Síntomas depresivos en personas mayores. Prevalencia y factores asociados
Depressive symptoms in the elderly. Prevalence and associated factors
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Jose María Alonso Gamo, 65. 19004 Guadalajara. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Depressive symptoms in the elderly. Prevalence and associated factors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-12-13" "fechaAceptado" => "2006-07-27" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13990" "palabras" => array:3 [ 0 => "Depresión" 1 => "Envejecimiento" 2 => "Encuesta de salud" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13989" "palabras" => array:3 [ 0 => "Depression" 1 => "Aging" 2 => "Health survey" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Estimar la prevalencia de los síntomas depresivos en personas mayores de 64 años y analizar su asociación con variables sociodemográficas, marcadores de fragilidad y enfermedades incapacitantes.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal mediante encuesta. La muestra estuvo constituida por 417 personas mayores de 64 años del área sanitaria de Guadalajara, seleccionados a partir de la tarjeta sanitaria. Para estimar los síntomas depresivos se utilizó el test de Yesavage, con un punto de corte de 6 o superior. El cuestionario contenía variables sociodemográficas, clínicas y escalas evaluativas sobre deterioro cognitivo, discapacidad y riesgo social. Los criterios de fragilidad estudiados fueron: edad mayor de 80 años, ser mujer, deterioro cognitivo, discapacidad, polifarmacia, comorbilidad y riesgo social.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de síntomas depresivos fue del 19,7% (intervalo de confianza [IC] del 95%, 15,9-23,4) y tenían diagnóstico de depresión clínica el 5% (IC del 95%, 2,3- 7,7). Los síntomas eran más frecuentes en el medio rural (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05), aumentaban con la edad (p de tendencia lineal<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001) y estaban asociados con el riesgo social (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001), la comorbilidad (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001), el deterioro cognitivo (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) y la discapacidad (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05). En el análisis multivariante a partir de modelos de regresión logística, sólo la comorbilidad (<span class="elsevierStyleItalic">odds ratio</span> [OR]<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2,38; IC del 95%, 1,35-4,20) y el riesgo social (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2,69; IC del 95%, 1,50-4,83) mostraron una asociación estadísticamente significativa.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de síntomas depresivos es muy elevada en las personas mayores de 64 años, 4 veces superior a la frecuencia de depresión clínica, y se asocia con el riesgo social y la comorbilidad.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To estimate the prevalence of depressive symptoms in people older than 64 and to analyze their association with sociodemographic factors, frailty markers, and disabling diseases.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">A survey-based, cross-sectional descriptive study was carried out. The sample was composed of 417 elderly people living in Guadalajara (Spain), selected on the basis of health cards. Depressive symptoms were assessed using Yesavage's test (cut-off: 6 or more items). The questionnaire contained sociodemographic and clinical items and evaluation scales for cognitive impairment, disability, and social risk. The frailty markers studied were age over 80 years old, female sex, cognitive impairment, disability, polypharmacy, comorbidity, and social risk.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of depressive symptoms was 19.7% (95% CI, 15.9-23.4) and clinical depression was diagnosed in 5% (95% CI, 2.3-7.7). Depressive symptoms were more frequent in elderly individuals living in rural environments than in those living in urban areas (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05). These symptoms increased with age (p linear trend<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001) and were associated with social risk (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001), comorbidity (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001), cognitive impairment (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01), and disability (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05). When a multivariate statistical analysis was applied using logistic regression models, only comorbidity (odds ratio [OR]<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2.38; 95% CI, 1.35-4.20) and social risk (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2.69; 95% CI, 1.50-4.83) were significantly associated.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of depressive symptoms is very high in the elderly, four times higher than a diagnosis of clinical depression. Social risk and comorbidity are strongly associated with depressive symptoms.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:43 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Prats" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2002" "editorial" => "Editorial Glosa" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719684/v2_201301241555/es/main.assets" "Apartado" => array:4 [ "identificador" => "764" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002100000001/v2_201301241555/S0213911107719684/v2_201301241555/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719684?idApp=WGSE" ]
Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13099119
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