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Predictors of depression among the elderly persons with disabilities in Indonesia
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 Yogyaka...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479030/ https://www.ncbi.nlm.nih.gov/pubmed/37675206 http://dx.doi.org/10.4103/jfcm.jfcm_57_23 |
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author | Widagdo, The Maria M. Widyaningsih, Bernadeta D. Layuklinggi, Setywanty |
author_facet | Widagdo, The Maria M. Widyaningsih, Bernadeta D. Layuklinggi, Setywanty |
author_sort | Widagdo, The Maria M. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10479030 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-104790302023-09-06 Predictors of depression among the elderly persons with disabilities in Indonesia Widagdo, The Maria M. Widyaningsih, Bernadeta D. Layuklinggi, Setywanty J Family Community Med Original Article 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. Wolters Kluwer - Medknow 2023 2023-07-24 /pmc/articles/PMC10479030/ /pubmed/37675206 http://dx.doi.org/10.4103/jfcm.jfcm_57_23 Text en Copyright: © 2023 Journal of Family and Community Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Widagdo, The Maria M. Widyaningsih, Bernadeta D. Layuklinggi, Setywanty Predictors of depression among the elderly persons with disabilities in Indonesia |
title | Predictors of depression among the elderly persons with disabilities in Indonesia |
title_full | Predictors of depression among the elderly persons with disabilities in Indonesia |
title_fullStr | Predictors of depression among the elderly persons with disabilities in Indonesia |
title_full_unstemmed | Predictors of depression among the elderly persons with disabilities in Indonesia |
title_short | Predictors of depression among the elderly persons with disabilities in Indonesia |
title_sort | predictors of depression among the elderly persons with disabilities in indonesia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479030/ https://www.ncbi.nlm.nih.gov/pubmed/37675206 http://dx.doi.org/10.4103/jfcm.jfcm_57_23 |
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