Search results for ‘Subject term:"older people"’ Sort:
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Depression in older adults: a meta-synthesis
- Authors:
- CORCORAN Jacqueline, et al
- Journal article citation:
- Journal of Gerontological Social Work, 56(6), 2013, pp.509-534.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This qualitative meta-synthesis seeks to synthesize the qualitative studies that have been conducted on depression in older adults. The search included the databases Ageline, CINAHL, Dissertation Abstracts, Dissertations and Theses, PubMed/Medline, Psych Info, Social Services, and Social Work. Studies included up to January 2010. Thirteen studies met inclusion criteria, and four major themes were extracted: experiences, causes, recovery, and barriers to treatment. These themes are detailed and their implications for practice are explored. (Edited publisher abstract)
A systematic review and meta-analysis of group psychotherapy for sub-clinical depression in older adults
- Authors:
- KRISHNA Murali, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(9), 2013, pp.881-888.
- Publisher:
- Wiley
A systematic review of randomised controlled trials of group psychotherapy in older adults with sub-threshold depression was conducted to present the best available evidence in relation to its effect on depressive symptomatology and the prevention of major depression. Searches were conduced on electronic databases and random effects model was used for meta-analysis. Four clinical trials met the full inclusion criteria. Group cognitive behavioural therapy (CBT) is an effective intervention for reducing depressive symptoms in older adults with sub-threshold depression in comparison to waiting list. Computerised CBT is at least as effective as group CBT in reducing depressive symptoms. The benefit of group CBT at follow-up is not maintained. Group psychotherapy does not appear to reduce the risk of depressive disorder during follow-up. There are fewer drop outs from group psychotherapy when compared with control conditions. The methodological quality of the studies and their reporting are sub-optimal. Group psychological interventions in older adults with sub-threshold depression have a significant effect on depressive symptomatology, which is not maintained at follow-up. Group psychotherapy (Edited publisher abstract)
Relationship between depression and risk of malnutrition among community-dwelling young-old and old-old elderly people
- Authors:
- YOSHIMURA Kazuya, et al
- Journal article citation:
- Aging and Mental Health, 17(4), 2013, pp.456-460.
- Publisher:
- Taylor and Francis
A cross-sectional design was implemented to explores the association between nutritional status and depression among healthy community-dwelling young-old (aged 65–74) and old-old elderly (aged 75 and older). A total of 274 community-dwelling older individuals (142 young-old; 132 old-old) were assessed using the Geriatric Depression Scale (GDS), Mini-Nutritional Assessment Short-Form (MNA-SF) and Life-Space Assessment. Logistic regression analysis was used to determine if depression was independently associated with risk of malnutrition, stratified by age (young-old vs. old-old). In the logistic regression model for young-old, being at risk of malnutrition Was strongly associated with depression. In contrast, in the old-old group, the model was not statistically significant. This study reveals that not only the factors correlated with but also the symptoms of depression may vary among different age stratifications of the elderly. (Edited publisher abstract)
Housing type and depressive symptoms among older adults: a test of sense of belonging as a mediating and moderating variable
- Authors:
- McLAREN Suzanne, et al
- Journal article citation:
- Aging and Mental Health, 17(8), 2013, pp.1023-1029.
- Publisher:
- Taylor and Francis
Using a sample of 257 older adults who lived in their own homes and 166 older adults who lived in an assisted living facility in Australia, this study examines whether the relationship between housing type and depressive symptoms is mediated by a sense of belonging and whether housing type and sense of belonging interact to influence the depressive symptoms among older adults Participants completed the psychological subscale of the Sense of Belonging Instrument and the Center for Epidemiologic Studies Depression Scale. Results showed that a sense of belonging partially mediated the relationship between housing type and depressive symptoms, such that living in a nursing home was associated with lower levels of belonging, and lower levels of belonging were, in turn, associated with higher levels of depressive symptoms. Residing in an assisted living facility was associated with depressive symptoms at low and average levels of belonging. The results highlight the need for more research on the role of sense of belonging as an influencing factor on depressive symptoms among institutionalised older adults for both theoretical and treatment goals. (Edited publisher abstract)
Evaluation of a standardized humor group in a clinical setting: a feasibility study for older patients with depression
- Author:
- KONRADT Brigitte
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(8), 2013, pp.850-857.
- Publisher:
- Wiley
The efficacy of a standardized humour therapy group was investigated in a clinical setting for older depressed patients in Germany. An experimental group with treatment (49 patients) was compared with a control group with no treatment (50 patients) in a semi-randomized design. Included were patients with major depression according to ICD-10. A set of questionnaires (Geriatric Depression Scale, Short Form Health Survey, State-Trait-Cheerfulness Inventory, and Satisfaction with Life Scale) was administered pretreatment and posttreatment. Both groups showed improvement for depression, suicidal tendency, state cheerfulness, and state bad mood. Only participants of the humor group showed changes of state seriousness and satisfaction with life. Further trends could be demonstrated for higher changes in state cheerfulness and resilience for the humour group. (Edited publisher abstract)
Contributing factors of depressive symptoms among elderly Korean immigrants in Texas
- Authors:
- KANG Suk-Young, BASHAM Randall, KIM Yi Jin
- Journal article citation:
- Journal of Gerontological Social Work, 56(1), 2013, pp.67-82.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Korean Americans are one of the fastest growing ethnic groups in the United States. The number of elderly Korean immigrants living in Texas (aged 65 years and older) increased 242%, from 868 in 1990 to 2,104 in 2000. This study examined various life stresses associated with relocation that may contribute to depressive symptoms among Korean immigrant elders. A sample of 120 elders was assessed using the Geriatric Depression Scale–Short Form and a 90-min face-to-face interview. Participants were receiving about three types of assistances from their children. Almost 1 out of 10 respondents had at least one child living within a 2 hour driving distance. In addition, most (80%) watched television for leisure and their English proficiency level was low. Findings revealed that over a third of respondents had symptoms of depression. Analyses indicate that self-rated health, stressful life events, English language proficiency, satisfaction of visiting one's birth place, and watching TV were correlates of depressive symptoms among them. The findings of this observational study may be used as a baseline for designing service programme for this population.
