YAŞLILIKTA DEPRESYON: SIK VE DİĞER GERİATRİK SENDROMLARLA İLİŞKİLİ

Giriş: Depresyon geriatrik sendromlardan biridir. Bu çalışmada yaşlılıkta depresyonun sıklığı ve diğer geriatrik sendromlarla ilişkisinin araştırılması amaçlandı. Gereç ve Yöntem: Kesitsel olarak tasarlanan bu çalışmaya bir eğitim ve araştırma hastanesinin geriatri polikliniğine başvuran ≥60 yaş hastalar dahil edildi. Geriatrik sendromlardan malnutrisyon, kırılganlık, son 1 yıl içinde düşme öyküsü, düşme korkusu, üriner inkontinans, uyku problemi, unutkanlık, görme ve işitme sorunu sorgulandı. Depresyon taraması PHQ-2 ölçeği ile yapıldı. Depresyonu olan ve olmayan grup arasında geriatrik sendrom sıklığı ki-kare analizi ile karşılaştırıldı. Ardından ilişkili bulunan faktörlerle çok değişkenli lojistik regresyon analizi yapıldı. Bulgular: 240 olgu (%78) kadın, 67 olgu (%22) ise erkekti.Yaş ortalaması 76.7±7.4 idi. PHQ-2 tarama sonucu 175 kişide (%57) depresyon lehine idi. Kadınların %62.1’inde depresyon saptanırken erkeklerde bu oran %38.8 idi (p=0.001).Depresyon olan grupta malnutrisyon, malnutrisyon riski, düşme korkusu, kırılganlık ve kırılganlık öncesi dönem, uyku problemi, unutkanlık yakınması ve görme yakınması varlığı istatistiksel anlamlı olarak daha yüksekti (p

DEPRESSION IN THE ELDERLY: FREQUENT AND ASSOCIATED WITH OTHER GERIATRIC SYNDROMES

Introduction: Depression is one of the geriatric syndromes. We aimed to investigate frequency and association of depression with other geriatric syndromes. Material and Method: Participants ≥60 years of age admitted to geriatrics outpatient clinic of a research and training hospital were included. Following geriatric syndromes were examined: malnutrition, frailty, falls in the last year, fear of fall, urinary incontinence, sleep problem, vision and hear problem. Depression was assessed by PHQ-2 scale. Ratio of geriatric syndromes between groups with or without depression was compared by chisquare analysis. Results: 240 participants were female (78%), 67 were (22%) male. Mean age was 76.7±7.4. PHQ-2 screening reflect depression in 175 participants (57%). 62.1% of female had positive PHQ screening while 38.8% of males (p=0.001). Prevalences of malnutrition, risk of malnutrition, fear of fall, prefrailty and frailty, sleep problems, forgetfullness, vision problems were statistically significantly higher in depressed group (p

