Estudos para construção e propriedades psicométricas da escala contextual de depressão em idosos

Abstract

ResumoEsta pesquisa teve como objetivo construir uma escala contextual de depressão em idosos baseando-se na importância das intervenções primárias em saúde. Concebeu-se uma versão inicial do instrumento com vinte e sete itens para depressão geriátrica, que foram preenchidos pelo público idoso. A amostra foi constituída por 95 idosos, com idade entre 60 e 83 anos, sendo 22 homens e 73 mulheres. O instrumento construído foi aplicado junto à Escala de Depressão Geriátrica de Yesavage e a Overall Life Satisfaction. Após análises de Curva ROC, quinze itens foram considerados satisfatórios a partir da correlação com o construto de depressão geriátrica e validade discriminante, aferida entre a população com e sem sintomas depressivos. Esses itens passaram pela análise fatorial exploratória, encontrando-se uma solução com quatro fatores e 54% de variância explicada. O instrumento final apresentou Alpha de Cronbach no valor de 0,77. Devido a algumas limitações técnicas, sugere-se a continuação do estudo. Palavras chave: depressão, idosos, escala. Studies for construction and psychometric properties of the contextual scale of depression in elderly AbstractThis research aimed to build a contextual scale of depression in the elderly, accordingly with the importance of primary interventions in healthcare. A version of the instrument was developed with twenty seven risk factors for geriatric depression that were met by the elderly population. The study sample consisted of 95 elderly subjects, 22 men and 73 women, from 60 to 83 years old. The developed instrument was applied amongst the Yesavage's Geriatric Depression Scale and Overall Life Satisfaction. After statistical analysis, fifteen items were considered satisfactory accordingly with the correlation with the construct of geriatric depression and discriminant validity, measured amongst the population with and without depressive symptoms. These items went through an exploratory factorial analysis, and a solution was found within four factors and 54% explained variance. The final instrument presented Cronbach's Alpha in the value of 0,77. Due to some technical limitations, the development of the study is suggested.

Surviving by the grace of god: perception of the older adult

“…However, in spite of that, most of the time doesn't take into account the pillar of these strategies, the older adult. 6 It is critical to have knowledge about the level of physical, psychological, social and family condition of the population, 7 but to know the perception that has the older adult about his old age, will allow to establish strategies that generate impact, not only on their quantity of life, but also in their quality of life, [8][9][10] also to demonstrate the worldview that the individual has about the old age, stage to which the majority of the population will come with or without illnesses, or with high sociocultural changes that they bear him to be lived in an asylum.…”