ABSTRACT
Caregivers of adults with an intellectual disability experience depressive symptoms, but the aging factors of the care recipients associated with the depressive symptoms are unknown. The objective of this study was to analyze the onset aging conditions of adults with an intellectual disability that associated with the depression scores of their primary caregivers. A cross-sectional survey was administered to gather information from 455 caregivers of adults with an intellectual disability about their symptoms of depression which assessed by a 9-item Patient Health Questionnaire (PHQ-9). The 12 aging conditions of adults with an intellectual disability include physical and mental health. The results indicate that 78% of adults with an intellectual disability demonstrate aging conditions. Physical conditions associated with aging include hearing decline (66.3%), vision decline (63.6%), incontinence (44%), articulation and bone degeneration (57.9%), teeth loss (80.4), physical strength decline (81.2%), sense of taste and smell decline (52.8%), and accompanied chronic illnesses (74.6%). Mental conditions associated with aging include memory loss (77%), language ability deterioration (74.4%), poor sleep quality (74.2%), and easy onset of depression and sadness (50.3%). Aging conditions of adults with an intellectual disability (p<0.001) was one factor that significantly affected the presence of depressive symptom among caregivers after controlling demographic characteristics. Particularly, poor sleep quality of adults with an intellectual disability (yes vs. no, OR=3.807, p=0.002) was statistically correlated to the occurrence of significant depressive symptoms among their caregivers. This study suggests that the authorities should reorient community services and future policies toward the needs of family caregivers to decrease the burdens associated with caregiving.
Subject(s)
Aging , Caregivers/psychology , Depression/psychology , Depressive Disorder/psychology , Intellectual Disability/nursing , Cross-Sectional Studies , Depression/complications , Depression/nursing , Female , Humans , Intellectual Disability/complications , Language Disorders/complications , Language Disorders/nursing , Male , Memory Disorders/complications , Memory Disorders/nursing , Middle Aged , Muscle Weakness/complications , Muscle Weakness/nursing , Osteoporosis/complications , Osteoporosis/nursing , Presbycusis/nursing , Sensation Disorders/complications , Sensation Disorders/nursing , Sleep Wake Disorders/complications , Sleep Wake Disorders/nursing , Surveys and Questionnaires , Tooth Loss/complications , Tooth Loss/nursing , Urinary Incontinence/complications , Urinary Incontinence/nursing , Vision Disorders/nursingABSTRACT
As our population ages, there is a new focus on holism and the retention of natural teeth throughout life. Failing this, people have a higher expectation for satisfaction with dental prosthetics. Nurses are front-line in the admission and assessment processes, and have the opportunity to collect oral health information that will lead to sound care planning, appropriate risk management and referral mechanisms, and good outcomes for patients.
