Depression and social functioning in older adults – users of social services

Abstract

The current paper presents an empirical study of the relationships between measured levels of depression and a group of variables related to social functioning of older users of social services. In the measurement and analysis are included: social adaptation; social activity; quality of life satisfaction; frequency of hobbies and recreations practicing; depression; loneliness; age; education; health; cognitive and material living status. The results of the correlation analysis indicate that the depression is significantly and inversely correlated with the large part of the indicators of satisfaction and complete social functioning. The factor analysis defi nes three factors that are able to stabilizing and neutralizing action on depression in the elderly. These are: (1) biopsychosocial stability, emotional satisfaction and security; (2) intellectual, spiritual and creative oriented consciousness and activity of the individual; (3) self-management, independence, provision and satisfaction of basic needs in everyday life. The results of the research can serve in practice for development of programs for individual and group work with older users of social services.

References:

Atanasova, P., R. Masaldzhieva, N. Chalakov. Dementsia i depresia v kasnata vazrast  – diagnostichen problem s narastvashta znachimost za lekarskata praktika. – Balgarska nevrologia, tom 5, 2, 2005.

Voronkov, G., V. Bleyher, I. Shevchuk, L. Zavilyanskaya. Klinicheskie osobenosti i simptomatika depresii pozdnego vozrosta. – V: Depresii pozdnego vozrasta.

Klinika, voprosы patogoneza, lechenie. Sbornik nauchnыh trudov. Izd. Moskovskogo NII psihiatrii. M., 1983.

Mehandzhiyska, G. Metodi na sotsialnata rabota v sferata na psihichnoto zdrave. – V: Zhivot v obshtnostta. Narachnik za profesionalisti v organizatsii za psihosotsialna rehabilitatsia. Chovekolyubie, Pazardzhik, 2011.

Milanov, I. Depresia pri bolni s mozachen insult. – Balgarska nevrologia, tom 1, 1, 2001.

MKB-10. Mezhdunarodna klasifikatsia na bolestite, H revizia. Psihichni i pove dencheski razstroystva. Klinichni opisania i diagnostichni ukazania. Tsentar za satrudnichestvo sas SZO po problemite na psihichnoto zdrave, S., 1992.

Petrova, K. Pomosht za starite hora. V.T., Faber, 2010.

Savova, Z. Trevozhni i depresivni razstroystva v naprednala i starcheska vazrast. – V: Aktualni problemi na stareeneto i starostta. S., Simel, 2009.

Sokolychik, E. Depressivnыe rasstroystva v kartina senilyno-atroficheskih protsessov golovnogo mozga. – V: Depresii pozdnego vozrasta. Klinika, voprosы patogoneza, lechenie. Sbornik nauchnыh trudov. Izd. Moskovskogo NII psihiatrii. M., 1983.

Hell, D. Landshaft depresii. Integrativnыy podhod. M., Aleteya, 1999

Akkaya, C., A. Sarandol, A. Esen Danaci, E. Sivrioglu, E. Kaya, S. Kirli. Reliability and Validity of the Turkish Version of the Social Adaptation Self-Evaluation Scale (SASS). – Turkish Journal of Psychiatry, 19(3), 2008.

Barnett, P., I. Gotlib. Psychosocial functioning and depression: Distinguishing among antecedents, concomitants, and consequences. – Psychological Bulletin, Vol. 104, 1, 1988.

Baignée, D. La parole donnée aux personnes âgées ayant une défi cience visuelle et leurs perceptions psychosociales de la dépression (These). Université du Québec à Montréal, 2012. – www.erudit.org/these/liste.html (www.archipel.uqam.ca/4611/1/M12427.pdf) (14.03.2014).

Briley, M., Ch. Moret. Improvement of social adaptation in depression with serotonin and norepinephrine reuptake inhibitors. – Neuropsychiatric Disease and Treatment, 6, 2010.

Büssing, A., J. Fischer, A. Haller, P. Heusser, T. Ostermann, P. Matthiessen. Validation of the brief multidimensional life satisfaction scale in patients with chronic diseases. – European Journal of Medical Research, 14, 2009.

Cacioppo, J. T., M. E. Hughes, L. J. Waite, L. C. Hawkley, R. A. Thisted. Loneliness as a Specifi c Risk Factor for Depressive Symptoms: Cross-Sectional and Longitudinal Analyses. – Psychology and Aging, Vol. 21, 1, 2006.

