Prevalence and correlates of depression in Chinese oldest-old

Chou, Kee Lee; Chi, Iris

doi:10.1002/gps.1246

Cited by 117 publications

(110 citation statements)

References 50 publications

(61 reference statements)

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“…Furthermore, our data is not in agreement with the studies which argue that the elderly who do not have someone to confide in, or an intimate relationship, present a higher susceptibility for depressive symptoms (e.g. Chou & Chi, 2005, Papadopoulos et al, 2005, Silva & Sequeira, 2002Stek et al, 2006). This result may be related to the fact that the intimate and marital relationships, in the context of institutionalization, often assume specificities and limitations related to the way these nursing homes work.…”

Section: Discussioncontrasting

confidence: 99%

Depressão E Suporte Social Na Velhice

Pimentel¹,

Afonso²,

Pereira³

2012

Psic., Saúde & Doenças

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There is a high incidence of depression in old age, being its prevalence higher in institutionalized elderly, which is sometimes related to the threat or actual rupture of affective bonds and support. This research aims at assessing depressive symptoms and satisfaction with social support, and their association, in institutionalized elderly. A cross-sectional and descriptive design was developed. A socio-demographic questionnaire, the Geriatric Depression Scale and the Satisfaction with Social Support Scale were applied to 117 institutionalized Portuguese elderly, older than 65 years. The results indicated a high incidence of depression in the institutionalized elderly (73.5%). The level of depression tends to be higher in the elderly over 75 years old (t(115)=-2. 115, p=.037, M=17.88, SD=8.17) and who did not enter the nursing home by their own initiative (t(115)=-2. 586, p=.011, M=19.05, SD=7.64). The average satisfaction with social support was high (M=58.59, SD=6.93), the older female participants presented the highest satisfaction rate with social support (t(115)=-2. 456, p=.016, M=59.49, SD=6.01). The results obtained also report a significant negative correlation (r=-.36, p<.01) between the levels of depressive symptoms and the levels of satisfaction with social support. The results suggest that social support can mitigate depressive symptoms in the elderly. Keywords-Aging, Depression, Social Support, Institutionalization. ________________________________________________________________ DEPRESSÃO E SUPORTE SOCIAL NA VELHICE RESUMO: Existe uma elevada incidência de depressão na velhice, sendo a prevalência maior em pessoas idosos institucionalizadas, o que, poderá estar relacionado com a ameaça ou rutura de laços afetivos e de suporte. Este estudo tem como objetivo avaliar os sintomas depressivos, a satisfação com o apoio social e a relação entre estas variáveis, em idosos institucionalizados. Foi desenvolvido um estudo transversal e descritivo. Foi aplicado um questionário sócio-demográfico, a Escala de Depressão Geriátrica e a escala de satisfação com o apoio social a 117 pessoas idosas portuguesas, com mais de 65 anos e que residiam em instituições. Os resultados indicaram uma alta incidência de depressão em idosos institucionalizados (73,5%). O nível de depressão tende a ser maior nos idosos com mais de 75 anos (t(115) 11, p=0,03, M=17,88, DP = 8,17) e nos idosos que não ingressaram no lar por iniciativa própria (t (115) 58, p=0,01, M= 19,05, DP= 7,64). A média de satisfação com o apoio social foi elevada (M=58,59, DP= 6,93), sendo as participantes mais velhas do sexo feminino as que apresentaram a maior taxa de satisfação com o suporte social (t(115)= -2, 45, p=0,01, M=59,49, DP=6,01 ). Os resultados obtidos indicam, igualmente, uma correlação negativa significativa (r= -0,36, p<0,01) entre a sintomatologia depressiva e os níveis de satisfação com o suporte social. Os resultados sugerem que o apoio social pode atenuar os sintomas depressivos em idosos. Palavras-Chave-Velhice, Depressão, Su...

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Section: Discussioncontrasting

confidence: 99%

Depressão E Suporte Social Na Velhice

Pimentel¹,

Afonso²,

Pereira³

2012

Psic., Saúde & Doenças

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“…In some local epidemiologic surveys (Woo et al, 1994;Chi et al, 2005;Chou and Chi, 2005) that defined clinically significant depressive symptoms as having score on Geriatric Depression Scale >/ ¼ 8, higher prevalence of clinically significant depressive symptoms was reported. All these studies adopted one-phase design without a second phase validation of depressive symptoms by psychiatrists or psychologists.…”

Section: Discussionmentioning

confidence: 92%

Prevalence of clinically significant depressive symptoms in an epidemiologic sample of community‐dwelling elders with milder forms of cognitive impairment in Hong Kong SAR

Chan

Lam

Tam

et al. 2007

Int J Geriat Psychiatry

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“…Feelings of loneliness bring down older adults' quality of life, including decreased life satisfaction, increased health service utilization, and increased risk of mental illness (Chou & Chi, 2005;Golden et al, 2009;Luanaigh & Lawlor, 2008). According to Weiss's (1973) classic definition, loneliness consists of both social and emotional dimensions, which are inevitably affected by cultural context (Beal, 2006;Gierveld, 1998;Victor, Grenade, & Boldy, 2005).…”

Section: Introductionmentioning

confidence: 99%

Chinese older adults’ resilience to the loneliness of living alone: A qualitative study

Lou

2012

Aging & Mental Health

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Objectives: The purpose of this study was to investigate resilience factors that help Chinese older adults living alone cope with senses of loneliness.Method: Qualitative in-depth interviews were conducted on 13 older adults living alone in the community who did not show severe loneliness. Trained research assistants conducted interviews guided by semi-structured interview guidelines. The analysis followed a five-step interpretive approach. Results:The primary theme of resilience was found in cognitive competence, self and personality, and social relationships. The secondary theme of resilience showed a relationship orientation, emphasizing a family-focused, relationship-oriented life, which is in line with Chinese culture. Conclusion:This study demonstrated that family-oriented and relation-focused resilience at the cognitive, self and personality, and social relations levels played significant roles in helping the Chinese older adults overcome their high risk of loneliness. Develop and maintain dynamic daily rhythms that can integrate family-oriented and relation-focused coping strategies at the cognitive and social levels are recommended.

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Prevalence and correlates of depression in Chinese oldest-old

Cited by 117 publications

References 50 publications

Depressão E Suporte Social Na Velhice

Depressão E Suporte Social Na Velhice

Prevalence of clinically significant depressive symptoms in an epidemiologic sample of community‐dwelling elders with milder forms of cognitive impairment in Hong Kong SAR

Chinese older adults’ resilience to the loneliness of living alone: A qualitative study

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