Indicative of depressive symptoms among older people: a longitudinal study

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Lara Lacerda Soares Santos
Nayara Gomes Nunes Oliveira
Gianna Fiori Marchiori
Darlene Mara dos Santos Tavares

Abstract

Introduction: Depressive symptoms can affect the quality of life of older people. Therefore, changes in this condition must be monitored. Objective: To analyze the prevalence of changes in the indicative of depressive symptoms among older people and their associated factors. Methods: Longitudinal study was carried out for two years with 387 older people from a municipality in Triângulo Mineiro, Brazil. Data were collected at home using Mini-Mental State Examination; a structured questionnaire prepared by the Collective Health Research Group; Lawton and Brody scale; and a short Geriatric Depression Scale. Descriptive analysis and multinomial logistic regression were performed (p<0.05). Results: After the two-year follow-up, there was a decrease in the prevalence of older people with indicative depressive symptoms (24.3%). In addition, 20.2% of the older people have no indication of depressive symptoms; 63.0% maintained their initial condition and 16.8% were new cases. Positive self-rated health (p=0.003), functional independence for instrumental activities of daily living (p=0.025), and the lower number of morbidities (p=0.002) were predictors of improvement in indicative of depressive symptoms; while the increase in the number of morbidities (p=0.002) was a predictor for the presence of this condition. Conclusion: The occurrence of indicative depressive symptoms among older people decreased during the follow-up and the improvement of this condition was associated with positive self-rated health, functional independence for instrumental activities of daily living, and with a lower number of morbidities. Such factors should be considered when planning health actions aimed at preventing depressive symptoms in older people.

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Santos, L. L. S., Oliveira, N. G. N., Marchiori, G. F., & Tavares, D. M. dos S. (2022). Indicative of depressive symptoms among older people: a longitudinal study. ABCS Health Sciences, 48, e023203. https://doi.org/10.7322/abcshs.2021028.1755
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Original Articles

References

World Health Organization. World report on ageing and health. Available from: https://www.who.int/ageing/events/world-report-2015-launch/en/

Meneguci J, Virtuoso Junior JS. Sintomatologia depressiva em idosos residentes na comunidade: prevalência e associação com a atividade física e o comportamento sedentário. [dissertation]. [Uberaba] - Universidade Federal do Triângulo Mineiro; 2018.

Mendes-Chiloff CL, Lima MCP, Torres AR, Santos JLF, Duarte YO, Lebrão ML, et al. Depressive symptoms among the older people in São Paulo city, Brazil: prevalence and associated factors (SABE Study). Rev Bras Epidemiol. 2018;21(Supl 2):E180014. http://dx.doi.org/10.1590/1980549720180014.supl.2

Turuba R, Pirkle C, Bélanger E, Ylli A, Montes FG, Vafaei A. Assessing the relationship between multimorbidity and depression in older men and women: the International Mobility in Aging Study (IMIAS). Aging Ment Health. 2019;24(5):747-57. https://doi.org/10.1080/13607863.2019.1571018

Sousa KA, Freitas FFQ, Castro AP, Oliveira CDB, Almeida AAB, Sousa KA. Prevalence of depression symptoms in older people people assisted by the family health strategy. Rev Min Enferm. 2017;21(1):e1018. http://dx.doi.org/10.5935/1415-2762.20170028

Gullich I, Duro SMS, Cesar JA. Depression among the older people: a population-based study in Southern Brazil. Rev Bras Epidemiol. 2016;19(4):691-701. http://dx.doi.org/10.1590/1980-5497201600040001

Ravindra NR, Rashmi MR, Maheswaran R. Risk factors for depression among older people in Bangalore urban district: a case control study. J Comm Med Public Health. 2017;4(8):2696-2700. http://dx.doi.org/10.18203/2394-6040.ijcmph20173312

Honjo K, Tani Y, Saito M, Sasaki Y, Kondo K, Kawachi I, et al. Living Alone or With Others and Depressive Symptoms, and Effect Modification by Residential Social Cohesion Among Older Adults in Japan: The JAGES Longitudinal Study. J Epidemiol. 2018;28(7):315-22. http://dx.doi.org/10.2188/jea.JE20170065

