Depressed older adults: an analysis of factors related to institutionalization and family support

Detalhes bibliográficos
Autor(a) principal: Saintrain, Maria Vieira de Lima
Data de Publicação: 2018
Outros Autores: Bandeira, Carina Barbosa, Nobre, Marina Arrais, Sandrin, Rafaela Lais Pesenti
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/8763
Resumo: Objective: To identify the prevalence of depression in older adults living in long-term care (LTC) facilities and its association with the reasons for institutionalization. Methods: Quantitative, cross-sectional study carried out in Fortaleza, Ceará, using a data collection instrument designed to perform clinical assessment of major depression, based on the Diagnostical and statistical manual of mental disorders (DSM-IV-TR) diagnostic criteria. It was also used to record secondary data obtained from the medical records of the older adult patients in order to complement information on the institutionalization context. Results: Of all older adults analyzed, 82 (34.6%) presented a diagnosis of major depression according to DSM-IV-TR criteria. As for the diagnosis of depression related to the LTC facility, there was a statistically significant difference between the two LTC facilities (p=0.042). With regard to the association between depression and institutionalization duration (p=0.001), it is important to highlight a higher percentage among older adults with up to three years of institutionalization (37.8% of the cases of depression), which suggests that a short period of separation from family and the process of adaptation to the new type of housing may constitute risk factors for the disease. Conclusion: The findings described above allude to the idea that institutionalization duration, lack of interpersonal relationships, loneliness and the fact that the older adults receive visits from family members in this period are risk factors for depression.
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spelling Depressed older adults: an analysis of factors related to institutionalization and family supportMayores con depresión: un análisis de los factores de la institucionalización y del apoyo familiarIdosos com depressão: uma análise dos fatores de institucionalização e apoio familiarDepressionAgedInstitutionalizationDepresiónAncianoInstitucionalizaciónDepressãoIdosoInstitucionalizaçãoObjective: To identify the prevalence of depression in older adults living in long-term care (LTC) facilities and its association with the reasons for institutionalization. Methods: Quantitative, cross-sectional study carried out in Fortaleza, Ceará, using a data collection instrument designed to perform clinical assessment of major depression, based on the Diagnostical and statistical manual of mental disorders (DSM-IV-TR) diagnostic criteria. It was also used to record secondary data obtained from the medical records of the older adult patients in order to complement information on the institutionalization context. Results: Of all older adults analyzed, 82 (34.6%) presented a diagnosis of major depression according to DSM-IV-TR criteria. As for the diagnosis of depression related to the LTC facility, there was a statistically significant difference between the two LTC facilities (p=0.042). With regard to the association between depression and institutionalization duration (p=0.001), it is important to highlight a higher percentage among older adults with up to three years of institutionalization (37.8% of the cases of depression), which suggests that a short period of separation from family and the process of adaptation to the new type of housing may constitute risk factors for the disease. Conclusion: The findings described above allude to the idea that institutionalization duration, lack of interpersonal relationships, loneliness and the fact that the older adults receive visits from family members in this period are risk factors for depression.Objetivo: Identificar la prevalencia de depresión de mayores que viven en instituciones de larga permanencia (ILP) y su relación con los motivos de la institucionalización. Métodos: Estudio cuantitativo y transversal realizado en Fortaleza, Ceará, que utilizó un instrumento para la recogida de datos que ha sido elaborado para realizar la evaluación clínica de la depresión mayor utilizando los criterios diagnósticos del Diagnostical and statistical manual of mental disorders (DSM-IV-TR). Ha servido también para registrar los datos secundarios de los historiales clínicos de los pacientes mayores para complementar las informaciones relativas al contexto de la institucionalización. Resultados: Del total de mayores investigados, 82 (34,6%) presentaron el diagnóstico de Depresión Mayor según los criterios del DSM-IV-TR. En el diagnóstico de depresión por ILP se verifica la significación estadística entre las dos ILP (p=0,042). En la asociación verificada entre la depresión y el tiempo de institucionalización (p=0,001) se puede destacar el mayor porcentual entre los mayores de hasta tres años de institucionalización (37,8% de los casos de depresión) considerándose que el poco tiempo de alejamiento familiar y el proceso de adaptación al nuevo tipo de vivienda pueden ser factores de riesgo para la enfermedad. Conclusión: Los hallazgos descritos indican la idea de que el tiempo de institucionalización, la carencia de las relaciones interpersonales, la soledad y el hecho del mayor recibir visitas de los familiares en ese periodo son factores de riesgo para la depresión.Objetivo: Identificar a prevalência de depressão de idosos residentes em instituições de longa permanência (ILPI) e sua relação com os motivos de institucionalização. Métodos: Estudo quantitativo e transversal realizado em Fortaleza, Ceará, que utilizou um instrumento de coleta de dados elaborado para realizar avaliação clínica concernente à depressão maior, utilizando os