Self-perceived and reported mental health in older adults
Abstract
Several studies assess mental health in older adults, but relatively few do so from a multi-informant perspective. In this work, discrepancies in self-perception and third-person perception of the mental health of older adults were analyzed in two age groups and differentiated by sex and place of residence. Relationships between different scales that measure psychopathology and psychosocial competencies were also analyzed.
A sample of 288 older people aged between 60-95 years old (154 women, 53.47%) belonging to 12 municipalities in the Region of Murcia was employed, and the Older Adult Self-Report (OASR) questionnaire was used to measure the psychopathology of older people and the Older Adult Behavior Checklist (OABCL) instrument to find out the family's perception of these problems.
Outcomes show different perceptions of mental health among older people and their families, which worsen with increasing age, psychosocial risk status and female gender. This reflects the need to develop specific treatment protocols for each gender and psychosocial risk situation, in order to address the differential mental health needs in older people.
Downloads
References
Achenbach, T. M., Newhouse, P.A., & Rescorla, L. A. (2004). Manual for the ASEBA Older Adult Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Achenbach, T.M., Krukowski, R.A., Dumenci, L., & Ivanova, M.Y. (2005). Assessment of adult psychopathology: meta-analyses and implications of cross-informant correlations. Psychological Bulletin, 131(3): 361–382. doi: 10.1037/0033-2909.131.3.361.
Ausín, B., Muñoz, M., Santos-Olmo, A.B., Pérez-Santos, E., & Castellanos, M.A. (2017). Prevalence of Mental Disorders in the Elderly in the Community of Madrid: Results of the Mentdis-ICF65+ Study. Spanish Journal of Psychology, 20: 1-11. doi: 10.1017/sjp.2017.3.
Baiyewu, O., Yusuf, A.J., & Ogundele, A. (2015). Depression in elderly people living in rural Nigeria and its association with perceived health, poverty, and social network. International Psychogeriatrics, 27(12): 2009-2015. doi: 10.1017/S1041610215001088.
Black, C.M., Ambegaonkar, B.M., Pike, J., Jones, E., Husbands, J., & Khandker, R.K. (2019). The Diagnostic Pathway from Cognitive Impairment to Dementia in Japan: Quantification Using Real-World Data. Alzheimer Disease and Associated Disorders, 33(4): 346-353. doi: 10.1097/WAD.0000000000000322.
Brigidi, B.D., Achenbach, T.M., Dumenci, L., & Newhouse, P.A. (2010). Broad spectrum assessment of psychopathology and adaptive functioning with the Older Adult Behavior Checklist: a validation and diagnostic discrimination study. International Journal of Geriatric Psychiatry, 25: 1177-1185. doi: 10.1002/gps.2459.
Charney, D. S. , Reynolds, C. F. , Lewis, L., Lebowitz, S.T., Lexopoulos, G.S., Blazer, D.S., …Young R.C. (2003). Depression and bipolar support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Archives of General Psychiatry, 60(7): 664-672. doi: 10.1001/archpsyc.60.7.664.
Cisneros G.E., & Ausín B. (2018) Prevalencia de los trastornos de ansiedad en las personas mayores de 65 años. Una revisión sistemática. Revista Española de Geriatría y Gerontología, 54(1): 34-48. doi: 10.1016/j.regg.2018.05.009.
Curran, E., Rosato, M., Cooper, J., Mc Garrigle, C.A., & Leavey, G. (2019). Symptom profiles of late-life anxiety and depression: The influence of migration, religion and loneliness. Depression and Anxiety, 39(9): 824-833. doi: 10.1002/da.22893.
Damián, J., de Pedro-Cuesta, J., Almazán, J., Comín-Comín, M., Quintanilla, M.A., & Lobo, A. (2012). Depressive symptoms and associated factors in an older Spanish population positively screened for disability. International Journal of Geriatric Psychiatry, 28(7): 745-755. doi: 10.1002/gps.3886.
de Oliveira, C.R., Paloski, L.H., Farina, M., Gonzatti, V., Cunha, A.M., de Oliveira, M.Z.,… & Quarti-Irigaray, T. (2017). Older adult self report construct and criterion validity evidence for Brazilian elderly. Anales de psicología, 33(2): 277-282. doi: 10.6018/analesps.33.2.236781.
