Depresión mayor en ancianos de 85 y más años. Su asociación con demencia
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Abstract
Depression is considered the most frequent mental illness; it is a cause of disability and constitutes a modifiable risk factor for the future development of dementia. The objective of tis study was to determine the frequency of major depression in elderly aged 85 and over and its possible association with dementia and with sociodemographic and clinical aspects. A descriptive cross-sectional study was carried out in 202 elderly who were treated in the protocolized consultation ¨The care of cognitive disorders in the elderly ¨, of the Hermanos Ameijeiras hospital, during the period between February 2016 and May 2016. 2020. 55.9% of the elderly were women and 64.9% were between 85 and 89 years old. A significant association was found between major depression and having comorbidity (p = 0.001), being a smoker (p = 0.003) and being a drinker (p <0.001). Major depression and dementia were diagnosed in 12.9% of the elderly, with no significant relationship (p = 0.731). The frequency of major depression in elderly aged 85 and over who were treated in a care consultation for cognitive disorders in the elderly is considered high. An association was identified between factors that deteriorated health and the presence of major depression, but not between it and dementia.
References
Almeida OP., Hankey GJ., Yeap BB., Golledge J. Flicker L. (2017). Depression as a modifiable factor to decrease the risk of dementia. TranslPsychiatry., 7,e1117; doi:10.1038/tp.2017.90. Recuperado de: www.nature.com/tp
Ashby-Mitchell K, Burns R, Anstey KJ, Shaw J. (2017). Proportion of dementia in Australia explained by common modifiable risk factors. Alzheimer’s Research & Therapy 9(8). Recuperado de: http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=121354505&lang=es&site=ehost-live
Brüning I. Karla. (2017) Depresión en adultos mayores: una mirada desde la medicina familiar. Pontificia Universidad Católica de Chile. Recuperado de: https://medicina.uc.cl
Bruno Dubois., NicolasVillain., Giovanni B Frisoni., Gil D Rabinovici., MarwanSabbagh., Stefano Cappa. (2021). Clinical diagnosis of Alzheimer’s disease: recommendations of the International Working Group. doi: https://doi.org/10.1016/S1474-4422(21)00066
Calderón M. Diego. (2018). Epidemiología de la depresión en el adulto mayor. RevMedHered. 2018; 29:182-191. doi: https://doi.org/10.20453/rmh.v29i3.3408
De los Santos P.V, Carmona Valdés S.E. (2018). Prevalencia de depresión en hombres y mujeres mayores en México y factores de riesgo. Revista electrónica semestral. Universidad de Costa Rica. 2018; 15(2):5. doi: https://doi.org/10.15517/psm.v15i2.29255
Deng J, Cao C, Jiang Y, Peng B, Wang T, Yan K, et al. (2018). Prevalence and effect factors of dementia among the community elderly in Chongqing, China. Psychogeriatrics: The Official Journal of The Japanese Psychogeriatric Society; 18(5):20p. Recuperado de: http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=29761589&lang=es&site=ehost-live
Duran-BadilloT, Benítez Rodríguez V.A, Martínez Aguilar M.L, Gutiérrez Sánchez G, Herrera Herrera J.L, Salazar Barajas M E. (2021). Depresión, ansiedad, función cognitiva y dependencia funcional en adultos mayores hospitalizados. Enfermería Global 2021; 61:265. doi: https://doi.org/10.6018/eglobal.422641
Ezzati, A., Katz, M. J., Derby, C. A., Zimmerman, M. E., and Lipton, R. B. (2019). Depressive symptoms predict incident dementia in a community sample of older adults: results from the einstein aging study. J. GeriatricPsychiatryNeurol; 32 (2), 97–103. doi: http://10.1177/0891988718824036
Fernández Viadero C., Verduga Vélez R., Martínez Antón M.A., Crespo Santiago D. (2020). El anciano con depresión y ansiedad. Tratado de Medicina Geriátrica Fundamentos de la atención sanitaria a los mayores 2. ª edición. IX (93):918-932. Recuperado de: https://www.elsevier.com › books
Fonte Sevillano T., Llibre Rodríguez J.J., Santos Hedman D.J. (2021). Prevalencia y factores de riesgo de demencia en personas de 80 años o más. Revista Cubana de Medicina. 60(3): e1675. Recuperado de: https://creativecommons.org/licenses/by-nc/4.0/deed.es_ES
Fonte Sevillano T., Santos Hedman D. J. (2019). Deterioro cognitivo leve en personas mayores de 85 años. Revista Cubana de Medicina; 59(1): e1314. Recuperado de: https://creativecommons.org/licenses/by-nc/4.0/deed.es_ES
