Depressed older adults: an analysis of factors related to institutionalization and family support
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
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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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 |
|
_version_ |
1808844184858132480 |