Depressive symptoms in institutionalized older adults

Revista de Saúde Pública

Lívia Maria Santiago¹  Inês Echenique Mattos¹ 

关键词: Aged;    Depression;    epidemiology;    Homes for the Aged;    Risk Factors;    Cross-Sectional Studies;    Idoso;    Depressão;    epidemiologia;    Instituição de Longa Permanência para Idosos;    Fatores de Risco;    Estudos Transversais;   

DOI  :  10.1590/S0034-8910.2014048004965

来源: SciELO

【 摘 要 】

OBJECTIVE To estimate the prevalence of depressive symptoms among institutionalized elderly individuals and to analyze factors associated with this condition. METHODS This was a cross-sectional study involving 462 individuals aged 60 or older, residents in long stay institutions in four Brazilian municipalities. The dependent variable was assessed using the 15-item Geriatric Depression Scale. Poisson’s regression was used to evaluate associations with co-variables. We investigated which variables were most relevant in terms of presence of depressive symptoms within the studied context through factor analysis. RESULTS Prevalence of depressive symptoms was 48.7%. The variables associated with depressive symptoms were: regular/bad/very bad self-rated health; comorbidities; hospitalizations; and lack of friends in the institution. Five components accounted for 49.2% of total variance of the sample: functioning, social support, sensory deficiency, institutionalization and health conditions. In the factor analysis, functionality and social support were the components which explained a large part of observed variance. CONCLUSIONS A high prevalence of depressive symptoms, with significant variation in distribution, was observed. Such results emphasize the importance of health conditions and functioning for institutionalized older individuals developing depression. They also point to the importance of providing opportunities for interaction among institutionalized individuals.

【 授权许可】

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