Prevalence of depressive symptoms and factors associated in the elderly of the city of Pelotas-RS
DOI:
https://doi.org/10.15448/2357-9641.2019.2.33568Keywords:
Depression, Health of the elderly, Quality of life.Abstract
AIM: The aim of this study was to evaluate the prevalence of depressive symptoms and factors associated in the elderly of the city of Pelotas, southern Brazil. METHODS: In this cross-sectional study, the variables of interest were investigated with instruments about the socio-economic profile, aspects of physical and professional activities, eating and sleeping habits. RESULTS: 312 elderly people were interviewed, with a prevalence of depressive symptoms of 30.5%. A higher prevalence of depressive symptoms were found in women, individuals older than 81 years, from the low class, living alone, physically inactive, and retired. In the adjusted analysis, the non-practice of physical activity, low sleep quality, and daily sleeping medication were statistically associated with the outcome. In contradiction to the literature, our results refute the well-established gender roles that preconize that males are more affected by physical impairment, while the females are more affected by psychological and psychiatric disorders. CONCLUSIONS: In conclusion, it is important to identify the prevalence of depressive symptoms in a population commonly affected by other diseases. In addition, characteristics associated with depression were detected, which can help prevent or improve depression in this age group.
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Aarts N, Zuurbier L, Noordam R, Hofman A, Tiemeier H, Stricker BH, Visser LE. Use of Selective Serotonin Reuptake Inhibitors and Sleep Quality: A Population-Based Study. J Clin Sleep Med. 2016;12(7):989-995.
ABEP - Associação Brasileira de Empresas de Pesquisa, 2016. http://www.abep.org/criterio-brasil. Acesso em: 11 novembro 2016 às 21h e 56 min.
Almeida OP, Almeida SA. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arq Neuro-Psiquiatr. 1999;57(2B):421-426.
Ancoli-Israel S. Sleep problems in older adults: Putting myths to bed. Geriatrics. 1997;52(1):20–30.
Barcelos-Ferreira R, Izbicki R, Steffens DC, Bottino CMC. Depressive morbidity and gender in community-dwelling Brazilian elderly: systematic review and meta-analysis. Int Psychogeriatr. 2010;22(5):712-726.
Becker NB, Jesus SN, João KADR, Viseu JN, Martins RIS. Depression and sleep quality in older adults: a meta-analysis. Psychology, Health & Medicine. 2016;22(8)889-895.
Blackwell T, Yaffe K, Ancoli-Israel S, Schneider JL, Cauley JA, Hillier TA, et al. Poor sleep is associated with impaired cognitive function in older women: the study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci. 2006;61(4):405-410.
Campos ACV, Cordeiro EC, Rezende GP, Vargas AMD, Ferreira EF. Qualidade de Vida de idosos praticantes de atividade física no contexto da estratégia saúde da família. Texto Contexto Enfermagem. 2014;23(4):889-97.
D’Avila OP, Wendland E, Hilgert JB, Padilha DMP, Hugo FN. Association between Root Caries and Depressive Symptoms among Elders in Carlos Barbosa, RS, Brazil. Braz Dent J. 2017;28(2):234-240.
Dunn AL, Trivedi MH, O`Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sports Exerc. 2001;33(6):587-597.
Gazalle FK, Lima MS, Tavares BF, Hallal PC. Sintomas depressivos e fatores associados em população idosa no Sul do Brasil. Revista de Saúde Pública. 2004;38(3): 365-371.
Gnanavel S, Robert RS. Diagnostic and statistical manual of mental disorders, fifth edition, and the impact of events scale-revised. Chest. 2013;144(6):1974.
Gonzalez ACT, Ignácio ZM, Jornada LK, Réus GZ, Abelaira HM, Santos MAB, et al. Transtornos depressivos e algumas comorbidades em idosos: um estudo de base populacional. Rev Bras Geriatra Gerontol. 2016;19(1):95-103.
Guimarães JMN, Caldas CP. The influence of exercise on depressive disorders of the elderly: a systematic review. Rev bras epidemiol. 2006;9(4):481-492.