___

  • İstatistiklerle Yaşlılar, 2017. TÜİK Haber Bülteni 2018:27595.: file:///C:/Users/Administrator/Downloads/%C4% B0statistiklerle_Ya%C5%9Fl%C4%B1lar_15.03.2018.pdf Erişim tarihi: 01/11/2018
  • Geriatric Syndromes In Hazzard Halter JB, Ouslander JG, Studenski S, editors. Hazzard’s Geriatric Medicine and Gerontology. 7th ed. United States: McGraw-Hill Education, 2017: 975-1167.
  • Cigolle CT, Langa KM, Kabeto MU, Tian Z, Blaum CS. Geriatric conditions and disability: the Health and Retirement Study. Ann Intern Med. 2007; 147(3): 156-64.
  • Anpalahan M , Gibson SJ. Geriatric syndromes as predictors of adverse outcomes of hospitalization. Int Med J 2008; 38:16– 23.
  • Charles F. Reynolds. Evidence-Based Treatment and Prevention of Major Depressive Episodes in Later Life. In Hazzard Halter JB, Ouslander JG, Studenski S, editors. Hazzard’s Geriatric Medicine and Gerontology. 7th ed. United States: McGraw-Hill Education, 2017: 1487.
  • Bahat G, Tufan F, Bahat Z, Tufan A, Aydin Y, Akpinar TS et al. Comorbidities, polypharmacy, functionality and nutritional status in Turkish community-dwelling female elderly. Aging Clin Exp Res 2014; 26(3): 255-9.
  • Bahat G, Tufan F, Bahat Z, Aydin Y, Tufan A, Akpinar TS et al. Assessments of functional status, comorbidities, polypharmacy, nutritional status and sarcopenia in Turkish community-dwelling male elderly. Aging Male. 2013 Jun;16(2):67-72.
  • Cankurtaran M, Halil M, Yavuz BB, Dagli N, Cankurtaran ES, Ariogul S. Depression and concomitant diseases in a Turkish geriatric outpatient setting. Arch Gerontol Geriatr. 2005; 40(3): 307-15.
  • Kulaksizoglu IB, Gürvit H, Polat A, Harmanci H, Cakir S, Hanagasi H et al. Unrecognized depression in communitydwelling elderly persons in Istanbul. Int Psychogeriatr. 2005;17(2):303-12.
  • Ekinci M, Tortumluoğlu G, Okanlı A, Sezgin S. The prevalence of depression in elderly living at home in eastern Turkey: Erzurum. International Journal of Human Sciences 2004; 1(1): 1-10.
  • Balcı E, Şenol V, Eşel E, Günay O, Elmalı F. 65 Yaş ve Üzeri Bireylerin Depresyon ve Malnutrisyon Durumları Arasındaki İlişki. Türkiye Halk Sağlığı Dergisi 2012; 10(1).
  • Saltan A. Yaşlılarda Depresyon, Ağrı ve Sosyodemografik Özellikler Arasındaki İlişkinin İncelenmesi. Düzce Ünverstesi Sağlık Bilimleri Enstitüsü Dergisi, 2017; 7 (2): 67-72.
  • Özen Ç.I, Kartal A. Yaşlılarda Depresif Belirtiler ve Sosyodemografik Özellikler ile İlişkisi. TAF Prev Med Bull 2008; 7(5): 399-404.
  • Vaughan L, Corbin AL, Goveas JS. Depression and frailty in later life: a systematic review. Clin Interv Aging. 2015; 10: 1947–1958.
  • Ghimire S, Baral BK, Pokhrel BR, Pokhrel A, Acharya A, Amatya D, et al. Depression, malnutrition, and health-related quality of life among Nepali older patients. BMC Geriatr. 2018; 18(1): 191.
  • Tavares DMDS, Faria PM, Pegorari MS, Ferreira PCDS, Nascimento JS, Marchiori GF. Frailty Syndrome in Association with Depressive Symptoms and Functional Disability among Hospitalized Elderly. Issues Ment Health Nurs. 2018; 39(5): 433-8.
  • Wei J, Fan L, Zhang Y, Li S, Partridge J, Claytor L, Sulo S. Association Between Malnutrition and Depression Among Community-Dwelling Older Chinese Adults. Asia Pac J Public Health. 2018;30(2): 107-17.
  • Shimada H, Park H, Makizako H, Doi T, Lee S, Suzuki T. Depressive symptoms and cognitive performance in older adults. J Psychiatr Res. 2014;57: 149-56.
  • Ersoy S, Engin VS. Risk factors for polypharmacy in older adults in a primary care setting: a cross-sectional study. Clin Interv Aging. 2018; 13: 2003-11.