Lampert CDT, Ferreira VRT. Factors Associated with Depressive Symptomatology in the Older people. Aval Psicol. 2018;17(2):205-12. http://dx.doi.org/10.15689/ap.2018.1702.14022.06

Silva LGC, Oliveira FS, Martins ÍS, Martins FES, Garcia TFM, Sousa ACPA. Evaluation of the functionality and mobility of community-dwelling older adults in primary health care. Rev Bras Geriatr Gerontol. 2019;22(5):e190086. https://doi.org/10.1590/1981-22562019022.190086

Cordeiro RC, Santos RC, Araújo GKN, Nascimento NM, Souto RQ, Ceballos AGC, et al. Mental health profile of the older people community: a cross-sectional study. Rev Bras Enferm. 2020;73(1):e20180191. https://doi.org/10.1590/0034-7167-2018-0191

Oliveira DV, Pivetta NRS, Oliveira GVN, Silva DA, Nascimento Júnior JRA, Cavaglieri CR. Factors influencing depression markers in older people primary healthcare center patients in Maringá, Paraná, Brazil, 2017. Epidemiol Serv Saude. 2019;28(3):e2018043. https://doi.org/10.5123/s1679-49742019000300010

Hajjar R, Nardelli GG, Gaudenci EM, Santos AS. Depressive symptoms and associated factors in older people people in the Primary Health Care. Rev Rene. 2017;18(6):727-33. https://doi.org/10.15253/2175-6783.2017000600004

Araújo GKN, Sousa RCR, Souto RQ, Silva Junior EGS, Eulálio MC, Alves FAP, et al. Functional capacity and depression in older people. J Nurs UFPE. 2017;11(10):3778-86. https://doi.org/10.5205/reuol.12834-30982-1-SM.1110201711

Flores AS, Alvarenga MM. Depression and cognitive deficit evaluation in older people assisted by the family health strategy. J Nurs UFPE. 2016;10(8):2915-22. https://doi.org/10.5205/reuol.9373-82134-1-RV1008201617

Akosile CO, Mgbeojedo UG, Maruf FA, Okoye EC, Umeonwuka IC, Ogunniyi A. Depression, functional disability and quality of life among Nigerian older adults: Prevalences and relationships. Arch Gerontol Geriatr. 2018;74:39-43. https://doi.org/10.1016/j.archger.2017.08.011

Zhang Y, Liu Z, Zhang L, Zhu P, Wang X, Huang Y. Association of living arrangements with depressive symptoms among older adults in China: a cross-sectional study. BMC Public Health. 2019;19(1):1017. https://doi.org/10.1186/s12889-019-7350-8

Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq Neuro-Psiquiatr. 1994;52(1):1-7. https://doi.org/10.1590/S0004-282X1994000100001

Lawton MP, Brody EM. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living. Gerontologist. 1969;9(3 Part 1):179-86. https://doi.org/10.1093/geront/9.3_Part_1.179

Almeida OP, Almeida SA. Confiabilidade da versão Brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arq Neuro-Psiquiatr. 2019;57(2B):421-6. https://doi.org/10.1590/S0004-282X1999000300013

Hellwig N, Munhoz TN, Tomasi E. Depressive symptoms among the older people: a cross-sectional population-based study. Cienc Saude Coletiva. 2016;21(11):3575-84. https://doi.org/10.1590/1413-812320152111.19552015

Sales MVG, Fernandes Neto JA, Catão MHCV. Condições de saúde bucal do idoso no Brasil: uma revisão de literatura. Arch Health Invest. 2016;6(3):120-4. https://doi.org/10.21270/archi.v6i3.1918

Kuehner C. Why is depression more common among women than among men? Lancet Psychiatry. 2017;4(2):146-58. https://doi.org/10.1016/S2215-0366(16)30263-2

Knight L, Hester M. Domestic violence and mental health in older adults. Int Rev Psychiatry. 2016;28(5):464-74. https://doi.org/10.1080/09540261.2016.1215294

Stahl ST, Beach SR, Musa D, Schulz R. Living alone and depression: the modifying role of the perceived neighborhood environment. Aging Mental Health. 2016;21(10):1065-71. https://doi.org/10.1080/13607863.2016.1191060

Rabelo DF, Neri AL. Evaluation of Family Relationships by Aged People with Different Health and Sociodemographic Conditions. Psico-USF. 2016;21(3):663-75. https://doi.org/10.1590/1413-82712016210318

Brasil. Instituto Brasileiro de Geografia e Estatística (IBGE). Síntese de Indicadores Sociais: uma análise das condições de vida da população brasileira. IBGE, 2016.

