Sintomas ansiosos e depressivos em idosos na atenção primária à saúde em Maceió – AL
Anxious and depressive symptoms in the elderly
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i1e-188307Keywords:
Anxious symptoms;, Depressive symptoms;, Primary attention., Older adults, Gerontology, Cross-sectional studyAbstract
Objective: To analyze the occurrence of anxiety and depression symptoms in older adults treated in Primary Health Care. Method: This is a cross-sectional and non-probabilistic study carried out with 171 older adults aged 60-94 years old treated in a Primary Health Care unit. The aged individuals answered a sociodemographic questionnaire, the Geriatric Depression Scale (GDS-15) and the Geriatric Anxiety Inventory (GAI). Results: The results show high prevalence of the symptoms in females (72.5%). In addition to that, it was identified that older adults aged 60-69 years old and with low schooling levels present higher levels of “depression symptoms”. “Being divorced” and “low schooling” were factors associated with “anxiety symptoms” in older adults. Conclusion: The sociodemographic factors have proved to be quite influential in the occurrence of depression and anxiety symptoms among older adults.
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United Nations. Department of Economic and Social Affairs. Population Division. World population ageing 2020 hghlights. October; 2020 Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Sep/un_pop_2020_pf_ageing_10_key_messages.pdf
Viacava F, Bellido JG. Condições de saúde, acesso a serviços e fontes de pagamento, segundo inquéritos domiciliares. Ciên Saúde Coletiva. 2016; 21:351-70. doi: https://doi.org/10.1590/1413-81232015212.19422015.
Massa KH, Chiavegatto Filho AD. Basic sanitation and self-reported health in Brazilian capitals: a multilevel analysis. Rev Bras Epidemiol. 2020;23:1-13. doi: https://doi.org/10.1590/1980-549720200050.
Fundação Instituto Brasileiro de Geografia e Estatística - IBGE. Indicadores sociodemográficos e de saúde no Brasil. Rio de Janeiro: IBGE; 2020. Disponível em: http://www.ibge.gov.br.
Santos MB, Ribeiro SA. Dados sociodemográficos e condições de saúde de idosas inscritas no PSF de Maceió, AL. Rev Bras Geriatria Gerontol. 2011;14(4):613-24. doi: https://doi.org/10.1590/S1809-98232011000400002.
Brasil. Ministério da Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância das Doenças não Transmissíveis. Dez principais causas de mortalidade em Brasil, ambos todas as idades (padronizado). Brasília, DF: Ministério da Saúde; c.2017. Disponível em: http://svs.aids.gov.br/dantps/centrais-de-conteudos/paineis-de-monitoramento/mortalidade/gbd-brasil/principais-causas/
World Health Organization. Depression and other common disorders. Global health estimates 2017. Geneve; 2017. Available from: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf.
Andreescu C, Varon D. New research on anxiety disorders in the elderly and an update on evidence-based treatments. Curr Psychiatr Rep. 2015;17(7):1-7. doi: https://doi.org/10.1007/s11920-015-0595-8.
Cairney J, Corna LM, Veldhuizen S, Herrmann N, Streiner DL. Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairment. Am J Geriatr Psychiatr. 2008;16(3):201-8. doi: https://doi.org/10.1097/JGP.0b013e3181602a4a.
Meuldijk D, Wuthrich VM. Stepped‐care treatment of anxiety and depression in older adults: a narrative review. Austr J Rural Health. 2019;27(4):275-80. doi: https://doi.org/10.1111/ajr.12524.
Beekman AT, Beurs E, van Balkom AJ, Deeg DJ, van Dyck R, van Tilburg W. Anxiety and depression in later life: co-occurrence and communality of risk factors. Am J Psychiatr. 2000;157(1):89-95. doi: https://doi.org/10.1176/ajp.157.1.89.
Machado MB, Ignácio ZM, Jornada LK, Réus GZ, Abelaira HM, Arent CO, Schwalm MT, Ceretta RA, Ceretta LB, Quevedo J. Prevalência de transtornos ansiosos e algumas comorbidades em idosos: um estudo de base populacional. J Bras Psiquiatr. 2016;65(1):28-35. doi: https://doi.org/10.1590/0047-2085000000100.
Minghelli B, Tomé B, Nunes C, Neves A, Simões C. Comparison of levels of anxiety and depression among active and sedentary elderly. Arch Clin Psychiatr. 2013;40(2):71-6. doi: https://doi.org/10.1590/S0101-60832013000200004.
Zhang X, Norton J, Carrière I, Ritchie K, Chaudieu I, Ancelin ML. Generalized anxiety in community-dwelling elderly: prevalence and clinical characteristics. J Affect Disord. 2015;172:124-9. doi: 10.1016/j.jad.2014.09.036.