Hellwig N, Munhoz TN, Tomasi E. Depressive symptoms among the elderly: a cross-sectional population-based study. Ciência & Saúde Coletiva. 2016;21(11):3575-3584. doi: 10.1590/1413-812320152111.19552015
Jager J, Putnick DL, Bornstein MH. More than Just Convenient: The Scientific Merits of Homogeneous Convenience Samples. Monogr Soc Res Child Dev. 2017;82(2):13-30.
Kripke DF. Chronic hypnotic use: deadly risks, doubtful benefit. Sleep Med Rev. 2000;4(1):5–20.
Lucchesi LM, Pradella-Hallinan M, Lucchesi M, Moraes WAS. Sleep in psychiatric disorders. Rev Bras Psiquiatr. 2005;27(1):27-32.
McNeil JK, LeBlanc EM, Joyner M. The effect of exercise on depressive symptoms in the moderately depressed elderly. Psychol Aging. 1991;6(3):487-488.
McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016;17(3):567-80.
Morgan, K. Daytime activity and risk factors for late-life insomnia. J Sleep Res. 2003;12(3):231–238.
Mura G, Carta MG. Physical Activity in Depressed Elderly. A Systematic Review. Clin Pract Epidemiol Ment Health. 2013;12(9):125-135.
Ohida T, Kamal AM, Uchiyama M, Kim K, Takemura S, Sone T, et al. The influence of lifestyle and health status factors on sleep loss among the Japanese general population. Sleep. 2001;24(3):333–338.
Oliveira AC, Oliveira NMD, Arantes PMM, Alencar MA. Quality of life in elderly people who practice physical activity - A systematic review. Rev bras geriatr gerontol. 2010;13(2):301-312.
Paradela EMP, Lourenco RA, Veras RP. Validação da escala de depressão geriátrica em um ambulatório geral. Rev. Saúde Pública. 2005;39(6):918-923.
Paradela EMP. Depressão em idosos. Rev Hosp Univ Pedro Ernesto. 2011;10(2):31-40.
Price SD, Holman CD, Sanfilippo FM, Emery JD. Impact of specific Beers Criteria medications on associations between drug exposure and unplanned hospitalisation in elderly patients taking high-risk drugs: a case-time-control study in Western Australia. Drugs Aging. 2014;31(4):311-325.
Ramos GCF, Carneiro JA, Barbosa ATF, Mendonça JMG, Caldeira AP. Prevalence of depressive symptoms and associated factors among elderly in northern Minas Gerais: a population-based study. J Bras Psiquiatr. 2015;64(2):122-131.
Salmon P. Effects of physical exercise on anxiety, depression, and sensitivity to stress: a unifying theory. Clin Psychol Rev. 2001;21(1):33-61.
Schuch FB, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. J Psychiatr Res. 2016;77:42-51.
Sharar E, Sharar DJ. Causal diagrams and the cross-sectional study. Clin Epidemiol. 2013;5:57-65.
Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 19865(1-2):165-173.
Sierra JC, Jiménez-Navarro C, Martín-Ortiz J. Calidad del sueño en estudiantes universitarios: importancia de la higiene del sueño. Salud Mental. 2002;25(6):35-43.
Street G, James R, Cutt H. The relationship between organised physical recreation and mental health. Health Promot J Austr. 2007;18(3):236–239.
Sutoo D, Akiyama K. Regulation of brain function by exercise. Neurobiol Dis. 2003;13(1):1–14.
Téllez A, Juárez-García DM, Jaime-Bernal L, García-Cadena C. Prevalencia de transtornos de sueño en relación a factores sociodemográficos y depresión en adultos mayores de Monterrey, México. Revista Colombiana de Psicologia. 2016;25(1):95-106.
Turkmen K, Erdur FM, Guney I, Gaipov A, Turgut F, Altintepe L, Saglam M, Tonbul HZ, Abdel-Rahman EM. Sleep quality, depression, and quality of life in elderly hemodialysis patients. International Journal of Nephrology and Renovascular Disease. 2012;(5):135–142.
Van de Velde S, Bracke P, Levecque K. Gender differences in depression in 23 European countries. Cross-national variation in the gender gap in depression. Soc Sci Med. 2010;71(2):305-313.
Weissman MM, Klerman GL. Sex diferences and the epidemiology of depression. Arch Gen Psychiatry. 1977;34(1):98-111.
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