Factors associated with depression in older adults over the age of 75 living in an urban area
Abstract
Introduction: Depression in older adults is a major health problem, and it is considered the most common psychiatric disorder among this population in developing countries. It is associated with suffering and increased prevalence and poor evolution of health problems. The aim of the present study was to determine the prevalence of depression and related factors in people over the age of 75 years in the city of Castellón de la Plana, Spain.
Methodology: This was an observational, cross-sectional, and analytical study in which a questionnaire was administered to a sample of 400 community-dwelling older adults over the age of 75 and who were selected using purposive sampling in 2015.
Results: the overall prevalence of depression symptoms was 30.5%, a percentage higher among women (40.1%). Older adults living alone presented more symptoms of depression, 26.6% compared with 16.1% (p = 0.011). Good self-perceived health was related to fewer depression symptoms. Non-frail individuals presented lower rates of depression symptoms (12.1%) than frail (30.8%), and pre-frail individuals (57%) p<0.05. Negative aspects in social relationships showed a lower mean score (0.003) in individuals without depression symptoms (p = 0.006).
Conclusions: There is a link between the presence of depression symptoms and gender, self-perceived health, living condition, and frailty.
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References
Dabove Caramuto MI, Prunotto Laborde A, Barnett V. Derecho de la ancianidad : perspectiva interdisciplinaria. Editorial Juris; 2006. 324 p.
Grupo de trabajo de la Guía de Práctica Clínica sobre el Manejo de la Depresión en el Adulto. Guía de Práctica Clínica sobre el Manejo de la Depresión en el Adulto. Servicios Sociales e Igualdad. Agencia de Evaluación de Tecnologías Sanitarias de Galicia; 2014. p. 264.
National Collaborating Centre for Mental Health. Depression: The Treatment and Management of Depression in Adults (Updated Edition). British Psychological Society. 2010.
Toro R, Vargas J, Murcia S, Galtán N, Umbarlla D, Sarmlento K. Depresión mayor en la adultez tardía: Factores causales y orientaciones para el tratamiento. Rev Vanguard Psicológica Clínica Teórica y Práctica-. 2014;4(2):147–53.
Radloff L. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.
Eaton W, Muntaner C, Smith C. Revision of the Center for Epidemilogic Studies Depression (CES-D) Scale Baltimore: Johns Hopkins University. Prev Cent. 1998.
Zavala G, Núñez L, Chavarría R, Ochoa L, Suazo N, Morales R, et al. Depresión en adultos de 60 a 75 años en San Lorenzo, Valle, Marzo2011. Rev Fac Cienc Méd. 2011;8(2):9–22.
Harris Y, Cooper J. Depressive symptoms in older people predict nursing home admission. J Am Geriatr. 2006;54(4):593–7.
Copeland JRM, Beekman ATF, Braam AW, Dewey ME, Delespaul P, Fuhrer R, et al. Depression among older people in Europe: the EURODEP studies. World psychiatry. World Psychiatric Association; 2004 Feb;3(1):45–9.
Sarró-Maluquer M, Ferrer-Feliu A, Rando-Matos Y, Formiga F, Rojas-Farreras S. Depresión en ancianos: prevalencia y factores asociados. Semer - Med Fam [Internet]. Elsevier; 2013 Oct [cited 2017 Sep 11];39(7):354–60. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1138359313000178
Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol [Internet]. NIH Public Access; 2009 [cited 2018 Jan 11];5:363–89. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19327033
Alvarado Garcia A, Salazar Maya A. Análisis del concepto de envejecimiento. Gerokomos. 2014;25(6):57–62.
Jürschik P, Nunin C, Botigué T, Escobar M, Lavedán A, Viladrosa M. Prevalence of frailty and factors associated with frailty in the elderly population of Lleida, Spain: the FRALLE survey. Arch Gerontol Geriatr. 2012;55(3):625–31.
Fried L, Tangen C, Walston J, Newman A, Hirsch C, Gottdiener J, et al. Frailty in older adults evidence for a phenotype. Journals Gerontol Ser A Biol Sci Med Sci. 2001;56(3):M146–57.
Berkman L, Glass T. Social integration, social networks, social support and health. In: Social epidemiology New Yor. 2000. p. 137–73.
Rodríguez Laso A. El efecto de las relaciones sociales sobre la mortalidad en las personas mayores: el estudio envejecer en Leganés’'. Universidad Autónoma de Madrid; 2004.
DeMaio TJ. Refusals: Who, Where and Why. Public Opin Q. Oxford University Press; 1980 Jan 1;44(2):223.