Cappeliez, P. Depression in Elderly Persons: Prevalence, Predictors, and Psychological Intervention. – In: Depression and the Social Environment: Research and Intervention with neglected population. Ed. by Philippe Cappeliez, Robert J. Flynn. McGill-Queen’s University Press, 1993.

Depression and Older Adults: Key Issues. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, 2011. – http://store.samhsa.gov/shin/content//SMA11-4631CD-DVD/SMA11-4631CD-DVD-KeyIssues.pdf (26.03.2014).

Dimitrova, M., Z. Stoeva. Differential diagnosis between depression and demention by the means of psychological methods WMS (Wechler Memory Scale). – Military medicine, LVIII, 1, 2006.

Fisk, A. The nature of depression in later life. – In: Psychotherapy for depression in older adults. Ed. By S. Qualls and B. Knight, Hoboken, N.J., 2006.

Hovaguimian, T. Instruments used in the assessment of depression in psychogeriatric patients. – In: Assessment of depression. Ed. by N. Sartorius and T. Ban, Springer – Verlag, Berlin, 1986.

Hughes, C. Depression in older people. – In: Nursing older people: independence, autonomy and self-fulfi lment. Еd. By S. Redfern and F. Ross, Elsevier Health Sciences, 2005.

Kane, R. Definition, measurement, and correlates of quality of life in nursing homes: Toward a reasonable practice, research, and policy agenda. – The Gerontologist, Vol. 43, Special Issue II, 2003.

Kendell, R. The classifi cation of depressions: A review of contemporary confusion. – In: Handbook of studies on depression. Ed. by G. D. Burrows, Elseiver/ North-Holland Biomedical Press, Amsterdam, 1977.

Lemon, B., V. Bengtson, J. Peterson. An Exploration of the Activity Theory of Aging: Activity Types and Life Satisfaction among In-Movers to a Retirement Community. – Journal of Gerontology, Vol. 27, 4, 1972.

McDowell, I. Measuring Health: A Guide to Rating Scales and Questionnaires. N.Y., Oxford University Press, 2006.

Papadopoulos F. C., E. Petridou, S. Argyropoulou, V. Kontaxakis, N. Dessypris, A. Anastasiou, K. P. Katsiardani, D. Trichopoulos, C. Lyketsos. Prevalence and correlates of depression in late life: a population based study from a rural Greek town. – International Journal of Geriatric Psychiatry, Vol. 20, Issue 4, 2005.

Pettit, J. W., K. E. Grover, P. M. Lewinsohn. Interrelations between psychopathology, psychosocial functioning, and physical health: An integrative perspective. – International Journal of Clinical and Health Psychology, Vol. 7, 2. 2007.

Poirier, H., J.-P. Bonin, A. Lesage, D. Reinharz. Évaluation de la qualité de vie et des besoins des personnes itinérantes atteintes de troubles mentaux graves : Perceptions d’une équipe itinérance-outreach. – Santé mentale au Québec, vol. 25, 2, 2000.

Rapaport, M., C. Clary, R. Fayyad, J. Endicott. Quality-of-Life Impairment in Depressive and Anxiety Disorders. – American Journal of Psychiatry, Vol. 162, 6, June, 2005.

Russell, D. UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. – Journal of Personality Assessment, Vol. 66, 1, 1996.

Sheikh, J. I., J. A. Yesavage. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. – Clinical Gerontologist, Vol. 5, 1/2, june, 1986.

Smith, T. B., M. E. McCullough, J. Poll. Religiousness and Depression: Evidence for a Main Effect and the Moderating Influence of Stressful Life Events. – Psychological Bulletin, Vol. 129, 4, 2003.

Snarski, M., F. Scogin. Assessing depression in older adult. In: Psychotherapy for depression in older adults. Ed. By S. Qualls and B. Knight, Hoboken, N.J., 2006.

Thomas, Ph., C. Hazif-Thomas. Les nouvelles approches de la dépression de la personne âgée. – Gérontologie et société, 126, 3, 2008.

Weissman, M., M. Olfson, M. J. Gameroff, A. Feder, M. Fuentes. A Comparison of Three Scales for Assessing Social Functioning in Primary Care. – American Journal of Psychiatry, 158, 3, 2001.

Wood, A. М., S. Joseph. The absence of positive psychological (eudemonic) well-being as a risk factor for depression: A ten year cohort study. – Journal of Affective Disorders, 122, 2010.

Yesavage, J. A., T. L. Brink, T. L. Rose, О. Lum, V. Huang, M. Adey, V. О. Leirer. Development and validation of a geriatric depression screening scale: A preliminary report. – Journal of Psychiatric Research, Vol. 17, 1, 1983.