Journals / Turkish Journal of Medical Sciences / 2022 / Cilt: 52 - Sayı: 3

Association between depression scores and comprehensive geriatric assessment and frailty in geriatric outpatients with somatic complaints: an observational cross-sectional study

Pages
715–723
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

As with other geriatric syndromes, symptoms in depression may be atypical rather than typical.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: Depression is the most common psychiatric problem in older individuals.
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Key Findings & Data:A comprehensive geriatric evaluation of 235 elderly patients was performed using established assessment tests.
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Conclusion & Impact:As with other geriatric syndromes, symptoms in depression may be atypical rather than typical.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: Depression is the most common psychiatric problem in older individuals. In some countries, the common approach is to ignore psychiatric disorders. This study aimed to reveal the importance of newly diagnosed high depression scores in the geriatric population admitted to outpatient clinics with somatic complaints. Materials and methods: Patients who did not have a previous diagnosis of a psychiatric disorder and were not receiving treatment were included in the study. A comprehensive geriatric evaluation of 235 elderly patients was performed using established assessment tests. The time and quality of sleep and the Clinical Frailty Scores (CFSs) were documented. Results: The mean age of the 235 patients was 73.6 ± 6.39 years, 65.5% (n = 154) were women, and 34.9% (n = 81) had a geriatric depression score ≥ 5. In the higher depression rating scores group, the Lawton-Brody, Mini-Mental State Examination (MMSE), and Mini Nutritional Assessment (MNA-SF) scores were low (p = 0.010, p < 0.001, p = 0.003). Sleep duration was short, and sleep quality was poor (p = 0.042, p = 0.006). The CFSs were high. (p = 0.035) According to the regression analysis results, the MMSE, MNA-SF and CFS predicted higher depression scores significantly (p = 0.048, ß = .892; p = 0.045, ß = .661; p = 0.045, ß = 1.245). Conclusion: Depression scores in older people may be associated with not only mood but also the functionality. As with other geriatric syndromes, symptoms in depression may be atypical rather than typical.

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Cite This Article

ARAS, S., SÜRMELİ, D. M., SEÇER, Ç. C., ATMIŞ, V., VARLI, M., YALÇIN, A., GÖZÜKARA, B., ÖZTORUN, H. S., TURGUT, T., BAHŞİ, R. (2022). Association between depression scores and comprehensive geriatric assessment and frailty in geriatric outpatients with somatic complaints: an observational cross-sectional study. Turkish Journal of Medical Sciences, Cilt: 52 - Sayı: 3, 715–723. https://ajindex.com/articles/609210

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References (10)

  1. World Health Organization. (2017). Depression and other common mental disorders: global health estimates. License: CC BY-NC-SA 3.0 IGO 2. Mohebbi M, Agustini B, Woods RL, McNeil JJ, Nelson MR et al. Prevalence of depressive symptoms and its associated factors among healthy community-dwelling older adults living in Australia and the United States. International Journal of Geriatric Psychiatry 2019
  2. 34(8): 1208-1216. doi: 10.1002/ gps.5119 3. Ashe S, Routray D. Prevalence, associated risk factors of depression and mental health needs among geriatric population of an urban slum, cuttack, odisha. International Journal of Geriatric Psychiatry 2019
  3. 34(12): 1799-1807. doi: 10.1002/gps.5195 4. TR Disu, NJ Anne, MD Griffiths, MA Mamun. Risk factors of geriatric depression among elderly Bangladeshi people: a pilot interview study. Asian Journal of Psychiatry 2019
  4. doi: 10.1016/j.ajp.2019.07.050 5. Alzahrani A, Alghamdi A, Alqarni T, Alshareef R, Alzahrani A. Prevalence and predictors of depression, anxiety, and stress symptoms among patients with type II diabetes attending primary healthcare centers in the western region of Saudi Arabia: a cross-sectional study. International Journal of Mental Health Systems 2019
  5. 13(1): 1-7. doi: 10.1186/s13033-019- 0307-6 6. Çam O, Bilge A. Türkiye’de ruhsal hastalığa/hastaya yönelik inanç, tutum ve damgalama süreci: sistematik derleme. Psikiyatri Hemşireliği Dergisi 2013
  6. 4(2): 91-101. doi: 10.5505/ phd.2013.92300 (in Turkish). 7. Arkan B, Bademli K, Duman ZÇ. Sağlık çalışanlarının ruhsal hastalıklara yönelik tutumları: son 10 yılda Türkiye’de yapılan çalismalar/attitudes of health professionals towards mental disorders: studies in Turkey during the last decade. Psikiyatride Güncel Yaklaşımlar 2011
  7. 3(2): 214-231 (in Turkish with an abstract in English). 8. Glass RM. Awareness about depression: important for all physicians. Jama 2003
  8. 289(23): 3169-3170. doi: 10.1001/ jama.289.23.3169 9. Mitchell AJ, Rao S, Vaze A. Do primary care physicians have particular difficulty identifying late-life depression? A metaanalysis stratified by age. Psychotherapy and Psychosomatics 2010
  9. 79(5): 285-294. doi: 10.1159/000318295 10. Grigoletti L, Perini G, Rossi A, Biggeri A, Barbui C et al. Mortality and cause of death among psychiatric patients: a 20- year case-register study in an area with a community-based system of care. Psychological Medicine 2009
  10. 39(11): 1875- 1884. doi: 10.1017/S0033291709005790 11. Arık G, Varan HD, Yav