Depressive symptoms and associated factors in elderly long-term care residents

Guimarães, Lara de Andrade; Brito, Thaís Alves; Pithon, Karla Rocha; Jesus, Cleber Souza de; Souto, Caroline Sampaio; Souza, Samara Jesus Nascimento; Santos, Thassyane Silva dos

doi:10.1590/1413-81232018249.30942017

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ARTICLE • Ciênc. saúde coletiva 24 (9) • Sept 2019 • https://doi.org/10.1590/1413-81232018249.30942017 copy

Depressive symptoms and associated factors in elderly long-term care residents

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective: To determine the prevalence and factors associated with depressive symptoms in institutionalized elderly. Methods: This is an epidemiological cross-sectional study with 42 elderly in a Long-Term Care Institution for the Elderly (LTCIE). Data was collected from April to December 2014 through a questionnaire with information on demographic and socioeconomic aspects, the Geriatric Depression Scale short version (GDS-15) and the Mini Mental State Examination (MMSE). Results: Of the elderly studied, 54.8% had depressive symptoms and were predominantly females (64.7%). There was a significant association between depressive symptoms and variables retired (p = 0.043); urinary incontinence (p = 0.028); self-perceived health (p-value = 0.042) and sleep quality (p-value = 0.000). Conclusion: The study found a high prevalence of depressive symptoms in institutionalized elderly, associated with the presence of urinary incontinence, (negative) self-perceived health, (poor) quality of sleep and retirement (yes). Following the study and in the face of the needs of this population, it is necessary to seek measures that act directly on the modifiable variables, preventing and treating them.

Key words
Ageing; Elderly; Depression; Institutionalization

Sociodemographic Variables	Total
Sociodemographic Variables	N	%
Age (years)
< 80 years	22	52.3
≥ 80 years	20	47.6
Gender
Women	18	42.9
Men	24	57.1
Marital status
Single	27	64.3
Widow /widower	12	28.6
Married	03	7.1
Skin color
Black	15	35.7
Brown	22	52.4
White	05	11.9
Knows how to read and write
Yes	19	45.2
No	23	54.8
Retired
Yes	36	85.7
No	06	14.2
Length of institutionalization
≤ 1 year	09	21.4
> 1 year	33	78.6

Variables	N	%
Depressivesymptoms (N:42)
Asymptomatic	19	45.2
With symptoms	23	54.8
Urinary incontinence (N:42)
No	28	66.7
Yes	14	33.3
Cognitive Status (N:42)
Not compromised	13	31.0
Compromised	29	69.0
Self-perceived health (N:39)
Positive	15	38.5
Negative	24	61.5
Sleep quality (N:41)
Good	21	51.2
Bad	20	48.8
Fall in the last year (N:41)
No	28	68.3
Yes	13	31.7

Variables	Depressive symptoms				p-value
	Asymptomatic		With symptoms
	N	%	N	%
Gender					0.286
Male	13	52.0	12	48.0
Female	6	35.3	11	64.7
Age					0.059
60 to 79 years	13	59.1	9	40.1
≥80 years	6	30.0	14	70.0
Marital Status					0.513
Married	2	66.7	1	33.3
Single	13	48.1	14	51.9
Widow/widower	4	33.3	8	66.7
Skin color					0.207
White	4	80	1	20
Brown	8	36.4	14	63.6
Black	7	46.7	8	53.3
Knows how to read and write					0.382
Yes	10	52.6	9	47.4
No	9	39.1	14	60.9
Retired					0.043
Yes	14	38.9	22	61.1
No	5	83.3	1	16.7

Variables	Depressive symptoms
	Asymptomatic		With symptoms
	N	%	N	%	p- value
Urinary incontinence					0.028
No	16	57.1	12	42.9
Yes	3	21.4	11	78.6
Cognitive Status					0.453
Not compromised	7	53.8	6	46.2
Compromised	12	41.4	17	58.6
Self-perceived health					0.042
Positive	10	66.6	5	33.3
Negative	8	33.3	16	66.6
Sleep quality					0.000
Good	15	71.4	6	28.6
Bad	3	15.0	17	85.0
Fall in the last year					0.843
No	12	42.9	16	57.1
Yes	6	46.2	7	53.8

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Collaborations

TA Brito, KR Pithon and LA Guimarães worked on the conception, research, methodology and final writing of the manuscript. CS Jesus worked on the analysis and final writing. CS Souto, SJN Souza and TS Santos contributed to data collection, data discussion and final writing.