Search results for ‘Subject term:"older people"’ Sort:
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The relationship between depression and frailty syndrome: a systematic review
- Authors:
- BUIGUES Cristina, et al
- Journal article citation:
- Aging and Mental Health, 19(9), 2015, pp.762-772.
- Publisher:
- Taylor and Francis
Objectives: Frailty is a geriatric syndrome characterised by the clinical presentation of identifiable physical alterations such as loss of muscle mass and strength, energy and exercise tolerance, and decreased physiological reserve. Frailty and depressive symptoms are common issues facing older adults and may be associated. It is not clear if the depression facilitates the appearance of frailty syndrome or vice versa or these two coexist independently in the same individuals. Method: Searches were conducted in several databases (Embase, PubMed, CINAHL, Scopus, and PsycINFO) for papers published between November 2003 to February 2014 about frailty syndrome and depression in people aged 65 and older. The reference lists of from the articles retrieved were also pearled in order to identify any which may have been missed in the initial search. Two independent reviewers extracted descriptive information on the prevalence and co-occurrence of frailty and depression in older individuals and of frailty criteria among depressed patients. Results: Depression and frailty occur in a significant proportion of frail older individuals. Common pathophysiological alterations and biomarkers in the two syndromes have been recently described. Conclusion: Studies on the causal relationship between the two syndromes are clearly necessary in the future. (Edited publisher abstract)
Late life depression: a historical perspective upon a maturing field of inquiry
- Author:
- BLAZER Dan G.
- Journal article citation:
- Aging and Mental Health, 18(5), 2014, pp.538-539.
- Publisher:
- Taylor and Francis
In this editorial, the author reviews the findings of seven studies on the topic of late life depression and compares these studies with the state of the field in terms of empirical research when he wrote his 1982 book. (Original abstract)
Depression and frailty in later life: a synthetic review
- Authors:
- MEZUK Briana, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(9), September 2012, pp.879-892.
- Publisher:
- Wiley
Frailty is defined as a state or indication of being vulnerable to declining health in later life. Depression in later life is predictive of many of the same kinds of outcomes as frailty, including cognitive impairment, disability, fracture, and mortality. The aim of this review was to explore the conceptual and empirical interrelationships between depression and frailty among older adults. A literature search was conducted using PubMed for publications through to 2010. Reviewers assessed the eligibility of each report and abstracted information on study design, sample characteristics, and key findings. Of these abstracted articles, 39 met the inclusion criteria. The findings from both cross-sectional and cohort studies indicated that frailty, its components, and functional impairment are risk factors for depression. Although cross-sectional studies indicated a positive association between depression and frailty, findings from cohort studies were less consistent. The majority of studies included only women and non-Hispanic Whites. None used diagnostic measures of depression or considered antidepressant use in the design or analysis of the studies.
Delusional depression in elderly patients: characteristics and relationship to age onset
- Author:
- BALDWIN Robert C.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(11), November 1995, pp.981-985.
- Publisher:
- Wiley
In a prospective study, 34 patients with delusional depression were compared with 100 non-psychotically depressed patients and a subgroup of 30 age- and sex-matched control patients. Depressed patients with delusions were more likely to be single, especially single men. The most common delusions were those of persecution and hypochondriasis. There were no striking differences in other depression symptoms and no evidence for the hypothesis that delusional depression is associated with a later age of depression onset.
Persistent depressive symptoms and cognitive decline in older adults
- Authors:
- ZHENG Fanfan, et al
- Journal article citation:
- British Journal of Psychiatry, 213(5), 2018, pp.638-644.
- Publisher:
- Cambridge University Press
Background: Little is known about the effect of persistent depressive symptoms on the trajectory of cognitive decline. Aims: The authors aimed to investigate the longitudinal association between the duration of depressive symptoms and subsequent cognitive decline over a 10-year follow-up period. Method: The English Longitudinal Study of Ageing cohort is a prospective and nationally representative cohort of men and women living in England aged ≥50 years. 7610 participants with two assessments of depressive symptoms at wave 1 (2002–2003) and wave 2 (2004–2005), cognitive data at wave 2 and at least one reassessment of cognitive function (wave 3 to wave 7, 2006–2007 to 2014–2015), were examined. Results: The mean age of the 7610 participants was 65.2 ± 10.1 years, and 57.0% were women. Of these, 1157 (15.2%) participants had episodic depressive symptoms and 525 participants (6.9%) had persistent depressive symptoms. Compared with participants without depressive symptoms at wave 1 and wave 2, the multivariable-adjusted rates of global cognitive decline associated with episodic depressive symptoms and persistent depressive symptoms were faster by –0.065 points/year (95% CI –0.129 to –0.000) and –0.141 points/year (95% CI –0.236 to –0.046), respectively (P for trend < 0.001). Similarly, memory, executive and orientation function also declined faster with increasing duration of depressive symptoms (all P for trend < 0.05). Conclusions: The results demonstrated that depressive symptoms were significantly associated with subsequent cognitive decline over a 10-year follow-up period. Cumulative exposure of long-term depressive symptoms in elderly individuals could predict accelerated subsequent cognitive decline in a dose-response pattern. (Edited publisher abstract)
Drinking behavior among older adults in a planned retirement community: results from The Villages survey
- Authors:
- FISHLEDER Sarah, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(5), 2016, pp.536-543.
