Depressive Symptoms and Associated Factors in Institutionalized Elderly

Jerez-Roig, Javier; Oliveira, Nayara Priscila Dantas de; Filho, Bartolomeu Fagundes de Lima; Bezerra, Maria Amanda de Farias; Matias, Monayane Grazielly Leite; Ferreira, Lidiane Macedo; Amaral, Fabienne Louise Juvêncio dos Santos; Souza, Dyego Leandro Bezerra de; Lima, Kênio Costa de

doi:10.1080/0361073x.2016.1224673

Cited by 18 publications

(9 citation statements)

References 27 publications

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“…Due to the lack of research, one can conclude that anxiety is an unrecognized disorder that seriously affects quality of life [47]. As for depression, studies have confirmed the prevalence of depression symptoms in around half of the older population, predominantly females living in NHs, indicating that a lack of social support and institutionalization are connected to depressive symptoms [48][49][50]. Furthermore, risk factors for DEPRESSION are female gender and older age [51].…”

Section: Discussionmentioning

confidence: 99%

Self-Esteem, Anxiety, and Depression in Older People in Nursing Homes

et al. 2021

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Background: Social environment and type of care may influence mental health in late life. The aim of this study was to assess the associations between depression, anxiety, and self-esteem in older people. Methods: The study evaluated mental health in people older than 65 years of age in Zadar County, Croatia. The participants were interviewed using the Patient Health Questionnaire, the Generalized Anxiety Disorder Scale, and the Rosenberg Self-Esteem Scale. Multiple linear regressions were used to assess the correlations between depression, anxiety, and self-esteem. Results: Compared with elderly people living in their own homes, elderly people in nursing homes reported lower self-esteem, higher depression, and higher anxiety. The level of self-esteem decreased with increased levels of depression. Anxiety was significantly associated with depression, while depression strongly increased with an increase in anxiety. Older age was associated with depression, while widowhood was a negative predictor of self-esteem. Institutionalization was borderline significantly associated with anxiety, while gender was associated with anxiety. Conclusions: The study found associations between self-esteem, anxiety, and depression in the elderly. The strategy of humanization in nursing care for older people should be applied equally in nursing homes and in community-dwelling states. Public health programs aimed at maintaining the mental health of older people are needed.

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Section: Discussionmentioning

confidence: 99%

Self-Esteem, Anxiety, and Depression in Older People in Nursing Homes

et al. 2021

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“…Our result is also higher than the prevalence of 31.5% reported in elderly Europeans; the results there were measured using the EURO-D scale with a cut-off score of ≥4 [ 47 ]. By contrast, the prevalence for institutionalised elderly persons in Brazil was 45.8% [ 48 ] and it was 60.6% in elderly Nepalese [ 49 ]. Depressive symptoms in these studies were also defined by the GDS with a cut-off score of ≥6.…”

Section: Discussionmentioning

confidence: 99%

Dose–response relationship between intergenerational contact frequency and depressive symptoms amongst elderly Chinese parents: a cross-sectional study

Xie

et al. 2020

BMC Geriatr

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Background Given the high prevalence of depressive symptoms amongst the elderly Chinese population and the significance of intergenerational contact in this demographic group, the purpose of this study was to examine the association and dose–response relationship between the frequency of intergenerational contact and depressive symptoms. Methods Data were obtained from the third wave of the China Health and Retirement Longitudinal Study. A total of 5791 participants at age 60 or older were included in this study. Depressive symptoms were defined by the 10-item version of the Centre for Epidemiologic Studies Depression Scale. Intergenerational contact included in-person meeting and remote connecting, and they were analysed separately. Intergenerational contact frequency was classified into ten categories and then treated as a continuous variable for analysis. We performed univariate and multivariate logistic regressions to identify risk covariables. Restrictive cubic spline analysis was used to examine the dose–response relationship between intergenerational contact frequency and the outcome of depressive symptoms. Results Both the frequency of meeting and the frequency of connecting with children were independently associated with depressive symptoms in the elderly, and the odds ratios for depressive symptoms increased with decreasing frequencies (P < 0.01). There was a negative dose–response relationship between intergenerational contact frequency and depressive symptoms. The odds of depressive symptoms steadily decreased with increasing frequency of meeting with their children. Following an initial increase, the odds rapidly decreased as the frequency of connecting with children increased with an inflection point at once a monthly. Both associations were nonlinear (P < 0.001). Conclusions Our findings revealed a negative dose–response relationship between intergenerational contact frequency and depressive symptoms in the elderly Chinese population. Thus, future health interventions should consider cultural norms in shaping the mental well-being of Chinese elderly persons.

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“…It can be argued that the adolescents in the nursing home distracted the lady from her depressive anxiety and persuaded her to sit down, play with teenagers, and interact with them, albeit for a limited time. If we consider that depression is a loneliness correlated disorder quite commonly found among institutionalized older people [82–84] and that experts suggest the adoption of psychosocial interventions for its prevention [17, 85], this unexpected result of the study suggests that psychosocial interventions based on intergenerational relationships can be effective in preventing the onset of depression among residents of nursing homes with fewer emotional ties.…”

Section: Discussionmentioning

confidence: 99%

Intergenerational Programs Involving Adolescents, Institutionalized Elderly, and Older Volunteers: Results from a Pilot Research-Action in Italy

Santini

Tombolesi

Baschiera

et al. 2018

BioMed Research International

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Changes in traditional family structures, public policy arrangements, and new family care patterns are reducing opportunities for interaction between younger and older people in Europe and in Italy, especially when the latter live in residential care facilities. This may bolster age-related stereotypes in both generations and end up with affecting older people's self-confidence, devaluing their emotional and relational capabilities. “Let's Re-Generate” is a pilot research-action project—based on an intergenerational program carried out in a nursing home in Central Italy—which aimed at prompting institutionalized older people and adolescents in the community to enhance intergenerational ties through various shared activities. Results from focus groups with 25 teenagers and in-depth interviews with 16 older residents and 16 older volunteers provide an in-depth insight on the positive impact of intergenerational programs, which foster the interaction between different ages, help overcome age-related stereotypes, and improve older people's mental well-being and older volunteers' generativity. The main recommendation emerging from this study is that intergenerational activities should be integrated in the daily routine of nursing homes, acting as useful tools for fostering older residents' capability of reacting to dependency and social isolation.

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Depressive Symptoms and Associated Factors in Institutionalized Elderly

Cited by 18 publications

References 27 publications

Self-Esteem, Anxiety, and Depression in Older People in Nursing Homes

Self-Esteem, Anxiety, and Depression in Older People in Nursing Homes

Dose–response relationship between intergenerational contact frequency and depressive symptoms amongst elderly Chinese parents: a cross-sectional study

Intergenerational Programs Involving Adolescents, Institutionalized Elderly, and Older Volunteers: Results from a Pilot Research-Action in Italy

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