Ezpeleta, L. (2004). Inventario del comportamiento de adultos de 60 a 90+ años. Universidad Autónoma de Barcelona, Unitat d’ Epidemiologia i Diagnòstic en Psicopatología del Desenvolupament.
Förster, F., Pabst, A., Stein, J., Röhr, S., Löbner, M., Heser, K.,… & Riedel-Heller, S.G. (2019). Are older men more vulnerable to depression than women after losing their spouse? Evidence from three German old-age cohorts (AgeDifferent.de platform). Journal of Affective Disorders, 256: 650-657. doi: 10.1016/j.jad.2019.06.047.
Gázquez-Linares, J.J., Pérez-Fuentes, M.C., Lucas-Acién, F., y Yuste-Rosell, N. (2008). Prevalencia de los trastornos mentales en la población mayor. Anales de Psicología, 24(2): 327-333. Recuperado de: https://revistas.um.es/analesps/article/view/42881.
Geulayov, G., Novikov, I., Dankner, D., & Dankner, R. (2018). Symptoms of depression and anxiety and 11-year all-cause mortality in men and women undergoing coronary artery bypass graft (CABG) surgery. Journal of Psychosomatic Research, 105: 106-114. doi: 10.1016/j.jpsychores.2017.11.017.
Gil, M., García-Campayo, J., y Roca, M. (2014). Crisis económica y salud mental. Informe SESPAS 2014. Gaceta Sanitaria, 28(1): 104-108. doi: 10.1016/j.gaceta.2014.02.005.
Hoang Lan, N., & Thi Thu Thuy, N. (2020). Depression among ethnic minority elderly in the Central Highlands, Vietnam. Health Psychology Open, 7(2). doi: https://doi.org/10.1177/2055102920967236.
Ivanova, M.Y., Achenbach, T.M., Leite, M., Almeida, V., Caldas, C., Turner, L., & Dumas, J.A. (2017). Empirically derived dimensional syndromes of self-reported psychopathology: Cross-cultural comparisons of Portuguese and US elders. International Journal of Geriatric Psychiatry, 33(5): 695-702. doi:10.1002/gps.4840.
Ivanova, M.Y., Achenbach, T.M., Rescorla, L.A., Turner, L.V., Dumas, J.A., Almeida, V.,… & Zasepa, E. (2020). The generalizability of Older Adult Self-Report (OASR) syndromes of psychopathology across 20 societies. International Journal of Geriatric Psychiatry, 35(5). doi:10.1002/gps.5268.
Kim, H., Cho, J., Isehunwa, O., Noh, J., Noh, Y., Oh, S.S., Koh, S.-B., & Kim, C. (2020). Marriage as a social tie in the relation of depressive symptoms attributable to air pollution exposure among the elderly. Journal of Affective Dissorders, 272: 125-131. doi: 10.1016/j.jad.2020.04.059.
Kronfly-Rubiano, E., Rivilla-Frias, D., Ortega-Abarca, I., Villanueva-Villanueva, M., Beltrán-Martínez, E., Comellas-Villalba, M.,… & Barranco-Oliver, L. (2015). Riesgo de depresión en personas de 75 años o más, valoración geriátrica integral y factores de vulnerabilidad asociados en Atención Primaria. Atención Primaria, 47(10): 616-625. doi: 10.1016/j.aprim.2014.09.012.
Lang, G., Resch, K., K.Hofer, K., Braddick, F., & Gabilondo, A. (2010). Background document for the Thematic Conference on Mental Health and Well-Being among Older. Luxembourg: European Communities, 2010.
Losada-Baltar, A., Márquez-González, M., Jiménez-Gonzalo, L., del Sequeros Pedroso-Chaparro, M., Gallego-Alberto, L., & Fernandes-Pires, J. (2020). Diferencias en función de la edad y la autopercepción del envejecimiento en ansiedad, tristeza, soledad y sintomatología comórbida ansioso-depresiva durante el confinamiento por la COVID-19. Revista Española de Geriatría y Gerontología, 55(5): 272-278. doi: 10.1016/j.regg.2020.05.005.
