ABSTRACT
Background: Depression is characterized by persistent sadness and lack of interest or pleasure in enjoyable activities and disturbed sleep and appetite. Women suffer from depression the most, as the hurdles faced by Indian women include lack of awareness, stigma, disadvantaged position of women, multiple roles, increased levels of stress, and domestic violence.This study is to determine the prevalence of depression among elderly women and to determine the factors affecting it. Methodology: This cross-sectional study was conducted among 783 elderly women (aged 60 years or more), residing in rural Mandya (South Karnataka) by interviewing them using a semi-structured proforma. Geriatric Depression Scale (GDS-15) was used to assess depression. Mean, standarddeviation and proportion were used for descriptive statistics. Chi square test was used to de-termine association of risk factors. Results: The prevalence of depression was found to be 31.6%. The major factors affecting depression were increasing age, illness and loneliness. Conclusions: The prevalence of depression in the elderly women was high (31.6%). By identifying risk fac-tors for depression among the elderly population and screening them on time, we can reduce the severity and burden of the disease to a greater extent.
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Background: Old age is often accompanied by frailty and diseases including neuropsychiatric disorders. De-mentia and depression are the most common neuropsychiatric disorders among the elderly. Kerala has the maximum proportion of elderly in its population and successful identification of the elderly at risk is im-portant for early intervention. The purpose of the study is to estimate the prevalence of depression and asso-ciated factors among the elderly population. Methods: A cross-sectional study was conducted among 320 elderlies from July 2018 to July 2019.The preva-lence of depression was estimated using GDS-15. Socio-demographic factors, self- perceived health status, morbidity profile, falls and related factors, religious practices, independence in activities of daily living, and other social factors associated with depression were assessed. Results: 38.1% of the elderly were depressed. Majority had mild depression (23.4%) and 3.1% were severely depressed. Having no formal education, low socioeconomic status, not living with a spouse, no role in decision -making, average or poor self-perceived health status, past surgical history, and fear of falls were found to be independent predictors of depression. Conclusion: The prevalence of depression was high among elderly. Screening for depression in the elderly should be incorporated in already available programs along with appropriate health care measures.
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Objective: The present study aims to investigate the factors related to self-rated ikigai (purpose in life) among older residents participating in hillside residential community-based activities in Nagasaki City.Methods: A self-administered anonymous questionnaire survey was carried out with older residents participating in two hillside residential community-based activities in Nagasaki City, Japan. The questionnaire included questions on sociodemographic information (age, sex, family structure, education, and self-rated economic satisfaction), self-rated health, mental health status measured using Geriatric Depression Scale-15 (GDS-15), and self-rated ikigai score that was estimated using a visual analog scale.Results: A total of 32 older residents (7 males, 25 females) participated in the questionnaire survey. Although self-rated ikigai score was not associated with sociodemographic factors, there were associations between the score, self-rated health (P=0.001), and mental health (GDS-15) (P=0.015). Statistically significant correlations between self-rated ikigai score and social participation (ρ=0.426, P=0.017), self-rated health (ρ=−0.485, P=0.007), and mental health (GDS-15) (ρ=−0.523, P=0.007) were observed.Conclusion: Increasing social participation may increase individual ikigai, preventing poor self-rated health and low mental health status in older people. Maintaining their social participation in the community might be effective for the health promotion of older residents in hillside residential areas of Nagasaki City.
ABSTRACT
La escala para Depresión Geriátrica, de 5 y 15 ítems (GDS-5 y GDS-15), cuantifica síntomas depresivos en adultos mayores. Sin embargo, no se ha explorado el comportamiento psicométrico de la versión de cinco ítems en población colombiana. El presente trabajo se propuso estudiar la consistencia interna, la confiabilidad de constructo y la estructura factorial de la GDS-15 y de la GDS-5. Participaron en la investigación 105 adultos mayores colombianos y se calcularon: consistencia interna, confiabilidad de constructo y estructura factorial. La GDS-15 presentó consistencia interna de 0.78, confiabilidad de constructo de 0.87 y estructura bidimensional. La GDS -5 mostró consistencia interna de 0.73, confiabilidad de constructo de 0.83 y estructura unidimensional. En conclusión la GDS-5 muestra mejor comportamiento psicométrico que la GDS-15. Sin embargo, se recomienda desarrollar el diseño de una escala más confiable en esta población.
The Geriatric Depression Scale (GDS), 5 and 15-items version, are useful for identify depressive symptoms among elder people. However, psychometric properties of a version of five items has not explored among colombian elders. The aim of this paper was to study the internal consistency, the factor structure and the construct reliability of the GDS-15 and GDS-5. A total of 105 colombian people over 65 year-old participated in this investigation. The internal consistency, the construct reliability and the exploratory factor analysis were computed. The GDS-15 showed internal consistency of 0.78, the construct reliability of 0.87 and two-dimensional structure. The GDS-5 exhibited internal consistency of 0.73, construct reliability of 0.83 and one-dimensional structure. In conclusion the GDS-5 shows better psychometric properties than the GDS-15. However, it is recommended to develop the design a new and more reliability scale.
ABSTRACT
Objetivo: Determinar la consistencia interna, la estructura factorial y la confiabilidad del constructo de la escala de Yesavage para depresión geriátrica (GDS-15) en adultos mayores asistentes a centros comunitarios de Cartagena (Colombia). Materiales y métodos: Estudio de validación de una escala para tamizaje sin criterio de referencia. Participaron 185 adultos mayores sin deterioro cognoscitivo, entre 65 y 95 años, con media de 75,6 (DT=6,9); y 57,3% mujeres. Se determinó consistencia interna mediante la fórmula 20 de Kuder-Richardson (KR-20) y se realizó análisis factorial exploratorio con el método de componentes principales. Resultados: La consistencia interna fue 0,783, la solución factorial mostró dos factores (estado de ánimo deprimido y capacidad de disfrute) que explicaban el 37,3% de la varianza y la confiabilidad del constructo fue 0,700. Conclusiones: La GDS - 15 muestra una aceptable consistencia interna y confiabilidad del constructo. No obstante, la estructura factorial bidimensional no es completamente satisfactoria. Es posible que la utilidad de la GDS-15 en personas de baja escolaridad sea limitada.
Objective: To determine the internal consistency, factor structure and construct reliability of the Yesavage Geriatric Depression Scale (GDS-15) among older people a ending community centers in Cartagena (Colombia). Materials and method: Validation study of a screening scale without a gold standard. A group of 185 adults participated in this research. Ages were between 65 and 95 years (Mean = 75.6, SD=6.9); and 57.3% were women. Internal consistency was determined by Kuder-Richardsons formula 20, factor structure was explored by factor analysis with principal component method, and construct reliability was computed by Anderson-Gerbings formula. Results: Internal consistency was 0,783 and the factor solution showed two factors (depressed mood and life enjoy) that explained 37.3% of the variance, and construct reliability was 0,700. Conclusions: The GDS-15 showed acceptable internal consistency and construct reliability. However, its two-dimensional factor structure is not satisfactory. It is possible that the GDS- 15 exhibits low ability to identify depressive episodes in elders with low scholarship...