Prevalence of depression and its associated factors among Chinese elderly people: A comparison study between community-based population and hospitalized population

Li, Ning; Chen, Gong; Zeng, Ping; Pang, Jing; Gong, Huan; Han, Yaling; Zhang, Yan; Zhang, Enyi; Zhang, Tie-Mei; Zheng, Xiaoying

doi:10.1016/j.psychres.2016.05.030

Cited by 44 publications

(36 citation statements)

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“…En el presente estudio se han observado diferencias en relación al sexo, apareciendo síntomas depresivos en mayor medida en las mujeres, dato coincidente con otros estudios (20,21,24) y que podría relacionarse con factores sociales y culturales. En contraposición con autores que afirman que con la edad las diferencias en la prevalencia de depresión entre las mujeres respecto al hombre, disminuye con la edad, como sucede en el estudio de Urbina et al (25) .…”

Section: Resultsunclassified

Factors associated with depression in older adults over the age of 75 living in an urban area

et al. 2019

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Nº 55 Julio 2019Página 58 ORIGINALES Factores asociados a la depresión en personas mayores de 75 años de edad en un área urbanaFactors associated with depression in older adults over the age of 75 living in an urban area Introducción: La presencia de síntomas depresivos en los mayores es un problema importante de salud, se puede considerar como la alteración de la salud mental, más frecuente en ancianos en los países desarrollados. Se asocia al sufrimiento y a un incremento de la prevalencia y mala evolución de los problemas de salud. Objetivo: Determinar la prevalencia de la depresión y factores asociados en personas mayores de 75 años de la ciudad de Castellón de la Plana. Material y métodos: Estudio observacional, transversal y analítico, realizado mediante cuestionario sobre una muestra de 400 individuos mayores de 75 años residentes en la comunidad, que fueron seleccionados mediante muestreo intencionado durante el año 2015. Resultados: Prevalencia de síntomas depresivos 30,5%, las mujeres los presentan en mayor proporción (40,1%). Los mayores que viven solos presentan en mayor medida síntomas de depresión 26,6% frente al 16,1% (p= 0,011). La buena autopercepción de la salud se relaciona con menor proporción de síntomas depresivos y en relación a la fragilidad, los individuos no frágiles presentan síntomas depresivos en menor proporción (12,1%) que los frágiles (30,8%) y los prefragiles (57%) p<0,05. Los aspectos negativos en las relaciones sociales obtienen una puntuación media menor (0,003) en los individuos sin síntomas depresivos (p=0.006) Conclusiones: Existe asociación entre la presencia de síntomas depresivos y el sexo, autopercepción de salud, convivencia y fragilidad.Palabras clave: Depresión, Anciano, anciano frágil, factores de riesgo. ABSTRACT:Introduction: Depression in older adults is a major health problem, and it is considered the most common psychiatric disorder among this population in developing countries. It is associated with suffering and increased prevalence and poor evolution of health problems. The aim of the present study Enfermería GlobalNº 55 Julio 2019 Página 59was to determine the prevalence of depression and related factors in people over the age of 75 years in the city of Castellón de la Plana, Spain. Methodology: This was an observational, cross-sectional, and analytical study in which a questionnaire was administered to a sample of 400 community-dwelling older adults over the age of 75 and who were selected using purposive sampling in 2015.Results: the overall prevalence of depression symptoms was 30.5%, a percentage higher among women (40.1%). Older adults living alone presented more symptoms of depression, 26.6% compared with 16.1% (p = 0.011). Good self-perceived health was related to fewer depression symptoms. Nonfrail individuals presented lower rates of depression symptoms (12.1%) than frail (30.8%), and pre-frail individuals (57%) p<0.05. Negative aspects in social relationships showed a lower mean score (0.003) in individuals without depression symptoms (p = 0.006). ...

