Depressive morbidity and gender in community-dwelling Brazilian elderly: systematic review and meta-analysis

Barcelos-Ferreira, Ricardo; Izbicki, Rafael; Steffens, David C.; Bottino, Cássio M. C.

doi:10.1017/s1041610210000463

Cited by 83 publications

(99 citation statements)

References 53 publications

(110 reference statements)

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“…Risk of depression among the elderly n (%) Unadjusted PR (CI95%) Adjusted PR (CI95%) Barcelos-Ferreira et al 23 reviewed scientific literature about depression in communitydwelling elderly persons in Brazil and identified a prevalence of depression of 7%, and a rate of depressive symptoms of 26%. A study of community-dwelling elderly persons in Canada found a prevalence of depression of between 1.3% and 18.8% in women and between 0.9 and 7.9% in men.…”

Section: Sleep Characteristicmentioning

confidence: 99%

Associação da depressão com as características sociodemográficas, qualidade do sono e hábitos de vida em idosos do Nordeste brasileiro: estudo seccional de base populacional

Lopes

Fernandes

Dantas

et al. 2015

Rev. bras. geriatr. gerontol.

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Introduction: Depressive disorders can be defined as episodes of depressed mood or loss of interest and pleasure in nearly all activities. Depression is considered a major mental disorder in the elderly, and may be related to quality of sleep and living habits as well as being influenced by sociodemographic factors. Objective: To determine the prevalence of depression among the elderly in the north-east of Brazil, and the relationship between the condition and socio-demographic profile, quality of sleep and living habits. Method: An epidemiological cross-sectional study was performed of the elderly population of the urban area of Campina Grande, Paraiba. The dependent variable presence of depression and the independent variables sociodemographic aspects, sleep quality, and living habits were investigated. Estimates of the prevalence of the variables were obtained and association measured using Poisson Regression. A 5% significance level was adopted for the estimates. Results: The study included 168 elderly patients with a mean age of 72.3 (±7.8) years, most of whom, 122 (72.6%), were women. Depression was identified in 72 elderly persons (42.9%). Elderly women were twice as associated with depression (PR=2.26) as men. A subjective quality of sleep of very good (PR=0.34), medium/high risk of sleep disturbance (PR = 4.08), taking sleeping medications once or twice (PR=5.21) and three times or more (PR=8.69) a week, daytime dysfunction once or twice (PR=14.40) and three times or more (PR=27) a week and poor quality of sleep on the Pittsburgh index were associated with depression in bivariate analysis, although there was no relationship following multivariable adjustment. Conclusion: The prevalence of depression was high in the studied population, being noticeably more frequent among elderly woman. However, it was not possible to detect an association between depression and living habits and sleep quality.

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Section: Sleep Characteristicmentioning

confidence: 99%

Associação da depressão com as características sociodemográficas, qualidade do sono e hábitos de vida em idosos do Nordeste brasileiro: estudo seccional de base populacional

Lopes

Fernandes

Dantas

et al. 2015

Rev. bras. geriatr. gerontol.

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“…Depressive 11,12 and anxiety disorders are frequent in the elderly, constituting an important source of emotional suffering and consequently the increased use of this pharmacological class 8,13 . Newer treatment consensus recommendations for depressive and anxiety disorders do not suggest BZDs as a first-line therapeutic 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Patterns of chronic benzodiazepine use in the elderly

Sgnaolin¹,

Engroff²,

Andrade³

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

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Background: In several countries, prevalence studies demonstrate that chronic use of BZD in the elderly population is very high. This scenario has reached pandemic proportions for decades and is an important public health problem. Objectives: To examine the independent association between chronic benzodiazepine use in depression, anxiety and bipolar disorder, as well as other clinical and sociodemographic factors. Methods: This cross-sectional study was developed from a population-based survey and conducted from March, 2011 to December, 2012 using a random sample of 550 elderly people who were enrolled in the Family Health Strategy in Porto Alegre, Brazil. Data was collected from identifying epidemiological and health data (sociodemographic, self-perception health, self-reported diseases, smoking, alcohol and pharmacotherapeutic evaluation) and from the diagnoses of mood and anxiety disorders. Results: Elderly patients diagnosed with depression, anxiety, concomitant depression/anxiety and bipolar disorders, and those who were using antidepressants have a higher risk of benzodiazepine use. Individuals who self-reported drinking alcohol had a lower risk of benzodiazepine use. Discussion: Benzodiazepines are often used by the elderly for long periods, which has a direct impact on the treatment of mood and anxiety disorders and on vulnerable groups such as the elderly, who may be unnecessarily taking these drugs.

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“…The high prevalence of depressive symptoms and subsyndromal depression among the elderly reinforces the importance of scientific research, as these disorders are associated with other medical conditions and the risk of progression to more serious depression 18 . Regional, population based studies are required so the identified variables can be addressed in a more effective and immediate manner by health managers and all healthcare areas serving this population.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of depressive symptoms among elderly women from a Center of Reference and Care for the Elderly in the city of Passo Fundo, Rio Grande do Sul

Piani

Alves

Bervian

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To analyze depressive symptoms and factors associated with this pathology among elderly women. Method: A cross-sectional study nested in the longitudinal study of the Care and Reference Center for the Elderly of the Universidade de Passo Fundo (Passo Fundo University) in Rio Grande do Sul, Brazil, was carried out. Standardized questionnaires, pre-coded with sociodemographic information, were applied. The Geriatric Depression Scale was used to assess the outcome of depression. The International Physical Activity Questionnaire was used to evaluate the level of physical activity and parameters of Body Mass Index were used to assess nutritional status. The chi-squared test or the Fisher exact Test were applied to verify the association between outcome and exposure. Results: 313 elderly women were assessed. They were aged from 60 to 89 years, and most (284 -91.3%) belonged to economic classes B and C. Depression was present in 22 (7.1%) of the elderly women. In bivariate analysis, depression was associated with non-white elderly women (14.6%; p=0.039) who were classified as insufficiently active (10.6%; p=0.033). Conclusion: The results indicate the need to encourage the elderly to perform physical activities to contribute to the prevention of geriatric depression.

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Depressive morbidity and gender in community-dwelling Brazilian elderly: systematic review and meta-analysis

Cited by 83 publications

References 53 publications

Associação da depressão com as características sociodemográficas, qualidade do sono e hábitos de vida em idosos do Nordeste brasileiro: estudo seccional de base populacional

Associação da depressão com as características sociodemográficas, qualidade do sono e hábitos de vida em idosos do Nordeste brasileiro: estudo seccional de base populacional

Patterns of chronic benzodiazepine use in the elderly

Prevalence of depressive symptoms among elderly women from a Center of Reference and Care for the Elderly in the city of Passo Fundo, Rio Grande do Sul

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