Undertreatment of depressive symptomatology in the elderly living in long stay institutions (LSIs) and in the community in Brazil.

Autor: Marinho PE; Cardiorespiratory Physical Therapy Laboratory, Department of Physical Therapy, Federal University of Pernambuco (UFPE), Av. Prof. Moraes Rego, 1235, Recife-PE, 50.670 901, Brazil. patmarinho@yahoo.com.br, Melo KP, Apolinário AD, Bezerra E, Freitas J, Melo DM, Guerra RO, Dornelas de Andrade A
Jazyk: angličtina
Zdroj: Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2010 Mar-Apr; Vol. 50 (2), pp. 151-5. Date of Electronic Publication: 2009 Apr 08.
DOI: 10.1016/j.archger.2009.03.002
Abstrakt: The aim of the present study was to assess the presence of depressive symptomatology among elderly residents in long stay institution (LSI) and in the community of Recife, Brazil. In total, 81 LSI elderly patients (mean age of 75.55 + or - 9.18 years) and 132 elderly (mean age of 73.14 + or - 8.27 years) individuals from the community were evaluated. Depressive symptomatology was assessed by the geriatric depression scale (GDS-15), cognitive status by the mini mental state examination (MMSE) and capacity to perform the activities of daily living (ADL) by the Katz Index. Comorbidities and the use of medication were recorded. The LSI elderly exhibited more depressive symptoms (p < 0.001) and more dependency (p < 0.001). We observed no differences in MMSE (p = 0.058). The elderly in the community displayed more comorbidities and the LSI elderly consumed more medication (p < 0.001 and < 0.001, respectively). According to multivariate analysis (logistic regression), being male, having no spouse and having a low schooling level are risk factors for depressive symptoms. In conclusion, most elderly with depressive symptoms received no medication for depression.
(Copyright 2009 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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