Escobar Bravo MÁ, Botigué Satorra T, Jürschik Giménez P, Nuin Orrio C, Blanco Blanco J. Sintomatología depresiva en ancianos. La influencia del género. Rev Esp Geriatr Gerontol. 2013 Mar;48(2):59–64.
Sánchez-García S, Juárez-Cedillo T, Gallegos-Carrillo K, Gallo JJ, Wagner FA, García-Peña C. Frecuencia de los síntomas depresivos entre adultos mayores de la Ciudad de México. Salud Ment. 2012;35(1):71–7.
Estrada Restrepo A, Cardona Arango D, Segura Cardona AM, Ordóñez Molina J, Osorio Gómez, Jorge Julián Chavarriaga Maya LM. Sintomas depresivos en adultos mayores institucionalizados y factores asociados. Univ Psychol. Pontificia Universidad Javeriana; 2013;12(1):81–94.
Garcia-Solano F. Midiendo la prevalencia de la depresión. Rev Esp Geriatr Gerontol. 2001En;36(3):127-130.
Li N, Chen G, Zeng P, Pang J, Gong H, Han Y, et al. Prevalence of depression and its associated factors among Chinese elderly people: A comparison study between community-based population and hospitalized population. Psychiatry Res. 2016 Sep 30;243:87–91.
Urbina Torija JR, Flores Mayor JM, García Salazar MP, Torres Buisán L, Torrubias Fernández RM. Síntomas depresivos en personas mayores. Prevalencia y factores asociados. Gac Sanit. Ediciones Doyma; 2007;21(1):37–42.
Ferlander S, Stickley A, Kislytsyna O, Jukkala T, Carlso P, Mäkinen I. Capital social ¿ Una bendición mixta para las mujeres? un estudio transversal de las diferentes formas de las relaciones sociales y la auto-evaluacion de la depresion en Moscú. BMC psiyhol. 2016;4(37):1–23.
Zavala-González M, Domínguez-Sosa G. Depresión y percepción de la funcionalidad familiar en adultos mayores urbanos mexicanos. Psicogeriatría. 2010;2(1):41–8.
Ferreira PC dos S, Tavares DM dos S. Prevalência e fatores associados ao indicativo de depressão entre idosos residentes na zona rural. Rev da Esc Enferm da USP. 2013 Apr;47(2):401–7.
Acosta Quiroz CO, Garcias Flores R. Ansiedad y depresión en adultos mayores. Psicol y salud. 2007;17(2):291–300.
Kronfly Rubiano E, Rivilla Frias D, Ortega Abarca I, Villanueva Villanueva M, Beltrán Martínez E, Comellas Villalba M, et al. Riesgo de depresión en personas de 75 años o más, valoración geriátrica integral y factores de vulnerabilidad asociados en Atención Primaria. Atención Primaria. 2015 Dec;47(10):616–25.
Diaz de León E, Tamez H, Gutiérez H, Cedillo J, Torres G. Fragilidad y su asociación con mortalidad, hospitalizaciones y dependencia funcional en mexicanos de 60 años o más. Med Clin (Barc). Elsevier Doyma; 2012 Apr 28;138(11):468–74.
Carlos-Gil AM, Martínez-Pecino F, Molina-Linde JM, Villegas-Portero R, Romero-Tabares A, Aguilar-García J, et al. Predictores de fragilidad en el anciano. Rev multidiscip gerontol. 2011;21(2):67–73.
Sousa Pegorar M, dos Santos Tavares D. factores asociados al sindrome de fragilidad en ancianos residentes en area urbana. Rev Latino-Am Enferm. 2014;22(5):874–82.
Marroquin B, Nolen-Hoksema S. Regulación emocional y síntomas depresivos: relaciones cercanas y contexto social. JPers Soc Psychol. 2015;109(5):836–55.
Soysal P, Veronese N, Thompson T, Kahl KG, Fernandes BS, Prina AM, et al. Relationship between depression and frailty in older adults: A systematic review and meta-analysis. Ageing Res Rev. 2017 Jul;36:78–87.
Lino VTS, Portela MC, Camacho LAB, Atie S, Lima MJB. Assessment of Social Support and Its Association to Depression, Self-Perceived Health and Chronic Diseases in Elderly Individuals Residing in an Area of Poverty and Social Vulnerability in Rio de Janeiro City, Brazil. LoGerfo J, editor. PLoS One. 2013 Aug 12;8(8):e71712.
Ferlander S, Stickley A, Kislitsyna O, Jukkala T, Carlson P, Mäkinen IH. Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow. BMC Psychol. 2016 Dec 22;4(1):37.
Marroquín B, Nolen-Hoeksema S. Emotion regulation and depressive symptoms: Close relationships as social context and influence. J Pers Soc Psychol. 2015 Nov;109(5):836–55.
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