Friedrich von Mühlenbrock S., Rocío Gómez D., Matías González V., Alberto Rojas A., Lorena Vargas G., Christian von
Mühlenbrock P. (2011). Prevalencia de Depresión en pacientes mayores de 60 años hospitalizados en el Servicio de Medicina Interna del Hospital Militar de Santiago. REV CHIL NEURO-PSIQUIAT; 49 (4): 331-337. Recuperado de: www.sonepsyn.cl
Guerra M, Prina AM, Ferri CP, et al. (2016). A comparative cross-cultural study of the prevalence of late life depression in low and middle income countries. J AffectDisord; 190:362-8. doi: http://10.1016/j.jad.2015.09.004
Guze B. Samuel. (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV). Rev. Washington, DC.;
(10):828-829. doi: http://10.1001/jama.1994.03520100096046
Hernán Silva I. (2014). Nueva clasificación de los trastornos mentales. DSM-5. Rev. Chilena Neuro-Psiquiatría; 52(1): 1-66. Recuperado de: www.sonepsyn.cl
Ibarra- Cornejo JL, Fernández -Lara MJ, Aguas- Alveal EV, Pozo- Castro AF, Antillanca-Hernández B, Quidequeo –Reffers DG. (2017). Efectos del reposo prolongado en adultos mayores hospitalizados. Anales de la Facultad de Medicina; 78(4), 439 - 444. doi: http://dx.doi.org/10.15381/anales.v78i4.14268
Llibre R.J, Gutiérrez H.R. (2014). Demencias y enfermedad de Alzheimer en América Latina y el Caribe. Rev Cubana Salud Pública; 40(3) Recuperado de: https://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-34662014000300008
Llibre R.J, Valhuerdi CA, López MA, Noriega FL, Porto Á. (2017). Cuba’s Aging and Alzheimer Longitudinal Study. MEDICC Review; 19(1). Recuperado de: https://www.medigraphic.com/cgibin/new/resumenI.cgi?IDARTICULO=70369
Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Mulsant B, Reynolds CF 3rd. (1992). Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res; 41(3):237-48. doi: https://10.1016/0165-1781(92)90005-n.PMID:1594710
MOCA-Spain/Spanish-Version of 19 Feb 2018- Mapi. ID061021/ MOCA-8.1-Test_AU1.0_spa-ES.doc. (2018). Recuperado de: www.mocatest.org
Morales González JM, González-Montalvo JI, Del Ser Quijano T, Bermejo Pareja F. (1992). Estudio de validación del S-IQCODE: la versión española del InformantQuestionnaireonCognitive Decline theElderly. Arch N eurobiol (Madr); 55(6):262-6. Spanish. PMID: 1492780. Recuperado de: https://pudmed.ncbi.nlm.nih.gov
Nilton Custodio., Eder Herrera-Pérez., David Lira., Rosa Montesinos., Marcela Mar., Erik Guevara-Silva., et al. (2014). Depresión en la tercera edad como factor de riesgo y su posible rol como pródromo de demencia. RevNeuropsiquiatr; 77 (4): 214-225. Recuperado de: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S0034-85972014000400004&Ing=es
Reyes de Baeman, S., Beaman, P. E., García Peña, C., Villa, M. A., Heres, J., Córdova, A. y Jagger, C. (2004). Validation of a Modifiied Version of the Mini-Mental State Examination (MMSE) in Spanish. Aging Neuropsychol Cong. Aging, Neuropsychology, and Cognition, 11(1):1-11. doi:
Santabárbara J, Sevil-Pérez A, Olaya B, Gracia-García P, López-Antón R. (2019). Depresión tardía clínicamente relevante y riesgo de demencia: revisión sistemática y metaanálisis de estudios prospectivos de cohortes. Rev Neurol; 68: 493-502. doi: http://10.33588/rn.6812.2018398
Sanz. J., Perdigón A. L., Vázquez. C. (2003). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 2. Propiedades psicométricas en población general. Clínica y Salud; 14(3):249-280. Recuperado de: https://www.redalyc.org/pdf/1806/180617972001.pdf
Shah S, Vanclay F, Cooper B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology; 42 (8), 703-709. Recuperado de: https://pubmed.ncbi.nlm.nih.gov
Sotelo-Alonso I, Rojas-Soto JE, Sánchez-Arena C, Irigoyen-Coria A. (2012). La depresión en el adulto mayor: una perspectiva clínica y epidemiológica desde el primer nivel de atención. ArchMedFam; 14(1) 5-13.
Vilchez-Cornejo J, Soriano-Moreno A, Saldaña-Cabanillas D, Acevedo-Villar TH, Bendezú-Saravia P, Ocampo-Portocarrero B, et al. (2017). Trastorno depresivo y deterioro cognitivo en ancianos peruanos de tres regiones. Acta MedPeru; 34(4):266-72. Recuperado de: www.redalyc.org
Wietse Wiels., Chris Baeken., Sebastiaan Engelborghs. (2020). Depressive Symptoms in the Elderly—an Early Symptom of Dementia? A Systematic Review. Front. Pharmacol; 11(34). doi: https://10.3389/fphar.2020.00034
Yessavage, J.A.; & Sheikh, M.D. (1986). 9/Geriatric Depression Scale (GDS). Clinical Gerontologist; 5(1-2), 165-173. doi: http://org/10.1300/J018v05n01_9