Lambiase MJ, Kubzansky LD, Thurston RC. Prospective study of anxiety and incident stroke. Stroke. 2014;45(2):438-43. doi: https://doi.org/10.1161/STROKEAHA.113.003741.
Tully PJ, Cosh SM, Baune BT. A review of the affects of worry and generalized anxiety disorder upon cardiovascular health and coronary heart disease. Psychol Health Med. 2013;18(6):627-44. doi: 10.1080/13548506.2012.749355.
Meneguci J, Meneguci CA, Moreira MM, Pereira KR, Tribess S, Sasaki JE, Virtuoso Júnior JS. Prevalência de sintomatologia depressiva em idosos brasileiros: uma revisão sistemática com metanálise. J Bras Psiquiatr. 2019;68(4):221-30. doi: https://doi.org/10.1590/0047-2085000000250.
Barcelos-Ferreira R, Izbicki R, Steffens DC, Bottino CM. Depressive morbidity and gender in community-dwelling Brazilian elderly: systematic review and meta-analysis. Int Psychogeriatr. 2010;22(5):712-26. doi: https://doi.org/10.1017/S1041610210000463.
Gullich I, Duro SM, Cesar JA. Depression among the elderly: a population-based study in Southern Brazil. Rev Bras Epidemiol. 2016;19:691-701. doi: https://doi.org/10.1590/1980-5497201600040001.
Maximiano-Barreto MA, Fermoseli AF. Prevalência de ansiedade e depressão em idosos de baixa escolaridade em Maceió/Al. Psicol Saúde Doenças. 2017;18 (3):801-13. doi: https://doi.org/10.15309/17psd180314.
Maximiano-Barreto MA, Aguiar IM, Martins KC, Buarque DC, Fermoseli AF. Ansiedade e depressão e a relação com a desigualdade social entre idosos. Psicol Saúde Doenças. 2019;20(1):209-19. doi: https://doi.org/10.15309/19psd200117.
Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17(1):37-49. doi: https://doi.org/10.1016/0022-3956(82)90033-4.
Almeida OP, Almeida SA. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arq Neuro-Psiquiatr. 1999;57(2B):421-6. doi: https://doi.org/10.1590/S0004-282X1999000300013.
Paradela EM, Lourenço RA, Veras RP. Validação da escala de depressão geriátrica em um ambulatório geral. Rev Saúde Pública. 2005;39(6):918-23. doi: https://doi.org/10.1590/S0034-89102005000600008.
Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E. Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatr. 2007;19(1):103-14. doi: https://doi.org/10.1017/S1041610206003504.
Martiny C, de Oliveira Silva AC, Nardi AE, Pachana NA. Translation and cross-cultural adaptation of the Brazilian version of the geriatric anxiety inventory (GAI). Rev Psiquiatr Clin. 2011;38(1):8-13. doi: https://doi.org/10.1590/S0101-60832011000100003
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573-7. doi: https://doi.org/10.2471/BLT.07.045120.
Brasil. Conselho Nacional de Saúde. Resolução n0 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF, 13 jun. 2013. Seção 1, p. 59.
Cardoso KS, Macedo SBM. Ansiedade e depressão em idosos de Uberlândia-MG. E-RAC. 2019;9(1):1-10. Disponível em: http://www.computacao.unitri.edu.br/erac/index.php/e-rac/article/view/1464/985
Silva AR, Sgnaolin V, Nogueira EL, Loureiro F, Engroff P, Gomes I. Non-communicable chronic diseases and sociodemographic associated with symptoms of depression in elderly. J Bras Psiquiatr. 2017;66(1):45-51. doi: https://doi.org/10.1590/0047-2085000000149.
Lopes RM, Wendt GW, do Nascimento RF, de Lima Argimon II. Correlações entre ansiedade e depressão no desempenho cognitivo de idosos. Diversitas Perspect Psicol. 2014;10(1):143-50. Disponível em: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1794-99982014000100011.
Mendes-Chiloff CL, Lima MC, Torres AR, Santos JL, Duarte YO, Lebrão ML, Cerqueira AT. Depressive symptoms among the elderly in São Paulo city, Brazil: prevalence and associated factors (SABE Study). Rev Bras Epidemiol. 2019;21(Suppl 2):1-16. doi: https://doi.org/10.1590/1980-549720180014.supl.2.
Nogueira EL, Rubin LL, Giacobbo SD, Gomes I, Cataldo Neto A. Screening for depressive symptoms in older adults in the Family Health Strategy, Porto Alegre, Brazil. Rev Saude Publica. 2014;48:368-77. doi: https://doi.org/10.1590/S0034-8910.2014048004660.
