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Depressive symptoms among elderly inpatients of a Brazilian university hospital: prevalence and associated factors

Published online by Cambridge University Press:  17 April 2008

Cristiane Lara Mendes-Chiloff ,
Ana Teresa A. Ramos-Cerqueira ,
Maria Cristina Pereira Lima  and
Albina Rodrigues Torres
Cristiane Lara Mendes-Chiloff*
Affiliation:
Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, São Paulo State University (UNESP), Brazil
Ana Teresa A. Ramos-Cerqueira
Affiliation:
Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, São Paulo State University (UNESP), Brazil
Maria Cristina Pereira Lima
Affiliation:
Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, São Paulo State University (UNESP), Brazil
Albina Rodrigues Torres
Affiliation:
Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, São Paulo State University (UNESP), Brazil
*
Correspondence should be addressed to: Cristiane Lara Mendes-Chiloff, Department of Neurology, Psychology and Psychiatry, Botucatu Medical School – São Paulo State University (UNESP), Distrito de Rubião Jr., 18618-970 – Botucatu (SP) –Brazil. Phone: +55 14 3811 6260; Fax: 55 14 3815 5965. Email: [email protected].
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Abstract

Background: This study aims to evaluate the prevalence of depressive symptoms and associated factors among elderly hospital inpatients.

Methods: A cross-sectional study evaluated 189 participants using the Geriatric Depression Scale, the Mini-mental State Examination and the Katz and Lawton Index, to assess dependence regarding activities of daily living (ADL).

Results: Most of the participants were women, aged between 60 and 92 years, with low levels of educational attainment and personal income, and non-qualified occupations. The prevalence of depressive symptoms was 56%, but only 3% had a psychiatric diagnosis registered in their medical records. Univariate analysis showed significant associations between depressive symptoms and low educational level and income, marital status, number of hospitalizations in the previous year, cognitive decline, dependence regarding basic and instrumental ADL, and death. After logistic regression, the only variables that remained significantly associated with depression were low educational level, dependence regarding basic ADL, and death.

Conclusions: Depressive symptoms were independently associated with low educational level and dependence regarding basic ADL. Hospitalized elderly people with depressive symptoms were more likely to die. It is essential to diagnose and treat depression properly in this population to minimize its negative impacts.

Keywords

depressive symptomselderlyinpatientsprevalenceassociated factors
Type
Research Article
Information
International Psychogeriatrics , Volume 20 , Issue 5 , October 2008 , pp. 1028 - 1040
Copyright
Copyright © International Psychogeriatric Association 2008

