Abstract
Introduction: depression is one of the most prevalent diseases in the elderly. In Colombia, the prevalence of depression in this population ranges from 1,2 to 12%.
Objective: to estimate the prevalence of depression in a group of independent elderly subjects in Bogota and describe the psychosocial risk factors associated with it.
Material and methods: a cross-observational and descriptive study was done. The sample was constituted of 889 autonomous elderly subjects of Bogota city. Depression was assessed by applying the Test of Geriatric Depression-Yesavage-. Besides, the psychosocial risk factors were measured through the life events section, which is part of the Predict Questionnaire.
Results: 74% of the sample was made up of women, the mean age was 72,51 years old (DS.9,4) and the average of education was of 7.50 years (DS.5,64). Besides, it was found a prevalence of depression of 18,6%. This prevalence was higher in the women (20%) and elderly between 70 and 79 years old (18%), adults with low education with 43% or 22% in economically dependent people. A relationship between depression and five psychosocial risk factors, known as adverse life events-insomnia, living alone, suffering a chronic disease or economic crisis or the death of the couple, a close friend or a relative.
Conclusion: results showed a higher prevalence of depression in this sample in comparison to the findings yielded in previous studies developed in Colombia and the WHO. Programs that help to reduce the long lines protect women and older with less schooling ageing could mitigate the condition.
References
DEPARTAMENTO ADMINISTRATIVO NACIONAL DE ESTADÍSTICAS (DANE). Boletín de Prensa Censo 2005. Estudios demográficos del DANE: distribución espacial de la vejez en Colombia. Revista IB Información Básica en Estadística 2013;1(3):55-68. Disponible en http://www.dane.gov.co/candane/publicaciones/revista_2013_.
MCCALL W, KINTZINGER K. Late life depression a global problem whit few resources. Psychiatry Clin N Am. 2013;36:475-81. Doi: 10.1016/j.psc.2013.07.001.
ORGANIZACIÓN MUNDIAL DE LA SALUD (OMS). La salud mental y los adultos mayores; 2013. Disponible en http://www.who.int/mediacentre/factsheets/fs381/es/.
COMMITTEE ON THE MENTAL HEALTH WORK FORCE FOR GERIATRIC POPULATIONS, BOARD ON HEALTH CARE SERVICES, INSTITUTE OF MEDICINE FRONT MATTER. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? Washington, DC: The National Academies Press; 2012. Disponible en http://www.nap.edu/openbook.php?record_id=13400.
BLAZER D. Depression in late life: review and commentary. J Gerontol Med Sci. 2003;56:249-65.
UNÜTZER J. Late-Life Depression. N Engl J Med. 2007; 357:2269-76.
INSTITUTE FOR HEALTH METRICS AND EVALUATION. Global burden of disease study; 2010. Disponible en http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads.
HEGEMAN J, KOK R, VAN DER MAST R. Phenomenology of depression in older compared with younger adults: meta-analysis. The British Journal of psychiatry 2012;200:271-75.
MARTÍNEZ-MENDOZA J, MARTÍNEZ-ORDAZ V, ESQUIVEL-MOLINA C, VELASCO-RODRÍGUEZ V. Prevalencia de depresión y factores de riesgo en el adulto mayor hospitalizado. Revista Médica del Instituto Mexicano del Seguro Social 2007;45(1):21-8.
SÁEZ A, LEE L, WALTER Z. Long-term outcome of depressive pseudodementia in the ederly. J Affect Disord. 2007;123-29.
FISKE A, LOEBACH J, GATZ M, Depression in Older Adults. Annual Review of Clinical Psychology 2009;(5):363-89. doi: 10.1146/annurev.clinpsy.032408.153621.
SIREY A, BRUCE L, ALEXOPOULOS S, PERLICK A, FRIEDMAN J, MEYERS B. Stigma as a barrier to recovery: perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv. 2001;52:1615-20.
HASIN D, GOODWIN R, STINSON F, GRANT B. Epidemiology of major depressive disorder: Results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch. Gen. Psychiatr. 2005;62(10):97-106.
SÁNCHEZ S, JUÁREZ T, GALLEGOS K, GALLO J, WAGNER F, PEÑA C. Frecuencia de los síntomas depresivos entre adultos mayores de la ciudad de México. Rev. Salud Mental 2012;(35):71-7.
HAWTORNE A, GREEN C, DICKENS A, RICHARDS S, TAILOR R, EDWARS R. ET AL. The impact of social isolation on the health status and health related quality of life of older people. Qual Life Res. 2011;20:57-67. doi: 10.1007/s11136-010-9717-2.
BARUA A, ACHARYA D, KAR N, BASILIO M. Socio-demographic Factors of Geriatric Depression. Indian Journal of Psychological Medicin 2010;32(2):87-92. doi: 10.4103/0253-7176.78503.
