The Comparison of Depression and Death Anxiety among Nursing Home Resident and Non-Resident Elderlies

زراعتی, مصطفی; زمیدانی, مجتبی حقانی; سنگده, جواد خدادادی

doi:10.29252/ijn.29.102.45

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…However, we should keep in mind that institutionalized older adults usually have low levels of social and family support and a high prevalence of other comorbidities, which is likely to aggravate the depressive symptoms preexisting at the time of institutionalization [80]. Various studies have reported factors – when associated with institutionalization – that can increase the prevalence of depression, including feelings of abandonment in the nursing home [81], economic difficulties or limitation of the possibility of using money [82], and isolation or distance from one’s usual social network, which leads to a relevant uprooting and adaptation effort [73, 83, 84], significant changes in lifestyle with increased stress [85], forced adaptation to a regulation and norms that can negatively affect privacy and autonomy and give rise to feelings of disability, loss of freedom, or low level of life satisfaction [85], lack of objectives and activities [86], and increased self-perception of health deficits and increased anxiety about death [85, 87]. To this, we should add the various reasons that lead to the institutionalization of older adults, such as the existence of a chronic disease that determines a significant disability with loss of autonomy, a high age, and a lack of socio-family support in some cases due to the death of the spouse [73], which results in a direct increase in depressive disorder rates [88], as well as the negative value burden and the level of voluntary income in nursing homes [89].…”

Section: Introductionmentioning

confidence: 99%

Depression and Cognitive Impairment in Institutionalized Older Adults

Conde

Galán-López²

2020

Dement Geriatr Cogn Disord

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Background: In the last three decades, the relationship between depression and cognition in geriatric patients has been a popular topic among researchers and clinicians. Clinical and epidemiological research has focused on the identification of risk factors that could be modified in pre-dementia syndromes, at a preclinical and early clinical stage of dementia disorders, with specific attention to the role of depression. The objective of this work was to determine the relationship between depressive disorder and cognitive deterioration in institutionalized older adults. Methods: In this descriptive, correlational study, data were gathered from two nursing homes in the province of Jaen (Spain), from a random sample of 140 older adults (70 nondependent and 70 dependent). The variables were measured using comprehensive geriatric assessment, the Cambridge Cognitive Test (CAMCOG), and the Geriatric Depression Scale (GDS). Results: Depression was correlated with cognitive level in the nondependent older adult sample (r =-0.471, p = 0.004). Age was inversely associated with the score obtained in the CAMCOG of the nondependent older adult sample (r =-0.352, p = 0.038). The functional capacity in several activities of daily living was correlated with the score obtained in the CAMCOG in each of the two groups. Depression was more prevalent in the dependent than in the nondependent older adults (82.85 vs. 57.14%). No association was observed between institutionalization time and the score obtained on the cognitive and affective scales (GDS and CAMCOG) in both groups (GDS-nondependent, r =-0.209, p = 0.234; CAMCOG-nondependent, r = 0.007, p = 0.967; GDS-dependent, r = 0.251, p = 0.152; CAMCOG-dependent, r =-0.021, p = 0.907). Conclusion: Depressive symptomatology is associated with cognitive deterioration. Depression is prevalent in institutions that care for older, more dependent adults.

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Section: Introductionmentioning

confidence: 99%

Depression and Cognitive Impairment in Institutionalized Older Adults

Conde

Galán-López²

2020

Dement Geriatr Cogn Disord

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“…Therefore, each person's overall score ranges from 32 to 160. A higher score scores higher than death anxiety (6). Lester & Collet reported the reliability of the subscales death of self, dying of self, death of others and dying of others to be 0.91, 0.89, 0.72, and 0.87, respectively, in 1990.…”

Section: Toolsmentioning

confidence: 99%

“…Besides, it will exceed the global average elderly population increase by 2045 and the Asian average by the next five years. Therefore, paying attention to this population's health, mainly psychological health, is increasingly significant (6).…”

Section: Introductionmentioning

confidence: 99%

“…The results showed that depression and death anxiety were significantly higher among the elderly living in nursing homes than among the nonresident elderly. Therefore, according to the living conditions of the elderly in nursing homes, periodic psychiatric examinations and psychological interventions are essential to treat depression, relieve anxiety, and promote the life quality of the elderly (6). The increasing growth of the elderly and this age group's specific needs over hospital stays and outside the hospital, on the one hand, and the psychological and physiological changes in them, on the other hand, can make the elderly vulnerable to issues such as death, and death anxiety can influence this vulnerable group's life.…”