- Publisher:
- Wiley
Objectives: Research indicates increasing trends among older adults toward heavy and abusive drinking, often associated with depressive symptoms. Possible exceptions are residents of planned retirement communities, whose drinking may be associated with social activities. To better understand these relationships, this study examined the relationship of depressive symptoms and drinking in a large retirement community. Methods: The Villages, a retirement community in central Florida with a focus on healthy, active living, has almost 90 000 residents. In 2012, a population-based needs assessment was conducted in partnership with University of South Florida Health. In the present study, 11 102 surveys were completed and returned. A structural equation model was utilized to analyze the relationship between depressive symptoms and alcohol use as measured by the three-item Alcohol Use Disorders Identification Test (AUDIT-C). Results: Hazardous drinking was reported in 15.4% of respondents, somewhat higher than the general population of older adults (around 10%). Variables of depressive symptoms, physical activity, total health problems, and poor general health loaded significantly into the factor of depression indicators, which was shown to have a significant, negative correlation with risk of hazardous drinking. Conclusions: Results suggest at-risk drinking among respondents was not associated with depression, in contrast to studies of older adults living alone where alcohol abuse was often associated with depression. Implications for successful ageing are discussed. (Edited publisher abstract)
Perceptions of giving support and depressive symptoms in late life
- Authors:
- BANGERTER Lauren R., et al
- Journal article citation:
- Gerontologist, 55(5), 2015, pp.770-779.
- Publisher:
- Oxford University Press
Purpose: Research shows that parents benefit psychologically from generativity, giving and caring for the next generation, but older adults' perceptions on giving support to their children are rarely if ever explored in these studies. The current study examines the association between the support that ageing parents give to one of their middle-aged offspring, their perception of this support as rewarding or stressful, and their levels of depressive symptoms. Design and Methods: The sample draws from The Family Exchanges Study and consisted of 337 older parents (mean age: 76) who were drawn from a larger study of middle-aged adults (i.e., target participants). Older parents reported tangible and nontangible forms of support given to the target middle-aged child and the extent to which they viewed providing such support as stressful and/or rewarding. Results: Significant interactions were found between tangible support and feelings of reward and between nontangible support and feelings of stress in explaining parental depressive symptoms. Parents who found giving support to be highly rewarding had lower levels of depressive symptoms when giving high amounts of tangible support. Conversely, parents who view giving support to be highly stressful had higher levels of depressive symptoms when they gave low amounts of nontangible support. Implications: Findings suggest older parents’ perceptions of supporting their offspring may condition how generativity affects their mental health. (Edited publisher abstract)
Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults
- Authors:
- POLKU Hannele, et al
- Journal article citation:
- Aging and Mental Health, 19(9), 2015, pp.781-789.
- Publisher:
- Taylor and Francis
Objectives: To examine the association between life-space mobility and different dimensions of depressive symptoms among older community-dwelling people. Life-space mobility refers to the size of the spatial area in which a person moves in everyday life, including not only individuals’ ability to walk, but also other forms of mobility, such as using public transportation or driving a car. Methods: Cross-sectional analyses of baseline data of the ‘Life-Space Mobility in Old Age’ cohort study were carried out. The participants were community-dwelling women and men aged 75–90 years (N = 848). Data were gathered via structured interviews in participants’ home. Life-space mobility (the University of Alabama at Birmingham (UAB) Life-Space Assessment – questionnaire) and depressive symptoms (Centre for Epidemiological Studies Depression Scale, CES-D) were assessed. Other factors examined included sociodemographic factors, difficulties walking 500 m, number of chronic diseases and the sense of autonomy in participation outdoors (subscale of Impact on Participation and Autonomy questionnaire). Results: Poorer life-space mobility was associated with higher prevalence of different dimensions of depressive symptoms. The associations were partially mediated through walking difficulties, health and the sense of autonomy in participation outdoor activities. Conclusion: Poorer life-space mobility interrelates with higher probability for depressive symptoms, thus compromising older adults’ mental wellbeing. A focus on older adults’ life-space mobility may assist early identification of persons, who have elevated risk for depressive symptoms. The association between life-space mobility and depressive symptoms should be studied further utilising longitudinal study designs to examine temporality and potential causality. (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.
Effects of reminiscence interventions on psychosocial outcomes: a meta-analysis
- Authors:
- PINQUART Martin, FORSTMEIER Simon
- Journal article citation:
- Aging and Mental Health, 16(5), July 2012, pp.541-558.
- Publisher:
- Taylor and Francis
Reminiscence is defined as the process of thinking or telling someone about past experiences of personal significance. This review examined results from controlled trials of reminiscence interventions. Analyses were used to compare the results from 128 studies on 9 outcome variables. Findings revealed that, compared to non-specific changes in control-group members, moderate improvements were observed at post-test with regard to ego-integrity and depression. Small effects were found on purpose in life, death preparation, mastery, mental health symptoms, positive well-being, social integration, and cognitive performance. Most effects were maintained at follow-up. Larger improvements of depressive symptoms in depressed individuals was observed, and persons with chronic physical disease than in other individuals, and in those receiving life-review therapy rather than life-review or simple reminiscence. The authors concluded that reminiscence interventions affected a broad range of outcomes, and therapeutic and preventive effects were similar to those observed in other frequently used interventions.