Abstract
The aim of this cross-sectional study was to analyse quality of life, socio-demographic characteristics, family support, satisfaction with health services, and effect of integrative community therapy among non-institutionalised elderly adults with and without symptoms of depression in the state of Rio Grande do Norte, Brazil. Data from elderly adults with (n = 59) and without (n = 61) depressive symptoms were compared. The instruments used were the Mini-Mental State Examination, the short version of the Geriatric Depression Scale, a clinical socio-demographic questionnaire, the abbreviated version of the World Health Organisation Quality of Life questionnaire, the Family Assessment Device, and the Patient Satisfaction with Mental Health Services Rating Scale. Elderly adults with depressive symptoms had lower quality of life in the social relations domain than did those without depressive symptoms (p = 0.003). In addition, compared with those without depression, fewer elderly adults with depressive symptoms attended integrative community therapy (p = 0.04); they also reported a low degree of family involvement in problem solving (p = 0.04) and showed apathy regarding their satisfaction with health services (p = 0.007). These results have important implications in the decision-making process with regard to strategies for improving the health status of elderly adults with depressive symptoms.
Similar content being viewed by others
References
Veras RP: Brazil is getting older-demographic-changes and epidemiologic challenges. Revista de Saúde Pública 25(6):476–488, 1991. doi:10.1590/S0034-89101991000600010.
Brasil PdR. LEI Nº 8.842, DE 4 DE JANEIRO DE 1994. In: Civil C, editor. Brasília: MINISTÉRIO DO BEM-ESTAR SOCIAL 1994.
Singh R, Mazi-Kotwal N, Thalitaya MD: Recognising and treating depression in the elderly. Psychiatria Danubina 27 Suppl 1:S231–S234, 2015.
Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M et al: Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research 17(1):37–49, 1982.
Campbell KE, Dennerstein L, Tacey M, Fujise N, Ikeda M, Szoeke C: A comparison of geriatric depression scale scores in older Australian and Japanese women. Epidemiology and Psychiatric Sciences 1–9, 2016. doi:10.1017/S2045796015001110.
Lin X, Haralambous B, Pachana NA, Bryant C, LoGiudice D, Goh A et al: Screening for depression and anxiety among older Chinese immigrants living in Western countries: the use of the geriatric depression scale (GDS) and the geriatric anxiety inventory (GAI). Asia-Pacific Psychiatry 2015. doi:10.1111/appy.12191.
Chachamovich E, Fleck MP, Power M: Is geriatric depression scale-15 a suitable instrument for measuring depression in Brazil? Results of a Rasch analysis. Psychology, Health & Medicine 15(5):596–606, 2010. doi:10.1080/13548506.2010.487108.
de Araujo AA, Reboucas Barbosa RA, de Menezes MS, de M, II, de Araujo RF, Jr., de Medeiros CA: Quality of life, family support, and comorbidities in institutionalized elders with and without symptoms of depression. Psychiatric Quarterly 2015. doi:10.1007/s11126-015-9386-y.
Bookwala J: Marital quality as a moderator of the effects of poor vision on quality of life among older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 66(5):605–616, 2011. doi:10.1093/geronb/gbr091
Tavares Pinheiro R, da Silva Magalhaes PV, Wagner AV, Pnheiro KA, Da Silva RA, Souza LD. Psychopathology of cocaine dependent patients in a therapeutic community. Adicciones 20(1):73–79, 2008.
Carvalho MA, Dias MD, Miranda FA, Ferreira Filha Mde O: [Contributions by integrative community therapy to users of Psychosocial Care Centers (CAPS) and family members: thematic oral history]. Cad Saude Publica 29(10):2028–2038, 2013. doi:10.1590/0102-311X2013001400019.
Human D: Declaration of Helsinki. Lancet 357(9251):236, 2001. doi:10.1016/S0140-6736(05)71342-8.
Folstein MF, Folstein SE, McHugh PR: “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12(3):189–198, 1975. doi:10.1016/0022-3956(75)90026-6.
Park MH, Kwon DY, Jung JM, Han C, Jo I, Jo SA: Mini-mental status examination as predictors of mortality in the elderly. Acta Psychiatrica Scandinavica 127(4):298–304, 2013. doi:10.1111/j.1600-0447.2012.01918.x.
Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): recent evidence and development of a shorter version. In: Clinical Gerontology: A Guide to Assessment and Intervention. The Haworth Press, New York, pp. 165–173, 1986.
Albinski R, Kleszczewska-Albinska A, Bedynska S: [Geriatric Depression Scale (GDS). Validity and reliability of different versions of the scale–review]. Psychiatria Polska 45(4):555–562, 2011.
Lopes JM, Fernandes SGG, Dantas FG, Medeiros JLAd. Associação da depressão com as características sociodemográficas, qualidade do sono e hábitos de vida em idosos do Nordeste brasileiro: estudo seccional de base populacional. Revista Brasileira de Geriatria e Gerontologia 18:521–531, 2015.
Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Revista de Saúde Pública 34:178–183, 2000.
EPSTEIN NB BL, BISHHOP DS. The MacMaster Family Assessment Device. Journal of Marital and Family Terapy 9(2):9, 1983.
Mansfield AK, Keitner GI, Dealy J: The family assessment device: an update. Family Process 2015;54(1):82–93. doi:10.1111/famp.12080.
Silva MAd, Bandeira M, Scalon JD, Quaglia MAC: Satisfação dos pacientes com os serviços de saúde mental: a percepção de mudanças como preditora. Jornal Brasileiro de Psiquiatria 61:64–71, 2012.
Almeida MASO LA, Nascimento VF, Fonseca PIMN, Rocha EM, Liba YHAO, Volpato RJ, Cardoso TP: Fatores de risco associados à depressão em idosos no interior de Mato Grosso. Revista Baiana de Saúde Pública 39(3):15, 2015. doi:10.5327/Z0100-0233-2015390300012.
Rocha IAd, Sá ANPd, Braga LAV, Ferreira Filha MdO, Dias MD: Terapia comunitária integrativa: situações de sofrimento emocional e estratégias de enfrentamento apresentadas por usuários. Revista Gaúcha de Enfermagem. 34:155–162, 2013.
Yuen GS, Gunning FM, Woods E, Hoptman MJ, Alexopoulos GS: Neuroanatomical correlates of apathy in late-life depression and antidepressant treatment response. Biological Psychiatry 73(9):196s-s, 2013.
Lampe IK, Heeren TJ. Is apathy in late-life depressive illness related to age-at-onset, cognitive function or vascular risk? International Psychogeriatrics 16(4):481–486, 2004. doi:10.1017/S1041610204000766.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The author(s) declare(s) that there is no conflict of interest regarding the publication of this paper.
Funding
No current funding sources for this study.
Research Involving Human Participants
Participants and their family members provided written informed consent. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards [12], (The study protocol no. 300.766- was approved by Research Ethics Committees/UFRN).
Rights and permissions
About this article
Cite this article
de Lima Silva, V., de Medeiros, C.A.C., Guerra, G.C.B. et al. Quality of Life, Integrative Community Therapy, Family Support, and Satisfaction with Health Services Among Elderly Adults with and without Symptoms of Depression. Psychiatr Q 88, 359–369 (2017). https://doi.org/10.1007/s11126-016-9453-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11126-016-9453-z