Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 4 of 4
Clinical and sociodemographic factors in a sample of older subjects experiencing depressive symptoms
- Authors:
- BARCELOS-FERREIRA Ricardo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(9), September 2012, pp.923-930.
- Publisher:
- Wiley
Clinically significant depressive symptoms (CSDS) decrease quality of life and are associated with excess morbidity and mortality in older adults. The aim of this study was to determine the frequency of CSDS in a community sample of older Brazilians and to examine their relationship with sociodemographic factors, cognitive and functional impairment (CFI), and medical illness. The participants were 1145 individuals aged 60 years or older living in the City of Ribeirao Preto, Brazil. The participants completed the following instruments: a 10-item scale for screening of depressive symptoms in older people, the mini mental state examination, the Fuld Object Memory Evaluation, the Informant Questionnaire on Cognitive Decline in the Elderly, the Bayer Activities of Daily Living Scale, and a sociodemographic and clinical questionnaire. The findings showed that the prevalence of CSDS in this community-based sample was 15.7%. Logistic regression analysis indicated that being previously depressed, having CFI, having lower level of education, using psychotropics, and not engaging in physical exercise were related to CSDS. On the other hand, being a woman, older, medically ill, employed, or married was not associated with CSDS.
Mortality from dementia in a community-dwelling Brazilian population
- Authors:
- NITRINI Ricardo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(3), March 2005, pp.247-253.
- Publisher:
- Wiley
The influence of dementia on mortality has not yet been reported for a Latin American country. The aim was to evaluate the influence of dementia on mortality of a community-dwelling elderly population in Brazil, and to verify the extent to which the diagnosis of dementia is reported on death certificates. A cohort of 1,656 individuals, aged 65 and over, was screened for dementia at their domiciles, in 1997. The same population was re-evaluated in 2000, and information on deaths was obtained from relatives and from the municipal obituary service. Kaplan-Meier curves were used for the survival analysis, and the mortality risk ratio (MMR) was calculated using Cox proportional hazards models. We obtained data from 1,393 subjects, corresponding to 84.1% of the target population. The number of deaths was 58 (51.3%) among the patients with dementia and 163 (12.7%) among those without dementia in 1997 (p < 0.0001). Dementia and Alzheimer's disease (AD) decreased survival, with hazards ratios of 5.16 [95% Confidence Interval (CI): 3.74-7.12] for dementia and 4.76 (95% CI: 3.16-7.18) for AD. The Cox proportional hazards model identified dementia (MMR = 3.92, 95% CI: 2.80-5.48) as the most significant predictor of death, followed by age, history of stroke, complaints of visual impairment and heart failure and by severe arterial hypertension in the baseline evaluation. Dementia and/or AD were mentioned in only 12.5% of the death certificates of individuals with dementia. Dementia causes a significant decrease in survival, and the diagnosis of dementia is rarely reported on death certificates in Brazil.
Co-occurrence of chronic physical pain and psychiatric morbidity in a community sample of older people
- Authors:
- BLAY Sergio Luis, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(9), September 2007, pp.903-908.
- Publisher:
- Wiley
Knowledge about co-occurrence of the most frequent chronic pain symptoms with psychiatric morbidity in older people is very limited. The aim was to study the association of psychiatric morbidity and painful physical conditions in people aged 60 years and over. Population-based random sample of 7,040 household residents, aged 60 years and over, in Brazil. The overall prevalence of pain conditions is 76%. Age-sex specific prevalence of chronic pain conditions such as back pain, joint, abdominal, chest, headaches, reported by respondents ranged from 11.6% up to 51.1%. In logistic regression models, chest pain, head pain, back pain, joint pain and abdominal pain emerged as predictors of psychiatric morbidity. The odds of psychiatric morbidity are also affected by income, ethnicity, origin (urban/rural), and marital status. The association of chronic painful conditions and psychiatric morbidity in late life is statistically strong in this surveyed population.
Elderly care: a world perspective
- Editor:
- TOUT Ken
- Publisher:
- Chapman and Hall
- Publication year:
- 1993
- Pagination:
- 240p.,bibliog.
- Place of publication:
- London
Contains examples of successful service provision for older people from 40 countries. The case studies are organised into the following sections: care at home; community support; empowerment; participation; fitness and well-being; income generation; environment; integrated services; mental health; training for elder care; organisation of services; and older women.