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

作者：Marinho Patricia E M^*; Melo Keyla P B; Apolinario Amanda D; Bezerra Emanuelle; Freitas Julia; Melo Diogenes M; Guerra Ricardo O; de Andrade Armele Dornelas

来源：Archives of Gerontology and Geriatrics, 2010, 50(2): 151-155.

DOI：10.1016/j.archger.2009.03.002

• Depressive symptoms
• Institutionalization
• Comorbidity Geriatric depression scale (GDS-15)
• Mini mental state examination (MMSE)
• Activities of daily living (ADL)

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 +/- 9.18 years) and 132 elderly (mean age of 73.14 +/- 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.

• 出版日期2010-4