Predictors of depression among the elderly persons with disabilities in Indonesia.

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Family and Community Medicine Pub Date : 2023-07-01 Epub Date: 2023-07-24 DOI:10.4103/jfcm.jfcm_57_23
The Maria M Widagdo, Bernadeta D Widyaningsih, Setywanty Layuklinggi
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Abstract

Background: Depression is a major mental problem in the elderly, particularly those with disability. This study's aim was to identify variables that predict depression in the elderly with disabilities.

Materials and methods: This cross-sectional study was conducted in Gunungkidul Regency and Yogyakarta City from April to June 2021. The study participants were community-dwelling elderly aged 60 years and above with disabilities, who could communicate verbally without any apparent cognitive impairment. Data was collected by interviewing participants using structured questionnaire on following sections: Demographic characteristics, Mini-Mental State Examination (MMSE), Washington Group Short Set (WG-SS), Barthel Index of activities of daily living (ADL), Lawton Instrumental ADL (IADL) Scale, and Geriatric Depression Scale-30 (GDS-30). Multivariate linear regression analysis applied to identify variables significantly correlated with depression. Multinomial logistic regression analysis performed to obtain the odds ratio (OR).

Results: Study included 115 elderly persons with disabilities. Most of them had mobility impairment. Higher independence in ADL and being married were related with lower risk of depression, whereas increased age at disability increased the risk of depression (P = 0.001). The elderly who had greater independence with daily activities were less likely to have depression (OR = 0.639 for mild depression and OR = 0.589 for severe depression). Those who were not married were more likely to have mild depression (OR = 3.203) and severe depression (OR = 29.119). compared to the married elderly. Age at acquiring disability was associated with higher risk for mild depression (OR = 1.025) and severe depression (OR = 1.053). Higher independence in ADL and being married were related with lower risk of depression, whereas increased age at disability increased the risk of depression (P = 0.001).

Conclusion: Independence in the ADL, being married, and being disabled as a young adult are negative predictors of depression in the elderly with disability.

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印度尼西亚残疾老年人抑郁的预测因素。
背景:抑郁症是老年人的一个主要心理问题,尤其是那些有残疾的人。这项研究的目的是确定预测残疾老年人抑郁的变量。材料和方法:这项横断面研究于2021年4月至6月在古农基都县和日惹市进行。研究参与者是60岁及以上的社区残疾老年人,他们可以进行口头交流,没有任何明显的认知障碍。数据是通过使用以下部分的结构化问卷对参与者进行访谈收集的:人口学特征、迷你精神状态检查(MMSE)、华盛顿组短集(WG-SS)、Barthel日常生活活动指数(ADL)、劳顿工具性ADL量表(IADL)和老年抑郁症量表-30(GDS-30)。应用多元线性回归分析来确定与抑郁症显著相关的变量。结果:本研究纳入115名老年残疾人。他们大多数都有行动障碍。ADL和已婚的独立性越高,患抑郁症的风险越低,而残疾年龄越大,患抑郁症风险越高(P=0.001)。日常活动独立性越强的老年人患抑郁症的可能性越小(轻度抑郁症OR=0.639,重度抑郁症OR=0.589)。与已婚老年人相比,未结婚的老年人更容易患轻度抑郁症(OR=3.03)和重度抑郁症(OR=29.119)。获得性残疾的年龄与轻度抑郁症(OR=1.025)和重度抑郁症(OR=0.053)的风险较高相关。ADL的独立性较高和已婚与抑郁症的风险较低有关,而残疾年龄的增加增加了抑郁症的风险(P=0.001),以及年轻时残疾是老年残疾患者抑郁症的负面预测因素。
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来源期刊
Journal of Family and Community Medicine
Journal of Family and Community Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.00
自引率
3.70%
发文量
20
审稿时长
37 weeks
期刊最新文献
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