Relationship Between Activities of Daily Living and Depression in Older Adults

Abstract

Objectives: Physical inability to perform daily activities is one of the major causes of depression in the elderly and, on the other hand, depression can cause loss of interest in daily activities and lack of independence. The present study was aimed to assess the ability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL) in the elderly and its relationship with depression in Maneh Samalghan city in 2017. Methods and materials: The present cross-sectional study was performed in elderly people aged 60 years and older. Sampling was done by multi-stage cluster method and the sample size was 148 individuals. Data were collected through activities of daily living questionnaire (ADL and IADL) and elderly depression (GDS-15) and were analyzed by using descriptive statistics and Chi-square, Pearson correlation coefficient and regression analysis. Results: There were 86 female (58.1%) and 62 male (41.9%) participants included in the study. 73.6% of participants were in the aged 60-75 years, and the rest were older than 75 years. The results showed that 48% of participants had moderate or severe depression and 2.7% and 41.2% of them were unable to perform ADL and IADL without help, respectively. Statistical analysis showed that depression has a significant negative correlation with ADL (r=-0.304, p<0.001) and IADL (r=-0.193, p >0.01). This means that by increasing one of them, the other decreases and vice versa. Conclusions: The ability of the elderly to perform ADL and IADL activities can be a good predictor of depression. It is possible to assess the health and ability of the elderly to perform daily activities through health teams and elderly family members to prevent their developmental disability and their depression.

The Relationship between Depression and Fear of Falling in Older Adults Referred to Rasht Comprehensive Health Centers

“…However, it should be noted that being single, especially during the elderly, does not necessarily increase depression. In the present study, no significant relationship was found between depression and age and the level of education, which is consistent with the results of the study conducted by Mohammadzadeh et al (7). In this study, no significant relationship was found between depression and gender, which is consistent with the results of the study conducted by Bakhtiyari et al (8).…”

“…However, in a study conducted by Iaboni et al (26) reported no association between depression and fear of falling among older adults, which is not consistent with the results of the present study. A significant and direct relationship was found between marital status and depression, which is consistent with the results of studies conducted by Pandit (27) and Mohammadzadeh et al (7).…”

“…Hence, due to the rapid growth of this age group, diagnosis, treatment, and prevention of their problems will be of crucial importance (5). Depression is considered as a major psychological problem and a serious and dangerous consequence of chronic diseases among older adults, and studies have shown that the prevalence of depression among older adults is 12% to 45% (6,7). Depression is not a natural part of aging but is more than a transient mood (8).…”

Home-based supportive and health care services based on functional ability in older adults in Iran

“…This result shows that the family was the main source of support for the studied older adults. Also, our analysis shows that 1.3% of older adults reported a low perceived social support score,[ 12 13 14 15 16 17 18 19 ] 42.1% reported an average score,[ 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 ] and 56.6% reported a high perceived social support score (above 40).…”

“…This finding is consistent with the results of the 2015 Iranian census, which revealed that more than half of Iranian seniors (about 54%) are illiterate. [ 33 34 ] Increasing literacy is related to health promotion literacy, which can lead to self-care, healthy aging, and reduced dependency. [ 35 ]…”