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References

Almeida, O. P. and Almeida, S. A. (1999). Confiabilidade da versão brasileira da escala de depressão em Geriatria (GDS) versão reduzida. Arquivos de Neuro-Psiquiatria, 57, 421–426.CrossRefGoogle Scholar
Ávila, R. and Bottino, C. M. C. (2006). Atualização sobre alterações cognitivas em idosos com síndrome depressiva. Revista Brasileira de Psiquiatria, 28, 316–320.CrossRefGoogle Scholar
Baldwin, R. C. et al. (2003). Guidelines for the management of late-life depression in primary care. International Journal of Geriatric Psychiatry, 18, 829–838.CrossRefGoogle ScholarPubMed
Beats, B. C., Sahakian, B. J. and Levy, R. (1996). Cognitive performance in tests sensitive to frontal lobe dysfunction in the elderly depressed. Psychological Medicine, 26, 591–604.CrossRefGoogle ScholarPubMed
Beekman, A. T. F., Deeg, D. J. H., van Tilburg, T., Smit, J. H., Hooijer, C. and van Tilburg, W. (1995). Major and minor depression in later life: a study of prevalence and risk factors. Journal of Affective Disorders, 36, 65–75.CrossRefGoogle ScholarPubMed
Beekman, A. T., Copeland, J. R. and Prince, M. J. (1999). Review of community prevalence of depression in later life. British Journal of Psychiatry, 174, 307–311.CrossRefGoogle ScholarPubMed
Bertolucci, P. H. F., Brucki, S. M., Campacci, S. R. and Juliano, Y. (1994). O Mini-Exame do Estado Mental em uma população geral. Arquivos de Neuro-Psiquiatria, 52, 1–7.CrossRefGoogle Scholar
Blazer, D. G. and Williams, C. D. (1980). The epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry, 137, 439–444.Google Scholar
Blazer, D., Burchett, B., Service, C. and George, L. K. (1991). The association of age and depression among the elderly: an epidemiologic exploration. Journal of Gerontology, 46, 210–215.CrossRefGoogle ScholarPubMed
Blazer, D. G., Sachs-Ericsson, N. and Hybels, C. F. (2007). Perception of unmet basic needs as a predictor of depressive symptoms among community-dwelling older adults. Journal of Gerontology, 62, 191–195.Google ScholarPubMed
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patient for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Gazalle, F. K., Hallal, P. C. and Lima, M. S. (2004). Depressão na população idosa: os médicos estão investigando? Revista Brasileira de Psiquiatria, 26, 145–149.CrossRefGoogle Scholar
Guimarães, R. M., Freire Neto, J. B., Silva, E. A. C., Silva, E. A. and Moura, E. B. (1997). Depressão: a morbidade oculta em pacientes idosos cirúrgicos. Brasília Médica, 4, 5–14.Google Scholar
Heun, R. and Hein, S. (2005). Risk factors of major depression in the elderly. European Psychiatry, 20, 199–204.CrossRefGoogle ScholarPubMed
Instituto Brasileiro deGeografia e Estatística (2002). Indicadores sociais, renda, escolaridade (online at http://www.ibge.gov.br). Accessed 8 February 2007.Google Scholar
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A. and Jaffe, M. W. (1963). Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA, 914–919.Google Scholar
Kessler, R. C., MacGonagle, K. A., Swartz, M. S., Blazer, D. G. and Nelson, C. B. (1993). Sex and depression in the National Comorbity Survey. I: Lifetime prevalence, chronicity and recurrence. Journal of Affective Disorders, 29, 85–96.CrossRefGoogle Scholar
Koenig, H. G., Meador, K. G., Cohen, H. J. and Blazer, D. G. (1988). Depression in elderly hospitalized patients with medical illness. Archives of Internal Medicine, 148, 1929–1936.CrossRefGoogle ScholarPubMed
Lawton, M. P. and Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179–186.CrossRefGoogle ScholarPubMed
Lebrão, M. L. and Laurenti, R. (2003). Condições de Saúde. In Lebrão, M. L. and Duarte, Y. A. O. (eds.), SABE – Saúde, Bem-estar e Envelhecimento – O Projeto SABE no município de São Paulo: uma abordagem inicial (pp. 75–91). Brasília: Organização Pan-americana da Saúde.Google Scholar
Maia, F. O. M., Duarte, Y. A. O., Lebrão, M. L. and Santos, J. L. F. (2006). Fatores de risco para mortalidade em idosos. Revista de Saúde Pública, 40, 1049–1056.CrossRefGoogle Scholar
Panamerican Health Organization/World Health Organization (1998). World Health Organization. Indicators of Mortality (online at www.who.org). Accessed 17 January 2007.Google Scholar
Prince, M. (2003). Cross-sectional surveys. In: Prince, M., Stewart, R., Ford, T. and Hotopf, M. (eds.), Practical Psychiatric Epidemiology (pp. 111–129) Oxford: Oxford University Press.CrossRefGoogle Scholar
Reynolds III, C. F., Alexopoulos, G. S., Katz, I. R. and Labowitz, B. D. (2001). Chromic depression in the elderly. Drugs and Aging, 18, 507–514.CrossRefGoogle Scholar
Sartorius, N. et al. (1993). An international study of psychological problems in primary care. Preliminary report from the World Health Organization Collaborative Project on “Psychological Problems in General Health Care”. Archives of General Psychiatry, 50, 819–824.CrossRefGoogle Scholar
Sheikh, J. I. and Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a short version. Clinical Gerontology, 5, 165–173.Google Scholar
Sherina, M. S., Rampal, L., Hanin, M. A. and Thong, P. L. (2006). The prevalence of depression among elderly warded in a tertiary care centre in Wilayah Persekutuan. Medical Journal of Malaysia, 61, 15–21.Google Scholar
Snowdon, J. (2002). Qual é a prevalência de depressão na terceira idade? Revista Brasileira de Psiquiatria, 24, 42–47.CrossRefGoogle Scholar
Torija, J. R., Flores Mayor, J. M., Garcia Salazar, M. P., Torres Buisan, L. and Torrubias Fernandez, R. M. (2007). Depressive symptoms in the elderly: prevalence and associated factors. Gaceta Sanitaria, 21, 37–42.Google Scholar
Veras, R. P. and Coutinho, E. S. F. (1991). Estudo de prevalência de depressão e síndrome cerebral orgânica na população de idosos, Brasil. Revista de Saúde Pública, 25, 209–217.CrossRefGoogle Scholar
Yesavage, J. A. et al. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatry Research, 17, 37–49.CrossRefGoogle Scholar