  • Kilavuz A, Meseri R, Savas S, Simsek H, Sahin S, Bicakli DH, et al. Association of sarcopenia with depressive symptoms and functional status among ambulatory community-dwelling elderly. Arch Gerontol Geriatr. 2018; 76: 196-201.
  • Delibaş D.H, Kavakçı Ö. Sarcopenia and Depression; Is There a Mutual Relationship? Turkiye Klinikleri J Geriatr-Special Topics 2017; 3(3): 163-9. Review.
  • Roman MW, Callen BL. Screening instruments for older adult depressive disorders: updating the evidence-based toolbox. Issues Ment Health Nurs. 2008; 29(9): 924-41. Review.
  • Whooley MA, Avins AL, Miranda J, Browner WS. Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 1997;12(7):439-45.
  • Woo J, Leung J, Morley JE. Comparison of frailty indicators based on clinical phenotype and the multiple deficit approach in predicting mortality and physical limitation. J Am Geriatr Soc. 2012; 60(8): 1478-86.
  • Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). The journals of gerontology Series A, Biological sciences and medical sciences. 2001;56(6):M366-72.
  • Cole MG, Dendukuri N. Risk factors for depression among elderly community subjects: a systematic review and metaanalysis. Am J Psychiatry. 2003; 160(6): 1147-56. Review.
  • Ülger Z, Halil M, Kalan I, Yavuz BB, Cankurtaran M, Güngör E, Arioğul S. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010; 29(4): 507-11.
  • Leles da Costa Dias F, Teixeira AL, Cerqueira Guimarães H, Borges Santos AP, Rios Fonseca Ritter S, Barbosa Machado JC, et al. Prevalence of late-life depression and its correlates in a community-dwelling low-educated population aged 75+ years: The Pietà study. J Affect Disord. 2019; 242: 173-9.
  • Zhang SM, Tang XD, Yang XR, Zheng RR, Xu L, Wu JH. Relationship between frailty and depression in elderly patients. Zhonghua Yi Xue Za Zhi. 2017;97(43): 3384-7.
  • Soysal P, Veronese N, Thompson T, Kahl KG, Fernandes BS, Prina AM, et al. Relationship between depression and frailty in older adults: A systematic review and meta-analysis. Ageing Res Rev. 2017;36:78-87.
  • Ribeiro MV, Hasten-Reiter Júnior HN, Ribeiro EA, Jucá MJ, Barbosa FT, Sousa-Rodrigues CF. Association between visual impairment and depression in the elderly: a systematic review. Arq Bras Oftalmol. 2015;78(3): 197-201.
  • Kim SY, Kim HJ, Park EK, Joe J, Sim S, Choi HG. Severe hearing impairment and risk of depression: A national cohort study. PLoS One. 2017; 12(6): e0179973.
  • Soto-Perez-de-Celis E, Sun CL, Tew WP, Mohile SG, Gajra A, Klepin HD, et al. Association between patient-reported hearing and visual impairments and functional, psychological, and cognitive status among older adults with cancer. Cancer. 2018;24(15):3249-56.
  • Laganà L, Bloom DW, Ainsworth A. Urinary incontinence: its assessment and relationship to depression among community-dwelling multiethnic older women. Scientific World lJournal 2014;2014:708564.
  • Lim YM, Lee SR, Choi EJ, Jeong K, Chung HW. Urinary incontinence is strongly associated with depression in middleaged and older Korean women: Data from the Korean longitudinal study of ageing. Eur J Obstet Gynecol Reprod Biol. 2018; 220: 69-73.
  • Lakkis NA, Mahmassani DM. Screening instruments for depression in primary care: a concise review for clinicians. Postgrad Med. 2015; 127(1):99-106.
İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi-Cover
  • ISSN: 1305-5151
  • Başlangıç: 1995
  • Yayıncı: İzmir Bozyaka Eğitim ve Araştırma Hastanesi
Sayıdaki Diğer Makaleler