Fernandes DS, Gonçalves LHT, Ferreira AMR, Santos MIPO. Functional capacity assessment of long-lived older adults from Amazonas. Rev Bras Enferm. 2019;72(Supl. 2):49-55. https://doi.org/10.1590/0034-7167-2017-0798

Singer L, Green M, Rowe F, Ben-Shlomo Y, Morrissey K. Social determinants of multimorbidity and multiple functional limitations among the ageing population of England, 2002–2015. SSM Populat Health. 2019;8:e100413. https://doi.org/10.1016/j.ssmph.2019.100413

Ribeiro EG, Matozinhos FP, Guimarães GL, Couto AM, Azevedo RS, Mendoza IYQ. Self-perceived health and clinical-functional vulnerability of the older people in Belo Horizonte/Minas Gerais. Rev Bras Enfermagem. 2018;71(Suppl. 2):860-7. https://doi.org/10.1590/0034-7167-2017-0135

Santos EC, Couto BM, Bastone AC. Factors associated with negative self-assessment of health in older people enrolled in Primary Care Units. ABCS Health Sci. 2018;43(1):47-54. https://doi.org/10.7322/abcshs.v43i1.999

Amaral TLM, Amaral CA, Lima NS, Herculano PV, Prado PR, Monteiro GTR. Multimorbidity, depression and quality of life among older people people assisted in the Family Health Strategy in Senador Guiomard, Acre, Brazil. Cienc Saude Coletiva. 2018;23(9):3077-84. https://doi.org/10.1590/141381232018239.22532016

Read JR, Sharpe L, Modini M, Dear BF. Multimorbidity and depression: A systematic review and meta-analysis. J Affect Disord. 2017;221:36-46. https://doi.org/10.1016/j.jad.2017.06.009

Aguiar BM, Silva PO, Vieira MA, Costa FM, Carneiro JA. Evaluation of functional disability and associated factors in the older people. Rev Bras Geriatr Gerontol. 2019;22(2):e180163. https://doi.org/10.1590/1981-22562019022.180163

Löfqvist C, Tomsone S, Iwarsson S, Horstmann V, Haak M. Changes in Home and Health over Nine Years among very Old People in Latvia – Results from the ENABLE-AGE Project. J Cros Cult Gerontol. 2016;32(1):17-29. https://doi.org/10.1007/s10823-016-9311-3

Moura SG, Ferreira Filha MO, Moreira MASP, Simpson CA, Tura LFR, Silva AO. Social representations of integrative community therapy by the older people. Rev Gaucha Enferm. 2017;38(2):e55067. https://doi.org/10.1590/1983-1447.2017.02.55067

Penha AAG, Barreto JAP, Santos RL, Rocha RP, Morais HCC, Viana MCA. Health promotion technologies in older people people with chronic diseases in primary health care. Rev Enferm UFSM. 2015;5(3):406-14. https://doi.org/10.5902/2179769217160

Fontes AP, Neri AL. Coping strategies as indicators of resilience in older people subjects: a methodological study. Cienc Saude Coletiva. 2019;24(4):1265-76. https://doi.org/10.1590/1413-81232018244.05502017

Garcia CAMS, Moretto MC, Guariento ME. Association between self-perceived health, nutritional status and quality of life of elderlies. Rev Cienc Med. 2018;27(1):11-22. https://doi.org/10.24220/23 18-0897v27n1a3959

Belmonte JMMM, Pivetta NRS, Batistoni SST, Neri AL, Borim FSA. The association between self-rated health and functional capacity indicators. Geriatr Gerontol Aging. 2017;11(2):61-7. https://doi.org/10.5327/Z2447-211520171700021