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Clinically significant depressive symptoms and associated factors in community elderly subjects from Sao Paulo, Brazil.
Am J Geriatr Psychiatry. 2009 Jul; 17(7):582-90.AJ

Abstract

OBJECTIVES

To determine the frequency of clinically significant depressive symptoms (CSDS) in a community sample of Brazilian elderly and to assess their relationship with sociodemographic factors, cognitive and functional impairment (CFI), and clinical diseases.

DESIGN

Cross-sectional study of a community-based sample of elderly subjects.

SETTING

City of Sao Paulo, State of Sao Paulo, Brazil.

PARTICIPANTS

A total of 1,563 elderly subjects aged 60 years or older.

MEASUREMENTS

A 10-item scale for screening of depressive symptoms in elderly people (D-10), the Mini Mental State Examination, the Fuld Object Memory Evaluation, the Informant Questionnaire on Cognitive Decline in the Elderly, the Bayer Activities of Daily Living Scale, and a sociodemographic and clinical questionnaire.

RESULTS

The frequency of CSDS was 13.0%. Univariate analysis identified independent factors associated with these symptoms in our sample. Logistic regression analysis indicated that being female, brown skinned, previously depressed, having CFI, using psychotropics, and not practicing physical exercise were related to CSDS. On the other hand, being older, clinically sick, employed, or married were not associated with CSDS.

CONCLUSIONS

: Consistent with previous reports, female gender, lack of physical activity, and CFI were significantly associated with higher frequencies of CSDS. Further investigations are necessary to clarify the occurrence of depression and possible modifiable factors in developing countries such as Brazil.

Authors+Show Affiliations

Old Age Research Group (Proter), Institute of Psychiatry, University of Sao Paulo Medical School, Brazil. barcelosfr@usp.brNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19546654

Citation

Barcelos-Ferreira, Ricardo, et al. "Clinically Significant Depressive Symptoms and Associated Factors in Community Elderly Subjects From Sao Paulo, Brazil." The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, vol. 17, no. 7, 2009, pp. 582-90.
Barcelos-Ferreira R, Pinto JA, Nakano EY, et al. Clinically significant depressive symptoms and associated factors in community elderly subjects from Sao Paulo, Brazil. Am J Geriatr Psychiatry. 2009;17(7):582-90.
Barcelos-Ferreira, R., Pinto, J. A., Nakano, E. Y., Steffens, D. C., Litvoc, J., & Bottino, C. M. (2009). Clinically significant depressive symptoms and associated factors in community elderly subjects from Sao Paulo, Brazil. The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 17(7), 582-90. https://doi.org/10.1097/JGP.0b013e3181a76ddc
Barcelos-Ferreira R, et al. Clinically Significant Depressive Symptoms and Associated Factors in Community Elderly Subjects From Sao Paulo, Brazil. Am J Geriatr Psychiatry. 2009;17(7):582-90. PubMed PMID: 19546654.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinically significant depressive symptoms and associated factors in community elderly subjects from Sao Paulo, Brazil. AU - Barcelos-Ferreira,Ricardo, AU - Pinto,Jony Arrais,Jr AU - Nakano,Eduardo Yoshio, AU - Steffens,David C, AU - Litvoc,Júlio, AU - Bottino,Cássio M C, PY - 2009/6/24/entrez PY - 2009/6/24/pubmed PY - 2009/9/24/medline SP - 582 EP - 90 JF - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry JO - Am J Geriatr Psychiatry VL - 17 IS - 7 N2 - OBJECTIVES: To determine the frequency of clinically significant depressive symptoms (CSDS) in a community sample of Brazilian elderly and to assess their relationship with sociodemographic factors, cognitive and functional impairment (CFI), and clinical diseases. DESIGN: Cross-sectional study of a community-based sample of elderly subjects. SETTING: City of Sao Paulo, State of Sao Paulo, Brazil. PARTICIPANTS: A total of 1,563 elderly subjects aged 60 years or older. MEASUREMENTS: A 10-item scale for screening of depressive symptoms in elderly people (D-10), the Mini Mental State Examination, the Fuld Object Memory Evaluation, the Informant Questionnaire on Cognitive Decline in the Elderly, the Bayer Activities of Daily Living Scale, and a sociodemographic and clinical questionnaire. RESULTS: The frequency of CSDS was 13.0%. Univariate analysis identified independent factors associated with these symptoms in our sample. Logistic regression analysis indicated that being female, brown skinned, previously depressed, having CFI, using psychotropics, and not practicing physical exercise were related to CSDS. On the other hand, being older, clinically sick, employed, or married were not associated with CSDS. CONCLUSIONS: : Consistent with previous reports, female gender, lack of physical activity, and CFI were significantly associated with higher frequencies of CSDS. Further investigations are necessary to clarify the occurrence of depression and possible modifiable factors in developing countries such as Brazil. SN - 1545-7214 UR - https://www.unboundmedicine.com/medline/citation/19546654/Clinically_significant_depressive_symptoms_and_associated_factors_in_community_elderly_subjects_from_Sao_Paulo_Brazil_ L2 - https://linkinghub.elsevier.com/retrieve/pii/00019442-200907000-00007 DB - PRIME DP - Unbound Medicine ER -