TANISAL KAROTİS ARTER ANJİYOGRAFİ VE KAROTİS STENTLEME RADYASYON PARAMETRELERİ AÇISINDAN DEĞERLENDİRİLDİĞİNDE KORONER İŞLEMLERE KIYASLA GÜVENLİ MİDİR?

ÇAĞIN MUSTAFA ÜREYEN

YAŞLILIKTA DEPRESYON: SIK VE DİĞER GERİATRİK SENDROMLARLA İLİŞKİLİ

Birkan İLHAN, Oğuz Kağan BAKKALOĞLU

GEBELİKTE AKUT APANDİSİTİ BELİRLEMEDE MANYETİK REZONANS GÖRÜNTÜLEMENİN ROLÜ

TUFAN EGELİ, CİHAN AĞALAR, ZEKAİ SERHAN DERİCİ, Süleyman Özkan AKSOY, TAYFUN BİŞGİN, ALİ DURUBEY ÇEVLİK, MÜCAHİT ÖZBİLGİN, BAŞAK BAYRAM, Erkan ÇAĞLIYAN, IŞIL BAŞARA AKIN, CANAN ALTAY, MUSTAFA SEÇİL

BÖBREK NAKİLLİ HASTALARDA AKUT REJEKSİYON İLE AKUT DÖNEM SONRASI ÜRETERAL JET DİNAMİĞİ ARASINDAKİ İLİŞKİ: PROSPEKTİF KOHORT ÇALIŞMA

Serdar ÇELİK, Arda YEŞİLOVA, Türker ACAR, Cenk ŞİMŞEK, Erhan TATAR, İBRAHİM HALİL BOZKURT, Yusuf Kadir TOPÇU, Ertuğrul ŞEFİK, İsmail BASMACI, İsmail Can TERCAN, Serkan YARIMOĞLU, BÜLENT GÜNLÜSOY, TANSU DEĞİRMENCİ, ADAM USLU

PREEKLAMPTİK HASTALARIN MATERNAL VE NEONATAL SONUÇLARININ DEĞERLENDİRİLMESİ: ÜÇÜNCÜ BASMAK BİR HASTANENİN DÖRT YILLIK DENEYİMİ

Emrah BEYAN

VAZOPRESSÖR DESTEĞİ ALAN YOĞUN BAKIM HASTALARINDA RADİYAL ARTER KATETERİZASYONUNDA PALPASYON TEKNİĞİ İLE ULTRASON KULLANIMININ ETKİNLİĞİNİN KARŞILAŞTIRILMASI

Ezgi Direnç KÜLÜNK, Zeki Tuncel TEKGÜL, Hüseyin ÖZKARAKAŞ, Halide Hande ŞAHİN KAYA

SERUM 25-HİDROKSİVİTAMİN D DÜZEYLERİNİN HEMOGLOBİNLE İLİŞKİSİ

Murat AKŞİT, Giray BOZKAYA, Sibel BİLGİLİ, Nuriye UZUNCAN

ERİŞKİN İZOLE MONTEGGİA KIRIKLI ÇIKIKLARI CERRAHİ TEDAVİSİ VE FONKSİYONEL SONUÇLARI

Gürkan YILDIZ, Mesut TAHTA, Eyüp Çağatay ZENGİN, Cihan ASLAN

YOĞUN BAKIM ÜNİTESİNDE MEKANİK VENTİLASYON UYGULANAN HASTALARDA KLİNİK SEDASYON SKORLARI İLE BİSPEKTRAL İNDEKS ARASINDAKİ KORELASYONUN DEĞERLENDİRİLMESİ

Çiler ZİNCİRCİOĞLU, Aykut SARITAŞ, Meltem ÇAKMAK, Uğur UZUN, Işıl KÖSE GÜLDOĞAN, NİMET ŞENOĞLU

BAŞAĞRISI YAKINMASIYLA BAŞVURAN HASTALARDA KRANİAL TOMOGRAFİ İNCELEMELERİNİN RETROSPEKTİF DEĞERLENDİRİLMESİ

Erdem ARSLAN, Zehra Hilal ADIBELLİ