive screening by GDS in elderly attending the centers was as high as 41.7% [Al-Dosseri et al, 2014].…”

Section: Introductionmentioning

confidence: 99%

“…[Dennis et al, 2012] Since depression is usually associated with multiple social problems, it may globally become the disease with the most social burden after ischemic heart disease [Young et al, 2013].…”

Section: Introductionmentioning

confidence: 99%

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Depression among elderly patients admitted to a sub-acute medical care and rehabilitation center in Bahrain

Saeed

Abulsaad

Mahmoud³

et al. 2016

Int Arch Med

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Background: Depression is common among community indwelling elderly. It is even more common among in-patients. Depressed elderly individuals have a poorer quality of life, lower rehabilitation success, and a higher mortality. The aim of the current study is to assess the prevalence of depressive symptoms and associated factors in elderly patients admitted in a Rehabilitation and sub-acute medical care center in Bahrain.Method: All elderly patients 60 years old and over, admitted to the center during a 6 month period were included in the study. Geriatric depression scale (GDS), Mini-mental State exam (MMSE), Barthel activities of daily living (ADL) Index, and a medical and social history were obtained from each patient. Further evaluation of depression using Diagnostic and Statistical Manual of Mental Disorders -IV (DSM-IV) criteria was done for each patient with positive GDS. Results:The study included all 51 elderly admitted to the center in 6 months, 23 females (45.1%) and 28 males (54.9%) with a mean age of 75.59±9.32 (60-95). The prevalence of depression was found to be 39.2% with no statistically significant gender difference. There was a positive correlation between the severity of depressive symptoms and age, poor functional status, and poor cognitive function. Conclusion:There is a high rate of depression among elderly patients admitted to medical facilities with significant association with the functional and cognitive capacity of the elderly. Depression is under estimated and further studies in our region are needed to assess the prevalence and detection rate in different health care settings.

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Depression in older people in the general hospital: a systematic review of screening instruments

Cited by 117 publications

References 21 publications

Prevalência de sintomas depressivos entre idosos em um serviço de emergência

Prevalência de sintomas depressivos entre idosos em um serviço de emergência

The impact of subclinical sleep problems on self-reported driving patterns and perceived driving abilities in a cohort of active older drivers

Depression among elderly patients admitted to a sub-acute medical care and rehabilitation center in Bahrain

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