Associação da depressão na qualidade de vida de idosos

• Autor(a) principal: Burmeister, Simone Bracht
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/2725
• topic: MEDICINA; GERONTOLOGIA; IDOSOS; DEPRESSÃO; QUALIDADE DE VIDA; ENVELHECIMENTO; CNPQ::CIENCIAS DA SAUDE::MEDICINA

The purpose of the health care provided to the elderly should be not only the cure of diseases, but also the improvement and preservation of their quality of life (QOL). For this reason, the interest in the association of diseases and QOL has been growing. Of all diseases, depression, the most prevalent psychiatric disorder among the elderly, has a direct effect on activities of daily living and QOL. Some psychosocial factors often assessed using QOL scales, such as bereavement, disabling physical diseases and loneliness, have been described as risk factors for depression among the elderly. This study identified which QOL dimensions were more severely affected by depression in a group of elderly individuals with major or minor depression, compared with a group without depression. This prospective cross-sectional study enrolled 468 elderly individuals (60 years or older) seen in the Family Health Strategy units of Porto Alegre, Brazil. Participants were randomly selected from the groups of individuals followed up by the 27 teams of the Family Health Strategy using number drafts stratified by Health Management Districts in Porto Alegre. Psychiatrists in the healthcare teams made the diagnoses of depression using the Brazilian version of the Mini International Neuropsychiatric Interview Plus 5.0.0. Quality of life was evaluated using the validated Brazilian version of the Flanagan Quality of Life Scale. Community health agents collected sociodemographic data using a questionnaire in Portuguese about the general health of the elderly. The analysis of results revealed that, of the total sample, 12% had major depression and 4%, minor depression, whereas 84% did not have depression. Women (20.86%) had depression more often than men (7.6%). Among women, all the dimensions of quality of life were affected by depression. In the group of men, the dimensions of social, community and civic activities and of recreation were not significantly different between individuals with and without depression. For both men and women, a positive perception of quality of life was more frequent among those without depression