Mindt, M.R., Arentoft, A., Coulehan, K., Summers, A.C., Tureson, K., Aghvinian, M., y Byrd, D.A. Neuropsychological evalua-tion of culturally/linguistically diverse older adults. en: Ravdin, L., Katzen, H., eds. Handbook on the Neuropsychology of Aging and Dementia. Clinical Handbooks in Neuropsychology. Cham: Springer; 2019: 25-48.
Organización Mundial de la Salud. (2015). Informe Mundial sobre el Envejecimiento y la Salud. Organización Mundial de la Salud. Recuperado de: https://www.who.int/ageing/publications/world-report-2015/es/.
Pinazo-Hernandis, S. (2020). Impacto psicosocial de la COVID-19 en las personas mayores: problemas y retos. Revista Española de Geriatría y Gerontología, 55(5): 249-252. doi: 10.1016/j.regg.2020.05.006.
Ritchie, K., Artero, S., Beluche, I., Ancelin, M.L., Mann, A., Dupuy, A.M. & Boulenger, J.P. (2004). Prevalence of DSM-IV psychiatric disorder in the French elderly population. The British Journal of Psychiatry, 184(2): 147-152. doi: 10.1192/bjp.184.2.147.
Roheger, M., Eriksdotter, M., Westling, K., Kalbe, E., & Garcia-Ptacek, S. (2019). Basic Diagnostic Work-Up Is More Complete in Rural than in Urban Areas for Patients with Dementia: Results of a Swedish Dementia Registry Study. Journal of Alzheimer's Disease, 69(2): 455-462. doi: 10.3233/JAD-190017.
Sajjad, A., Freak-Poli, R.L., Hofman, A., Roza, S.J., Ikram, M.A., & Tiemeier, H. (2017). Subjective measures of health and all-cause mortality - The Rotterdam Study. Psychological Medicine, 47(11): 1971-1980. doi: 10.1017/S0033291717000381.
Sengupta, P., & Benjamin, AI. (2015). Prevalence of depression and associated risk factors among the elderly in urban and rural field practice areas of a tertiary care institution in Ludhiana. Indian Journal of Public Health, 59(1): 3-8. doi: 10.4103/0019-557X.152845.
Valdés M., González J.A., Abdulkadir M.S. (2017). Prevalencia de depresión y factores de riesgo asociados a deterioro cognitivo en adultos mayores. Revista Cubana de Medicina General Integral, 33(4). Recuperado de: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252017000400001&lng=es&tlng=es.
Wang, L., Liu, W., Liang, Y., & Wei, Y. (2019). Mental health and depressive feeling of empty-nest elderly people in China. American Journal of Health Behavior, 43(6): 1171-1185. doi: 10.5993/AJHB.43.6.14.
Yadav, U., Thapa, T.B., Mistry, S.K., Pokhrel, R., & Harris, M.F. (2020). Socio-demographic characteristics, lifestyle factors, multi-morbid conditions and depressive symptoms among Nepalese older adults. Psychiatry, 20: 261-270. doi: 10.21203/rs.3.rs-16333/v1.
Copyright (c) 2022 Servicio de Publicaciones, University of Murcia (Spain)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The works published in this journal are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) retains the property rights (copyright) of published works, and encourages and enables the reuse of the same under the license specified in paragraph 2.
© Servicio de Publicaciones, Universidad de Murcia, 2022
2. The works are published in the online edition of the journal under a Creative Commons Reconocimiento-CompartirIgual 4.0 (legal text). You can copy, use, distribute, transmit and publicly display, provided that: i) you cite the author and the original source of publication (journal, editorial and URL of the work), ii) are not used for commercial purposes, iii ) mentions the existence and specifications of this license.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
3. Conditions of self-archiving. Is allowed and encouraged the authors to disseminate electronically pre-print versions (version before being evaluated and sent to the journal) and / or post-print (version reviewed and accepted for publication) of their works before publication, as it encourages its earliest circulation and diffusion and thus a possible increase in its citation and scope between the academic community. RoMEO Color: Green.