critérios diagnósticos do Diagnostical and statistical manual of mental disorders (DSM-IV-TR). Serviu também para registrar os dados secundários obtidos dos prontuários dos pacientes idosos no intuito de complementar as informações relativas ao contexto da institucionalização. Resultados: Do total de idosos pesquisados, 82 (34,6%) apresentaram diagnóstico de Depressão Maior segundo os critérios do DSM-IV-TR. No diagnóstico de depressão por ILPI, verifica-se significância estatística entre as duas ILPI (p=0,042). Na associação verificada entre depressão e tempo de institucionalização (p=0,001), é importante destacar o maior percentual entre os idosos com até três anos de institucionalização (37,8% dos casos de depressão), levando se a considerar que o pouco tempo de afastamento familiar e o processo de adaptação ao novo tipo de moradia possam constituir fatores de risco para a doença. Conclusão: Os achados acima descritos aludem à ideia de que o tempo de institucionalização, a carência das relações interpessoais, a solidão e o fato de o idoso receber visitas de familiares neste período constituem fatores de risco para a depressão.Universidade de Fortaleza2018-12-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/876310.5020/18061230.2018.8763Brazilian Journal in Health Promotion; Vol. 31 No. 4 (2018)Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 4 (2018)Revista Brasileira em Promoção da Saúde; v. 31 n. 4 (2018)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporhttps://ojs.unifor.br/RBPS/article/view/8763/pdfCopyright (c) 2018 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessSaintrain, Maria Vieira de LimaBandeira, Carina BarbosaNobre, Marina ArraisSandrin, Rafaela Lais Pesenti2022-02-16T12:40:49Zoai:ojs.ojs.unifor.br:article/8763Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:40:49Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Depressed older adults: an analysis of factors related to institutionalization and family support
Mayores con depresión: un análisis de los factores de la institucionalización y del apoyo familiar
Idosos com depressão: uma análise dos fatores de institucionalização e apoio familiar
title Depressed older adults: an analysis of factors related to institutionalization and family support
spellingShingle Depressed older adults: an analysis of factors related to institutionalization and family support
Saintrain, Maria Vieira de Lima
Depression
Aged
Institutionalization
Depresión
Anciano
Institucionalización
Depressão
Idoso
Institucionalização
title_short Depressed older adults: an analysis of factors related to institutionalization and family support
title_full Depressed older adults: an analysis of factors related to institutionalization and family support
title_fullStr Depressed older adults: an analysis of factors related to institutionalization and family support
title_full_unstemmed Depressed older adults: an analysis of factors related to institutionalization and family support
title_sort Depressed older adults: an analysis of factors related to institutionalization and family support
author Saintrain, Maria Vieira de Lima
author_facet Saintrain, Maria Vieira de Lima
Bandeira, Carina Barbosa
Nobre, Marina Arrais
Sandrin, Rafaela Lais Pesenti
author_role author
author2 Bandeira, Carina Barbosa
Nobre, Marina Arrais
Sandrin, Rafaela Lais Pesenti
author2_role author
author
author
dc.contributor.author.fl_str_mv Saintrain, Maria Vieira de Lima
Bandeira, Carina Barbosa
Nobre, Marina Arrais
Sandrin, Rafaela Lais Pesenti
dc.subject.por.fl_str_mv Depression
Aged
Institutionalization
Depresión
Anciano
Institucionalización
Depressão
Idoso
Institucionalização
topic Depression
Aged
Institutionalization
Depresión
Anciano
Institucionalización
Depressão
Idoso
Institucionalização
description Objective: To identify the prevalence of depression in older adults living in long-term care (LTC) facilities and its association with the reasons for institutionalization. Methods: Quantitative, cross-sectional study carried out in Fortaleza, Ceará, using a data collection instrument designed to perform clinical assessment of major depression, based on the Diagnostical and statistical manual of mental disorders (DSM-IV-TR) diagnostic criteria. It was also used to record secondary data obtained from the medical records of the older adult patients in order to complement information on the institutionalization context. Results: Of all older adults analyzed, 82 (34.6%) presented a diagnosis of major depression according to DSM-IV-TR criteria. As for the diagnosis of depression related to the LTC facility, there was a statistically significant difference between the two LTC facilities (p=0.042). With regard to the association between depression and institutionalization duration (p=0.001), it is important to highlight a higher percentage among older adults with up to three years of institutionalization (37.8% of the cases of depression), which suggests that a short period of separation from family and the process of adaptation to the new type of housing may constitute risk factors for the disease. Conclusion: The findings described above allude to the idea that institutionalization duration, lack of interpersonal relationships, loneliness and the fact that the older adults receive visits from family members in this period are risk factors for depression.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/8763
10.5020/18061230.2018.8763
url https://ojs.unifor.br/RBPS/article/view/8763
identifier_str_mv 10.5020/18061230.2018.8763
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/8763/pdf
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 31 No. 4 (2018)
Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 4 (2018)
Revista Brasileira em Promoção da Saúde; v. 31 n. 4 (2018)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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