Soziale Kontakte und Depression bei geriatrischen Patienten: Gibt es einen Einfluss von Geschlecht?

Abstract

Depression is one of the most common affective illnesses. The investigation of changeable factors that are associated with depression is an important condition for the establishment of preventive measures. In a cross-sectional study, data on social factors were recorded from 580 geriatric patients of the municipal hospital in Munich. Ordinal logistic regression was used to analyse their association with depression (clinical diagnoses by ICD-10) and depressive symptoms (GDS). The results indicate that the occurrence of depressive symptoms and of depression was associated with less social contacts and less support, even after adjustment for other risk factors (for example, physical and cognitive impairment). This association was more distinct for women (for example, depressive symptoms: moderate versus much contact: OR=2.7; 95% CI: 1.8-4.1) than for men (OR=1.3; 95% CI: 0.7-2.4). Further research is needed to investigate whether women could benefit more than men from programmes promoting social support.

The relationship of depression and disease stage to patient perceptions of Parkinson’s disease

“…In contrast, avoidance and withdrawal could lead to a sense of loss of role and a reduction in social contact, which are associated with depression (e.g. Jang et al, 2002; Peirce et al, 2000; Zietemann et al, 2007). There is a clear link between the perceptions of consequences (“PD means I can’t do the things I used to do” vs. “PD means I have to change the things I do”), how these impact on coping (stay at home vs. find new activities) and mood (depressed vs. non-depressed).…”

Alter und Gesundheit

“…Im Gegensatz dazu deuten die Ergebnisse anderer Studien auf ein erhöhtes Vorkommen schwerer Depressionen bei Älteren hin [42]. Bis zu 10% Betroffene wurden beispielsweise in einem Nachfolgeprojekt der Augsburger MONICA-Surveys ermittelt [43,44]. Einige Bevölkerungs-studien kamen zu dem Ergebnis, dass depressive Erkrankungen mit schwerer Ausprägung im Alter eher abnehmen, leichtere Formen dagegen zunehmen (Über-sicht bei [40]).…”