CASTRO-COSTA E, DEWEY M, STEWART R, BANERJEE S, HUPPERT F, MENDONCA-LIMA C. ET AL. Prevalence of depressive symptoms and syndromes in later life in ten European countries: The Share Study. Br J Psychiatry 2007;191:393-401.
DIAS V, DÍAZ H, ROJAS G, NOVOGRODSKY R. Geriatric assessment of ederly subjects consulting in a public primary care outpatient clinic. Rev Med. de Chile 2008;131(8):895-901.
PÉREZ V, CHÁVEZ N. Comportamiento de los factores biopsicosociales en la depresión del adulto mayor. Revista Cubana de Medicina 2008;24(3):1-20.
GONZÁLEZ F, MASSAD C, LAVANDEROS F. Estudio nacional de dependencia de personas mayores. Universidad Bolivariana 2009. Disponible en http://www.senama.cl/filesapp/Estudio_dependencia.pdf.
GONZÁLEZ R. Composición factorial del inventario de depresión de Beck en ancianos mexicanos. Journal of Behavior, Health & Social Issues 2009;1(1):15-28.
BURS R, BUTTHERWORTH P, WINDSOR T, LUSZCZ L, ROSS L, ANSTEY K. Deriving prevalence estimates of depresive symptoms throughout middle and old age in those living in the community. Int Psychogeriatric 2012;24(3):503-11. doi: 10.1017/S1041610211002109.
BYERS A, YAFFE K, COVINSKY K, FRIEDMAN M, BRUCE M. High ocurrence of mood and anxiety disorders, among older adults: the national comorbidity survey replication. Arch. Gen. Psychiatr. 2010;67(5):486-9. doi: 10.1001/.
CHEN R, HU Z, QIN X, XU X, COPELAND J. A Community - based study of depression in older people in Hefei, China - the GMS - Agecat prevalence, case validation and socioeconomic correlates. International Journal of geriatric psychiatry 2004;19(5):407-13.
ALDANA R, PEDRAZA J. Análisis de la depresión en el adulto mayor en la Encuesta Nacional de Demografía y Salud (ENDS); 2012. Disponible en http://repository.urosario.edu.co/bitstream/10336/3002/3/93206082-2012.pdf.
FERNÁNDEZ-VÁZQUEZ A, DÁVILA-MENDOZA R, MORENO-CASTILLO Y, PEDRAZA-AVILÉS A. Importancia del diagnóstico de la depresión en adultos mayores en una clínica de memoria. Revista Neurología, Neurocirugía y Psiquiatría 2008;41(3-4):83-9.
PEÑA-SOLANO D, HERAZO-DILSON M, CALVO-GÓMEZ J. Depresión en ancianos. Revista Facultad de Medicina Universidad Nacional de Colombia 2009;57:347-55.
BORDA M, AMAYA M, PERTUZ M, LEÓN L, GARCÍA A. Depresión en adultos mayores de cuatro hogares geriátricos de Barranquilla (Colombia): prevalencia y factores de riesgo. Revista de salud Uninorte 2012;29(1):64-73.
MEDINA O, MIRA G, MEDINA Z. Prevalencia de la depresión en adultos mayores institucionalizados de la ciudad de Medellín; 2013. Disponible en http://repository.unad.edu.co/bitstream/10596/2299/1/Trabajo.pdf.
BUSTOS L, SÁNCHEZ J. Prevalencia de depresión en adultos mayores institucionalizados en un hogar geriátrico del municipio de Chía - Cundinamarca y su relación con percepción de funcionalidad familiar. [Trabajo de grado]. Facultad de Medicina. Bogotá: Universidad de la Sabana; 2011. Disponible en http://intellectum.unisabana.edu.co:8080/jspui/bitstream/10818/2082/1/Luisa%20Fernanda%20Bustos%20Angulo.pdf.
GÓMEZ-RESTREPO C, BOHÓRQUEZ A, PINTO D, GIL-RONDÓN M, DÍAZ N. Prevalencia de depresión y factores asociados con ella en la población colombiana. Revista Panamericana de Salud Pública 2004; 16(6):378-86.
SÁNCHEZ I, CASTAÑEDA H. Prevalencia de depresión en adultos mayores de 65 años y propuesta de intervención preventiva. Centro de investigaciones sobre "Envejecimiento, longevidad y salud";. Geroinfo, publicación de gerontología y geriatría 2008;3(3):1-11. Disponible en http://www.sld.cu/galerias/pdf/sitios/gericuba/articulo_depresion.pdf.
YESAVAGE JA, BIPFAES TL ET AL. Development and validation of a geriatric depression screening scale: a preliminary report. Jour. Psychiatry Risk 1982-1983;17(1):37-49.