Costa CO, Branco JC, Vieira IS, Souza LD, Silva RA. Prevalência de ansiedade e fatores associados em adultos. J Bras Psiquiatr. 2019;68(2):92-100. doi: https://doi.org/10.1590/0047-2085000000232.
Santos EB, Quintans Junior LJ, Fraga BP, Macieira JC, Bonjardim LR. An evaluation of anxiety and depression symptoms in fibromyalgia. Rev Escola Enfermagem USP. 2012;46(3):590-6. doi: https://doi.org/10.1590/S0080-62342012000300009.
Djukanovic I, Carlsson J, Årestedt K. Is the Hospital Anxiety and Depression Scale (HADS) a valid measure in a general population 65–80 years old? A psychometric evaluation study. Health Qual Life Outcomes. 2017;15(1):1-10. doi: https://doi.org/10.1186/s12955-017-0759-9.
Drageset J, Eide GE, Ranhoff AH. Anxiety and depression among nursing home residents without cognitive impairment. Scand J Caring Sci. 2013;27(4):872-81. doi: https://doi.org/10.1111/j.1471-6712.2012.01095.x.
Costa JM, Nogueira LT. Association between work, income and quality of life of kidney transplant recipient the municipality of Teresina, PI, Brazil. Braz J Nephrol. 2014;36(3):332-8. doi: https://doi.org/10.5935/0101-2800.20140048.
Travassos C, de Oliveira EX, Viacava F. Desigualdades geográficas e sociais no acesso aos serviços de saúde no Brasil: 1998 e 2003. Ciên Saúde Coletiva. 2006;11:975-86. doi: https://doi.org/10.1590/S1413-81232006000400019.
Levorato CD, Mello LM, Silva AS, Nunes AA. Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Ciên Saúde Coletiva. 2014;19:1263-74. doi: https://doi.org/10.1590/1413-81232014194.01242013.
Maximiano-Barreto MA, Andrade L, de Campos LB, Portes FA, Generoso FK. A feminização da velhice: uma abordagem biopsicossocial do fenômeno. Interfaces Cient Humanas Sociais. 2019;8(2):239-52. doi: https://doi.org/10.17564/2316-3801.2019v8n2p239-252.
Lima AM, Ramos JL, Bezerra IM, Rocha RP, Batista HM, Pinheiro WR. Depressão em idosos: uma revisão sistemática da literatura. Rev Epidemiol Control Infec. 2016;6(2):97-103. doi: https://doi.org/10.17058/reci.v6i2.6427.
Fernandes MD, Nascimento NF, Costa KN. Prevalência e determinantes de sintomas depressivos em idosos atendidos na atenção primária de saúde. Rev RENE. 2010;11(1):19-27. Disponível em: http://www.periodicos.ufc.br/rene/article/view/4464
Bomfim AJL, Maximiano-Barreto MA, Chagas MHN. Depressão e ansiedade no idoso. In: Duarte PO, Amaral JRG. Geriatria: prática clínica. Baureiri, SP: Manole; 2020. p.346-52.
Torres AR, Prince MJ, Bebbington PE, Bhugra D, Brugha TS, Farrell M, Jenkins R, Lewis G, Meltzer H, Singleton N. Obsessive-compulsive disorder: prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000. Am J Psychiatr. 2006;163(11):1978-85. doi: https://doi.org/10.1176/ajp.2006.163.11.1978.
Aragão EI, Campos MR, Portugal FB, Goncalves DA, Mari JD, Fortes SL. Social Support patterns in Primary Health Care: differences between having physical diseases or mental disorders. Ciên Saude Coletiva. 2018;23:2339-50. doi: https://doi.org/10.1590/1413-81232018237.21012016.
Souza RA, Costa GD, Yamashita CH, Amendola F, Gaspar JC, Alvarenga MR, Faccenda O, Oliveira MA. Family functioning of elderly with depressive symptoms. Rev Esc Enferm USP. 2014;48(3):469-76. doi: https://doi.org/10.1590/S0080-623420140000300012.
Unützer J. Diagnosis and treatment of older adults with depression in primary care. Biol Psychiatry. 2002;52(3):285-92. doi: https://doi.org/10.1016/S0006-3223(02)01338-0.
Luchesi BM, Oliveira NA, Morais D, Paula Pessoa RM, Pavarini SC, Chagas MH. Factors associated with happiness in the elderly persons living in the community. Arch Gerontol Geriatr. 2018;74:83-7. doi: https://doi.org/10.1016/j.archger.2017.10.006.
Pinto JM, Neri AL. Factors associated with low life life satisfaction in community-dwelling elderly: FIBRA Study. Cad Saude Publica. 2013;29:2447-58. doi: https://doi.org/10.1590/0102-311X00173212
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