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Section: Resultsunclassified

Factors associated with depression in older adults over the age of 75 living in an urban area

et al. 2019

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“…Some studies have reported older females to have a higher rate of depression compared with their male counterparts (Bailly et al , ; Li et al , ). Other studies, however, have reported that older men are more often depressed than older women (Lim, ).…”

Section: Discussionmentioning

confidence: 99%

“…A previous study reported a positive correlation between comorbidities and depression (Chan & Zeng, 2009). Some studies have reported older females to have a higher rate of depression compared with their male counterparts (Bailly et al, 2015;Li et al, 2016). Other studies, however, have reported that older men are more often depressed than older women (Lim, 2014).…”

Section: Discussionmentioning

confidence: 99%

Nutrient deficiencies and depression in older adults according to sex: A cross sectional study

Park

Choi-Kwon

Park

et al. 2016

Nursing & Health Sciences

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This paper explores the prevalence and predicting factors of depression in older Korean community-dwelling adults, giving special attention to nutrition and social support. Data from male (n = 123) and female (n = 135) older adults were collected in two senior centers in 2009. We found that depression was present in 17.1%. No significant gender difference was found in the prevalence of depression although the predicting factors were gender specific. In male participants, deficient protein intake, having more chronic diseases, and having a subjective perception of difficulties in mastication were predicting factors for depression, whereas deficient vitamin B6 intake, lower cognition, and lack of social support were predicting factors in female participants. The high prevalence of depression, regardless of gender, highlights the urgent need to screen depressed elders. The different predicting factors for depression in male and female older adults suggest a need to develop gender-specific interventions to alleviate depressive symptoms.

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“…The existing studies indicated that hospitalized elderly with poor functional capacity 9 were more likely to be affected by depression, and patients with severe medical diseases 14 had the highest prevalence rate. Other common risk factors for inpatient geriatric depression were low education level, 9 number of comorbidities, 8 female gender, 8 unmarried status, 8 lower income, 8 sleep disturbance, 14 undernutrition, 15 and poor cognitive functioning. 16 …”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital

Zou¹,

Chen²,

Shen³

et al. 2018

CIA

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BackgroundDepression in the elderly is a serious and often underdiagnosed psychiatric disorder that has been linked to adverse outcomes in the hospital setting. This study aims to evaluate the prevalence of depressive symptoms and associated factors among elderly hospital inpatients.MethodsThe cross-sectional study included 411 consecutively hospitalized patients aged 60 years and older. Participants were evaluated within 48 hours of admission using an interviewer-administered questionnaire including the Geriatric Depression Scale and comprehensive geriatric assessment to provide basic demographic and clinical information.ResultsMost of the participants were male (64.5%), with a mean (SD) age of 75.9 (8.1) years between 60 and 97 years. The prevalence of depressive symptoms was 32.8%. Univariate analysis showed significant associations between depressive symptoms and older age, female gender, lower body mass index, number of chronic diseases, impaired family function, impaired cognition, malnutrition, increased frailty, and decreased ability to perform activities of daily living. After logistic regression, variables that remained significantly associated with depression were cognitive decline (odds ratio =1.97, 95% CI: 1.09–3.55), poor family function (odds ratio =2.01, 95% CI: 1.10–3.66), and frailty (odds ratio =5.07, 95% CI: 1.95–13.20). Depressive symptoms were independently associated with prolonged hospital length.ConclusionDepressive symptoms were prevalent among hospitalized elderly and independently associated with cognitive decline, poor family function, and frailty. Therefore, it is essential to screen for depression and perform a comprehensive geriatric assessment in these patients to identify and manage depressive symptoms.

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Prevalence of depression and its associated factors among Chinese elderly people: A comparison study between community-based population and hospitalized population

Cited by 44 publications

References 28 publications

Factors associated with depression in older adults over the age of 75 living in an urban area

Factors associated with depression in older adults over the age of 75 living in an urban area

Nutrient deficiencies and depression in older adults according to sex: A cross sectional study

Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital

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