Depressive Symptoms and Family Functionality in the Elderly With Diabetes Mellitus

Andrade, Diêgo Micael Barreto; Rocha, Roseanne Montargil; Ribeiro, Ícaro José Santos

doi:10.1080/01612840.2019.1636167

Cited by 11 publications

(13 citation statements)

References 23 publications

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“…Due to the social evolutions in recent years, there is a series of recurring transformations in the concept of the family, giving rise to new types of structure, organization, and relationships (6) . However, the family still establishes itself as a complex and dynamic system influenced by the cultural, historical context, and human relations in general, representing a source of care, attention, support, commitments, affection, and values (7) . It is a unique context that needs prospection since the actions of a member generate repercussions throughout the group (6) .…”

Section: Introductionmentioning

confidence: 99%

“…The members face conflicts and adversities unanimously with a view to resolution and emotional stability, using their resources to achieve efficiency in the environment. In this system, we can observe the fair distribution of roles and support among members (6) , the maintenance of relationships inside and outside the family context (8) , in addition to the harmony and integrity of the whole system (7) .…”

Section: Introductionmentioning

confidence: 99%

“…On the contrary, there is the prioritization of particular interests to the detriment of the group. This individualism, in turn, causes an imbalance in the family system and evolves into disharmony (7) , contributes to the emergence of pathological conditions and feeling of malaise among its members (10) , besides harming the autonomy and quality of life (QoL) of the elderly (6) .…”

Section: Introductionmentioning

confidence: 99%

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Relationship between family functionality and the quality of life of the elderly

et al. 2022

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Objective: To analyze the correlation between family functionality and the quality of life of the elderly. Method: Sectional and correlational study conducted with 692 Brazilian elderly between July and October 2020. The elderly filled three instruments: biosociodemographic, family APGAR and WHOQOL-Old. The tests Kruskal-Wallis, Pearson correlation, and linear regression analyzed the data. The study considered a 95% confidence interval (p < 0.05) for all analyses. Results: The elderly with mild and severe family dysfunction presented worse quality of life when compared to the elderly with a functional family. All facets of quality of life correlated positively with family functionality. Conclusion: Family functionality is positively correlated with the quality of life of the elderly, therefore requiring the inclusion of the family in health care plans to identify potential family stressors early and plan interventions to solve the problems raised.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between family functionality and the quality of life of the elderly

et al. 2022

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“…Risk factors leading to the development of late-life depression likely comprise complex interactions among genetic vulnerabilities, cognitive diathesis, age-associated neurobiological changes and stressful events [7]. The common pathways to depression in older adults are assumed to be curtailment of daily activities and changes in social environments such as family functionality, social contact and eating status [7][8][9][10]. However, the prevalence of depression and these factors could vary substantially within countries and between countries [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar

Sasaki

Shobugawa

Nozaki

et al. 2021

IJERPH

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The aim of the study was to investigate rural–urban differences in depressive symptoms in terms of the risk factors among older adults of two regions in Myanmar to provide appropriate intervention for depression depending on local characteristics. This cross-sectional study, conducted between September and December, 2018, used a multistage sampling method to recruit participants from the two regions, for face-to-face interviews. Depressive symptoms were assessed using the 15-item version of the Geriatric Depression Scale (GDS). Depressive symptoms were positively associated with living in rural areas (B = 0.42; 95% confidence interval (CI): 0.12,0.72), female (B = 0.55; 95% CI: 0.31,0.79), illness during the preceding year (B = 0.68; 95% CI: 0.45,0.91) and non-Buddhist religion (B = 0.57; 95% CI: 0.001,1.15) and protectively associated with education to middle school level or higher (B = −0.61; 95% CI: −0.94, −0.28) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.30, −0.10). In women in urban areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.78; 95% CI: 0.36, 1.20) and protectively associated with education to middle school level or higher (B = −0.67; 95% CI: −1.23, −0.11), middle or high wealth index (B = −0.92; 95% CI: −1.59, −0.25) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.38, −0.03). In men in rural areas, illness during the preceding year was positively associated with depressive symptoms (B = 0.87; 95% CI: 0.33, 1.42). In women in rural areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.83; 95% CI: 0.36, 1.30) and protectively associated with primary education (B = −0.62; 95% CI: −1.12, −0.12) and the frequency of visits to religious facilities (B = −0.44; 95% CI: −0.68, −0.21). Religion and wealth could have different levels of association with depression between older adults in the urban and rural areas and men and women. Interventions for depression in older adults should consider regional and gender differences in the roles of religion and wealth in Myanmar.

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“…[11][12][13] Depression has also been linked to family dysfunction and poor health outcomes in patients with type 2 diabetes. 12,[14][15][16] Nonetheless, depression and diabetes represent the fourth and eighth most important causes of disability-adjusted life years, respectively. 17 Moreover, this relationship predicts increased morbidity and mortality rates, non-adherence to treatment, low quality of life, and an immense public health impact.…”

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confidence: 99%

Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study

2023

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INTRODUCTIONDiabetes mellitus (DM) is a chronic disease that primarily affects older adults. Owing to longterm consequences, such as complications of the kidneys, eyes, nerves, heart, and blood vessels, DM constitutes a major public health problem. 1,2 The prevalence of diabetes is increasing worldwide. According to the International Diabetes Federation's 2021 Diabetes Atlas, 537 million adults aged between 20 and 79 years are living with diabetes. In Brazil, estimates show that up to 16.8 million people have DM, which is approximately 7% of the population. 1 Moreover, the presence of depressive symptoms deserves equal attention because of its increasing prevalence among community-dwelling older adults, ranging from 13% to 39%. 3 The prevalence of depressive symptoms in Jequié, Bahia, Brazil, exceeded 88% of older adults, and was mostly correlated with chronic diseases. 4 Conversely, there are high rates of depression underdiagnosis in older adults, which can increase the development of other risk factors in this population. [5][6][7] Several studies have suggested an association between diabetes and depression. There are various predictors of depression among older adults with DM, such as socioeconomic, individual, behavioral, and clinical factors. 8 Depression has been reported as a risk factor for type 2 diabetes. 9,10 Meanwhile, depression is reportedly two times more prevalent in people with DM than in people who do not have diabetes. [11][12][13] Depression has also been linked to family dysfunction and poor health outcomes in patients with type 2 diabetes. 12,[14][15][16] Nonetheless, depression and diabetes represent the fourth and eighth most important causes of disability-adjusted life years, respectively. 17 Moreover, this relationship predicts increased morbidity and mortality rates, non-adherence to treatment, low quality of life, and an immense public health impact. 11,12,[18][19][20]

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Depressive Symptoms and Family Functionality in the Elderly With Diabetes Mellitus

Cited by 11 publications

References 23 publications

Relationship between family functionality and the quality of life of the elderly

Relationship between family functionality and the quality of life of the elderly

Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar

Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study

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