BACCA A, GONZÁLEZ A, URIBE A. Validación de la escala de depresión de Yesavage (versión reducida) en adultos mayores colombianos. Pensamiento Psicológico 2005;1(5):53-63.
CAMPO-ARIAS A, URRUCHURTU Y, SOLANO T, VERGARA A, COGOLLO Z. Consistencia interna, estructura factorial y confiabilidad del constructo de la escala de Yesavage para la depresión geriátrica (GDS-15) en Cartagena (Colombia). Salud Uninorte 2008;24(1):1-9.
GÓMEZ C, CAMPO A. Escala de Yesavage para depresión geriátrica (GDS-15 y GDS-5): estudio de la consistencia interna y estructura factorial. Universitas Psychologica 2011;10(3):735-43.
BELLÓN J, MORENO B, GONZÁLEZ F, MONTÓN C, GILDE-GÓMEZ M, SÁNCHEZ M, ET AL. Estudio Predic "Predicting the onset and persistence of episodes of depression in primary health care";. BMC Publish Health 2008;8:1-9. doi:10.1186/1471-2458-8-25.
CUESTIONARIO PREDICTD SPAIN. Cálculo de riesgo de depresión. Disponible en http://www.rediapp.org/predict/Index.php.
COSTA E, BARRETO S, UCHOA E, FIRMO J, LIMA-COSTA M, ET AL. Prevalence of international classification of diseases, 10th revision common mental disorders in the elderly in a Brazilian community: The Bambui healt ageing study. J geriatr Psychiatry 2007;15(1):17-27.
MINSAL. Informe Encuesta Nacional de Salud Chile, ENS 2009-2010; 2011. tomo I. Disponible en http://web.minsal.cl/portal/url/item/bcb03d7bc28b64dfe040010165012d23.pdf.
MEDINA-MORA ME, BORGES G, LARA C, BENJET C, BLANCO J, ET AL. Prevalence service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: results from the Mexican National Comorbidity Survey. Psychol Med. 2005;35(12):1773-83.
CAMPO A, DÍAZ L, RUEDA G. Validez de la escala breve de Zung para tamizaje del episodio depresivo mayor en la población general de Bucaramanga, Colombia. Rev Biomedica 2006;26(3):415-23.
GUERRA M, FERRI P, SOSA A, GAONA C, GONZÁLEZ V, DE LA TORRE G, ET AL. Late-Life depression in Perú, México and Venezuela: the 10/66 population based study. B Journals Psychiatry 2009,diciembre;195(6):510-5. doi: 10.1192/bjp.bp.109.064055.
PRATT L, BRODY D. Depression in the United States Household Population, 2005-2006, Atlanta (GA). Centers for Disease Control and Prevention; 2008. NCHS Data Brief. Sep (7). Disponible en http://www.cdc.gov/nchs/data/databriefs/db07.pdf.
PRATT L, BRODY D. Depression in the United States Household Population, 2009-2012, Atlanta (GA). Centers for Disease Control and Prevention; 2014. NCHS Data Brief. Diciembre;(172):1-8. Disponible en http://www.cdc.gov/mentalhealth/ data_stats/depression.htm.
POLYAKOVA M, SONNABEND N, SANDER C, MERGL R, SCHROETER M, SCHROEDER J, ET AL. Prevalence of minor depression in elderly persons with and without mild cognitive impairment: Asystematic review. Journal of Affective Disorders 2014;28-38. doi: 10.1016/j.jad.2013.09.016.
LI D, ZHANG J, SHAO J, QI X, TIAN L. A meta-analysis of the prevalence of depressive symtoms in Chinese older adults. Archive Gerontology Geriatric 2014;58(1):1-9. doi: 10.1016/.
BUCHTEMANN D, LUPPA M, BRAMESFELD A. Steffi Riedel-Heller Incidence of late life depression: a systematic review and meta analysis. J affect desord. 2012;136(3):212-21.
AYUSO J. La depresión en la tercera edad. En Psicogeriatría: una visión integral del envejecimiento humano. Asociación colombiana de psiquiatría biológica; 2012. p. 199-226.
SILVA C, FERRAZ T, TOFOLI L, WANG Y, ANDRADE L. Psychiatry - life events and social support in late life depression. Revista de Neuropsicología, Neuropsiquiatría y Neurociencia 2012;(12):21-36.
NANCE D. Depresión en el Adulto Mayor. Instituto Nacional de Geriatría 2010:240-48. Disponible en http://es.slideshare.net/panchito2311/depresion-en-el-adulto-mayor.
SOARES J, BARROS H, TORRES F, LOANNIDI E, LAMURA G, LINDERT J, ET AL. Estudio Abuel: Abuse and health among ederly in Europe. En: Medzionis and Stankunas. The European Commission. Executive agency for health and consumers; 2010. ISBN 978-9955-15-194-4.