Section: Introductionmentioning

confidence: 99%

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Death Anxiety and Associated Factors in the Hospitalized and Non-hospitalized Elderly with Chronic Diseases in Ahvaz

Tadi¹,

Gheibizadeh²,

Ghanbari³

2022

Jundishapur J Chronic Dis Care

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Background: Elderly people can be exposed to a number of psychological disorders, including death anxiety, due to the many changes they experience during the aging process, which affects their quality of life. Objectives: The present study aimed to determine death anxiety and associated factors in the hospitalized and non-hospitalized elderly in Ahvaz in 2019. Methods: This descriptive cross-section study enrolled a convenience sample of 195 hospitalized and non-hospitalized elderlies in Ahwaz. Data collection tools included the demographic characteristics form and death anxiety questionnaire. Independent t-test, chi-square, and ANOVA analyzed data in SPSS v.16 software. Data collection was instituted after approval of the research ethics committee, and all ethical considerations such as informed consent were met. Results: This study was undertaken on 195 elderlies with a mean age of 66.06 ± 5.59 years (60 to 88 years), most of whom were male (61%). The mean death anxiety score was 111.98 ± 19.27 for hospitalized elderlies and 100.002 ± 25.12 for non-hospitalized ones. Statistical tests revealed that the two groups significantly differed in the total score of death anxiety and all its subscales except for the death of acquaintances (P < 0.05). Death anxiety had a statistically significant relationship with education level, gender, and marital status. Conclusions: The hospitalized, female, and low-educated elderly and those living alone had more death anxiety. Thus, it is imperative to offer social support to this vulnerable elderly group, perform periodical psychiatric evaluations, and utilize psychological interventions to improve the elderly's quality of life.

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“…The study by Sadeghi and Baz Qale demonstrated a higher depression score in elderly nursing home residents than in non-resident elderly (17). Similarly, Zeraati et al concluded that elderly people living in nursing homes have more feelings of depression and death anxiety compared to elderly people who are not living in nursing homes (18).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of physical and mental health status of elderly residents and non-residents in nursing homes of Chaharmahal and Bakhtiari province in 2018

Karimi,

Seghayat,

Fatahian

et al. 2023

J Shahrekord Univ Med Sci

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Background and aims: The average age of the population and the number of elderly people have increased with increasing life expectancy. This study aimed to investigate the physical and mental health of the elderly in Chaharmahal and Bakhtiari province, which can provide important evidence for future interventions. Methods: This cross-sectional (descriptive-analytical) study was performed on 345 elderlies in Chaharmahal and Bakhtiari province in 2018. Census methods were used to select the samples according to the type of residence. Statistical analysis was performed using the Statistical Package for Social Sciences (IBM SPSS statistic, Chicago, IL, USA, version 22). Descriptive and analytical tests were performed using Chi-square, independent t-test, and analysis of variance. Results: The mean age of participants and the mean score of their mental health were 71.13 and 55.29±11.57, respectively. Diabetes and hypertension (HTN) (27.8%), followed by skeletal problems (11.3%), were the most frequent disorders in the participants. The findings of the study demonstrated a significant difference between depressive status, as well as anxiety and sleep disorders of the elderly in the home and those kept in the nursing home (P<0.05). Conclusion: Overall, the elderly living in nursing homes had more unfavorable mental, emotional, and physical conditions than the elderly living in the home. Therefore, long-term planning to minimize the problems of elderlies is essential. Lifestyle modifications, health education, and screening for this age group are recommended to maintain independence, especially for the elderly in nursing homes.

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The Comparison of Depression and Death Anxiety among Nursing Home Resident and Non-Resident Elderlies

Cited by 7 publications

References 11 publications

Depression and Cognitive Impairment in Institutionalized Older Adults

Depression and Cognitive Impairment in Institutionalized Older Adults

Death Anxiety and Associated Factors in the Hospitalized and Non-hospitalized Elderly with Chronic Diseases in Ahvaz

Evaluation of physical and mental health status of elderly residents and non-residents in nursing homes of Chaharmahal and Bakhtiari province in 2018

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