Relationships between Depression, Lifestyle and Quality of Life in the Community Dwelling Elderly: A Comparison between Gender and Age Groups

Demura, Shinichi; Sato, Susumu

doi:10.2114/jpa.22.159

Cited by 115 publications

(75 citation statements)

References 14 publications

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“…Ramos and Wilmoth [23] reported that older people living alone had two times more depressive symptoms than the ones living with spouse. As in many other studies, the prevalence of depressive symptoms in older adults living alone was significantly higher than others [24].…”

Section: Discussionsupporting

confidence: 73%

Relationship between living arrangements, quality of life and depressive symptoms of older adults

Yigen¹,

Günay²,

Borlu³

2018

Med-Science

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This study aimed to investigate the relationship between different types of living arrangement, quality of life and depressive symptoms of older adults. This study was conducted in 2012 in the provincial centre of Kayseri, Turkey. Four groups were formed according to living arrangements of older adults; living alone, living with spouse only, living with spouse and children, living with other family members without spouse. Socio-demographic questionnaire, activities of daily living scale (ADL), World Health Organization Quality of Life Assessment for Older Adults (WHOQOL OLD) questionnaire and the Geriatric Depression Scale (GDS) were administered. The mean depression score (13.9±6.6) of the older adults participated in the study was high. Nearly fifty percent (45.8 %) of the whole group had depressive symptoms. Among older adults living with other family members without spouse, median ADL score (11.0, min: 1.0, max: 12.0) was lowest (p=0.001), mean GDS score (16.3±5.9) was highest (p=0.011) and two domains of quality of life scores mean: autonomy (p=0.002) and social participation (p=0.006) were lowest. Older adults living with other family members without spouse were more likely to be ADL restricted and worse at autonomy and social participation. As having depressive symptoms were common among older adults especially the ones having more risk (poor economic situation, restricted ADL and living in an extended family) should be followed closely by health professionals.

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Section: Discussionsupporting

confidence: 73%

Relationship between living arrangements, quality of life and depressive symptoms of older adults

Yigen¹,

Günay²,

Borlu³

2018

Med-Science

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“…QoL may also serve as a prognostic measure and predictor for such other outcomes as survival (2-5). Chronic illnesses are often associated with poor QoL (6). Patients undergoing chronic dialysis treatment have a poorer QoL compared with the general population (7).…”

Section: Introductionmentioning

confidence: 99%

Quality-of-Life and Mortality in Hemodialysis Patients

Feroze¹,

Noori²,

Kövesdy

et al. 2011

Clinical Journal of the American Society of Nephrology

120

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SummaryBackground and objectives Maintenance hemodialysis (MHD) patients often have protein-energy wasting, poor health-related quality of life (QoL), and high premature death rates, whereas African-American MHD patients have greater survival than non-African-American patients. We hypothesized that poor QoL scores and their nutritional correlates have a bearing on racial survival disparities of MHD patients.Design, setting, participants, & measurements We examined associations between baseline self-administered SF36 questionnaire-derived QoL scores with nutritional markers by multivariate linear regression and with survival by Cox models and cubic splines in the 6-year cohort of 705 MHD patients, including 223 African Americans.Results Worse SF36 mental and physical health scores were associated with lower serum albumin and creatinine levels but higher total body fat percentage. Spline analyses confirmed mortality predictability of worse QoL, with an almost strictly linear association for mental health score in African Americans, although the race-QoL interaction was not statistically significant. In fully adjusted analyses, the mental health score showed a more robust and linear association with mortality than the physical health score in all MHD patients and both races: death hazard ratios for (95% confidence interval) each 10 unit lower mental health score were 1.12 (1.05-1.19) and 1.10 (1.03-1.18) for all and African American patients, respectively.Conclusions MHD patients with higher percentage body fat or lower serum albumin or creatinine concentration perceive a poorer QoL. Poor mental health in all and poor physical health in non-African American patients correlate with mortality. Improving QoL by interventions that can improve the nutritional status without increasing body fat warrants clinical trials.

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“…In addition, the elderly have most likely experienced life events that negatively affect their mental health, such as retirement, loss of economic and social infrastructure, and bereavement for a deceased spouse, family members and close friends (3)(4)(5). Because the deterioration of mental health is considered to negatively affect activities in daily life and physical condition, the assessment and maintenance of mental health are considered to be important, particularly in the case of the elderly (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Agreement in depression determination among four self-rating depression scales applied to Japanese community-dwelling elderly

Demura

Sato

Tada

et al. 2006

Environ Health Prev Med

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Objective: In this study, we examined the characteristics of depression determination using four representative self-rating depression scales (Geriatric Depression Scale, GDS; Self-rating Depression Scale, SDS; Center for Epidemiologic Studies Depression Scale, CES-D; and Carroll Rating Scale, CRS) applied to Japanese community-dwelling elderly.Methods: Subjects were 563 community-dwelling independent elderly living in twelve prefectures (330 males, 68.9±6.3 yr; 233 females, 68.1±5.8 yr).Results: Depression rates determined using SDS (45.8%) and CES-D (68.6%) were higher than those determined using GDS (5.7%) and CRS (14.7%). Although correlations of depression scale scores among the four scales were significant and comparable (r: 0.61 (GDS vs. SDS, p<0.01) to 0.78 (SDS vs. CES-D, p<0.01)), the agreement in depression determination varied among scales (kappa coefficients: 0.05 (GDS vs. CES-D, p>0.05) to 0.46 (SDS vs. CES-D, p<0.01)).Conclusions: Similarities in depression determination were found between GDS and CRS, and between CES-D and SDS. Depression rates determined on the basis of cut-off point for each scale were higher for CES-D and SDS than for GDS and CRS. Depression determination using a four-point rating scale may overestimate a slightly depressive symptom, compared with that using a two-point scale.

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Relationships between Depression, Lifestyle and Quality of Life in the Community Dwelling Elderly: A Comparison between Gender and Age Groups

Cited by 115 publications

References 14 publications

Relationship between living arrangements, quality of life and depressive symptoms of older adults

Relationship between living arrangements, quality of life and depressive symptoms of older adults

Quality-of-Life and Mortality in Hemodialysis Patients

Agreement in depression determination among four self-rating depression scales applied to Japanese community-dwelling elderly

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