TORRES F, STANKUNAS M, IOANNIDI E, BARROS H, LAMURA G, LINDERT J, ET AL. Estudio Abuel: Elder Abuse. A multinational prevalence survey; 2009. Disponible en http://www.abuel.org/project.html.
BURNS R, BUTTERWORTH P, WINDSOR T, LUSZCZ M, ROSS L, ANSTEY K. Deriving prevalence estimates of depresive symptoms throughout middle and old age in those living in the community. Int Psychogeriatric 2012;24(3):503-51. doi: 10.1017/S1041610211002109.
KING, M, WALKER C, LEVY G, BOTTOMLEY C, ROYSTON P, WEICH S, ET AL. Development and Validation of an International Risk Prediction Algorithm for Episodes of Major Depression in General Practice Attendees: The PredictD Study. Arch Gen Psychiatry 2008;65(12):1368-76. doi: 10.1001/.
GONZÁLEZ A, ARAÚJO A. Estrategias de afrontamiento ante la muerte y calidad de vida en adultos mayores mexicanos. Revista Kairos Gerontología 2013;(13):167-90.
RODRÍGUEZ M. La soledad en el anciano. Gerokomos 2009;20(4):159-66.
GONZÁLEZ F, MASSAD C, LAVANDEROS F. Estudio nacional de dependencia de personas mayores 2009;39-42.
VAN DEN BERG M, OLDEHINKEL A, BOUHUYS L, ET AL. Depression in later life. Three etiological different subgroups. Journal of Affective Disorders 2001;(65):19-26.
QIU L, LUI S, KUANG W, HUANG X, LI J, LI J, ET AL. Regional increases of cortical thickness in untreated, first-episode major depressive disorder 2014;4:e378. doi:10.1038/tp.2014.18.
SCHOLZ C, JUNGWIRTH S, DANIELCZYK W, WEBER H, WICHART I, HEINZ C, ET AL. Investigation of association of serotonin transporter and monoamine oxidase-A genes with Alzheimer's disease and depression in the VITA study cohort: A 90-month longitudinal study. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics 2014;165(2):184-91. doi: 10.1002/.
KELLER M, NEALE M, KINDLER, K. Association of different adverse life events whit distinct patters of depressive symptoms. American journals of psychiatry 2007;(164):1521-29.
NATIONAL INSTITUTES OF MENTAL HEALTH (NIMH). Depression. 2009. Disponible en http://www.nimh.nih.gov/health/publications/espanol/depresion/depresion.pdf.
CERQUERA A, FLÓREZ L, LINARES M. Autopercepción de la salud del adulto mayor. Revista Virtual de la Universidad Católica del Norte 2010; 31:407-28.
HARDY S, CONCATO J, MGILL, T. Stressful Life Events Among Community-living Older Persons. J Gen Intern Med. 2002,noviembre;17(11):841-47.
PIGEON W, HEGEL M, UNÜTZER J, FAN Y, SATEIA M, LYNESS J, ET AL. Is Insomnia a pertuating factor for Late - Life depression in the impact cohort? Journal Sleep. 2008;(4):481-89.
ROBERTS R, SHEMA S, KAPLAN G, STRAWBRIDGE, W. Sleep complaints and depression in an aging cohort: A prospective perspective. American Journals Psychiatry 2000;157(1):81-8.
REBOK F, DARAY, F. Tratamiento integral del insomnio en el adulto mayor. Revista argentina de clínica neuropsiquiátrica 2014;18:306-21.
KINUGAWA K, NGUYEN VH, MIRIANI J. Obstructive sleep apnea syndrome: A cause of cognitive disorders in the elderly? La Revue de Medecine Interne / Fondee par la Societe Nationale Francaise de Medecine Interne 2014;35(10):664-9. doi: 10.1016/j.revmed.2014.02.005.
BACCA A, GONZÁLEZ A, URIBE A. Validación de la escala de depresión de Yesavage (versión reducida) en adultos mayores colombianos. Rev. Pensamiento Psicológico 2005;1(4):53-63.
RUBIO M, HICKS M, TSUANG M. Cultural factors influencing the selection, use, and interpretation of psychiatric meausures. En: Rush A, Pincus H, Firs M, Zarin D, Blacker D, Endicott J, et al. Handbook of psychiatry measures. American Psychiatric Association (APA). 2002.
CAMPO A, URRUCHURTU Y, SOLANO T, VERGARA A, COGOLLO Z. Consistencia interna, estructura factorial y confiabilidad del constructo de la escala Yesavage para depresión geriátrica (GDS 15) en Cartagena (Colombia). Rev. Científica de Salud Uninorte 2008;24(1):1-9.
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