Relationship between obesity and depression in older Australian adults and examination of dietary patterns as influencing factors
- Authors:
- BUYS Nicholas, SUN Jing
- Journal article citation:
- International Journal of Mental Health Promotion, 15(2), 2013, pp.263-274.
- Publisher:
- Taylor and Francis
This study aims to investigate the association between depression and obesity in older adults in Australia and the influencing effects of dietary patterns. The cross-sectional study design was used for the study. The study was conducted across nine community settings in Gold Coast, Queensland. The study cohort included 301 randomly selected men and women, aged 50–88 years. Depression was measured using the General Health Questionnaire. Body mass index (BMI) was assessed according to the Australian Bureau of Statistics criteria, and obesity was classified as a BMI of 30.0 kg/m2. Dietary pattern was measured using a standardized Food Frequency Questionnaire. The associations between anxiety or depression and BMI and the dietary patterns were estimated using multinomial logistic regression models. In all participants, dietary patterns were associated with both depression and obesity. Diets had mediating effects on the association between depression and obesity. Participants who consumed more high-fat meat products and fewer fruits and vegetables had an increased chance of obesity. Participants who were depressed did not have an increased chance of obesity when dietary patterns were adjusted in the multinomial logistic regression model. The results of the study suggest that dietary patterns are related to both depression and obesity and are important mediators in the increasing probability of obesity. The results have implications to inform intervention programmes to target dietary-intake behaviour change so that depression and obesity can be prevented (Publisher abstract)
The impact of social capital on depression among older Chinese and Korean immigrants: similarities and differences
- Authors:
- KIM Bum Jung, et al
- Journal article citation:
- Aging and Mental Health, 17(7), 2013, pp.844-852.
- Publisher:
- Taylor and Francis
Using data collected from both 172 Chinese and 210 Korean immigrants living in Los Angeles County, this study examines similarities and differences in terms of the influence of social capital on depression among older Chinese and Korean immigrants. The variables included depression Geriatric Depression Scale-Short Form, (GDS-SF), social capital (five indices of norms, trust, partnership in community, information sharing, and political participation), and demographics. The study found that partnership in community was significantly associated with a lower level of depression for both the groups. Political participation was only associated with a lower level of depression for older Chinese immigrants. Also, norms and information sharing were only associated with a lower level of depression for older Korean immigrants. There was an evidence for the correlation between social capital and depression in older Chinese and Korean immigrant population. It suggests the needs to develop social programs and service in order to build more social capital for older immigrants. (Edited publisher abstract)
Computerised cognitive behavioural therapy for depression and anxiety with older people: a pilot study to examine patient acceptability and treatment outcome
- Authors:
- McMURCHIE William, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(11), 2013, pp.1147-1156.
- Publisher:
- Wiley
The study aimed to determine the acceptability and treatment outcome of using Beating the Blues (BTB) with older people (65+ years). Specific aims included identifying the treatment uptake and drop-out rate, and describing the role of basic demographics in therapy uptake. Fifty-eight participants who were experiencing symptoms of depression were recruited from Older People Community Mental Health Teams across Tayside, Scotland. They were given a free choice of receiving treatment as usual (TAU) plus BTB (TAU + BTB) or TAU alone. All participants completed demographic questionnaires and a range of outcome measures at baseline, 2 months after baseline (end of treatment) and 3 months after baseline (follow-up). Thirty-three participants (56.9%) opted to receive BTB and reported having more experience and confidence using a computer than those who declined BTB. Twenty-four participants (72.7%) went on to complete all eight BTB sessions. Statistical analysis found significant differences between the two treatment groups, with the TAU + BTB group showing greater improvements in their symptoms of depression and anxiety than the TAU group by the end of treatment and at follow-up. Furthermore, the TAU + BTB group had a significantly higher percentage of participants who met criteria for clinically significant improvement in their symptoms of depression by the end of treatment and at follow-up. The results of this initial pilot study provide evidence that BTB may offer an acceptable and effective treatment option for older people. (Edited publisher abstract)
Participation in productive activities and depression among older Europeans: Survey of Health, Ageing and Retirement in Europe (SHARE)
- Authors:
- CHOI Kyeong-Sook, STEWART Robert, DEWEY Michael
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(11), 2013, pp.1157-1165.
- Publisher:
- Wiley
This cross-sectional study evaluates the association among five productive activities (paid work, formal volunteering, caregiving, informal helping and caring for grandchildren) with depression in older adults in 14 European countries. The study used the first two waves of data collected by the Survey of Health, Ageing and Retirement in Europe and analysed a total sample of 7238 relatively healthy community residents aged 60 years and older from 14 European countries. The Survey of Health, Ageing and Retirement in Europe excluded potential participants with a past history of depression, cognitive impairment and physical limitations. Depression was categorised using the EURO-D instrument, and associations with participating in productive activities were investigated. Depression was less prevalent among those individuals who were employed or self-employed and those who participated in formal volunteering or informal helping, whereas caregiving was associated with a higher risk of depression. Caring for grandchildren was not associated positively or negatively with depression. Formal volunteering and caregiving remained associated with depression after adjustment for age, sex, marital status, education, economic status, country and presence of long-term illness. Further research is required to clarify the direction of causation and evaluate interventions. (Edited publisher abstract)