Resumo
Depression rates are notably higher in older adults residing in long-term care compared to their community-dwelling counterparts. The complexity of care needs for this group is growing, yet the specific risk factors for depression remain poorly defined. The review consolidates current knowledge on the risk factors for depression, aiming to bridge these gaps in idenOficaOon and intervenOon development. Searches were performed using 3 databases: pubmed, scopus and web of science, for research of original arOcles published 2000-2023. 8 studies were selected for final analysis. The results reveal that the most prominent risk factors for the emergence of depression in this populaOon are the presence of depressive symptoms at baseline, cogniOve impairment and pain. The findings underscore the imperaOve for early idenOficaOon and comprehensive management of depression in older adults residing in long-term care seSngs. It advocates for an integrated care model that encompasses mental health intervenOons alongside physical health care.
Referências
American Psychiatric AssociaOon. (2013). DiagnosOc and staOsOcal manual of mental disorders (5th ed.). American Psychiatric Publishing.
Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: A literature review. Archives of Internal Medicine, 163(20), 2433- 2445. hXps://doi.org/10.1001/archinte.163.20.2433
Barca, M. L., Engedal, K., Laks, J., & Selbaek, G. (2010). A 12 months follow-up study of depression among nursing-home paOents in Norway. Journal of AffecOve Disorders, 120(1-3), 141-148. hXps://doi.org/10.1016/j.jad.2009.04.028
Barca, M. L., Selbaek, G., Laks, J., & Engedal, K. (2008). The paXern of depressive symptoms and factor analysis of the Cornell Scale among paOents in Norwegian nursing homes. InternaOonal Journal of Geriatric Psychiatry, 23(10), 1058-1065. hXps://doi.org/10.1002/gps.2033
Barca, M. L., Selbaek, G., Laks, J., & Engedal, K. (2009). Factors associated with depression in Norwegian nursing homes. InternaOonal Journal of Geriatric Psychiatry, 24, 417-425.
BenneX, S., & Thomas, A. J. (2014). Depression and demenOa: cause, consequence or coincidence? Maturitas, 79(2), 184-190. hXps://doi.org/10.1016/j.maturitas.2014.05.009
Blazer, D. G., & Hybels, C. F. (2005). Origins of depression in later life. Psychological Medicine, 35(9), 1241–1252.
Boorsma, M., Joling, K., Dussel, M., Ribbe, M., Frijters, D., van Marwijk, H. W., Nijpels, G., & van Hout, H. (2012). The incidence of depression and its risk factors in Dutch nursing homes and residenOal care homes. American Journal of Geriatric Psychiatry, 20(11), 932-942. hXps://doi.org/10.1097/JGP.0b013e31825d08ac
Borza, T., Engedal, K., Bergh, S., Barca, M. L., Benth, J. Š., & Selbæk, G. (2015). The course of depressive symptoms as measured by the Cornell scale for depression in demenOa over 74 months in 1158 nursing home residents. Journal of AffecOve Disorders, 175, 209-216. hXps://doi.org/10.1016/j.jad.2014.12.053
Chau, R., Kissane, D. W., & Davison, T. E. (2021). Risk Factors for Depression in Long-term Care: A ProspecOve ObservaOonal Cohort Study. Clinical Gerontologist, 44(2), 112-125. hXps://doi.org/10.1080/07317115.2019.1635548
Erdal, A., Flo, E., Selbaek, G., Aarsland, D., Bergh, S., SleXebo, D. D., & Husebo, B. S. (2017). AssociaOons between pain and depression in nursing home paOents at different stages of demenOa. Journal of AffecOve Disorders, 218, 8-14. hXps://doi.org/10.1016/j.jad.2017.04.038
Guimarães, L. A., Brito, T. A., Pithon, K. R., Jesus, C. S., Souto, C. S., Souza, S. J. N., & Santos, T. S. D. (2019). Depressive symptoms and associated factors in elderly long-term care residents. Ciência & Saúde ColeOva, 24(9), 3275-3282. hXps://doi.org/10.1590/1413-81232018249.30942017
Han, L., McCusker, J., Abrahamowicz, M., Cole, M., & Capek, R. (2006). The temporal relaOonship between depression symptoms and cogniOve funcOoning in older medical paOents--prospecOve or concurrent? Journal of Gerontology: Series A, 61(12), 1319-1323. hXps://://doi.org/10.1093/gerona/61.12.1319
Marx, W., Penninx, B. W. J. H., Solmi, M., Furukawa, T. A., Firth, J., Carvalho, A. F., & Berk, M. (2023). Major depressive disorder. Nature Reviews Disease Primers, 9(1), 44. hXps://doi.org/10.1038/s41572-023-00454-1
McCusker, J., Cole, M. G., Voyer, P., MoneXe, J., Champoux, N., Ciampi, A., Vu, M., Dyachenko, A., & Belzile, E. (2014). Observer-rated depression in long-term care: frequency and risk factors. Archives of Gerontology and Geriatrics, 58(3), 332- 338. hXps://doi.org/10.1016/j.archger.2013.11.010
Muliyala, K. P., & Varghese, M. (2010). The complex relaOonship between depression and demenOa. Annals of Indian Academy of Neurology, 13(Suppl 2), S69-S73. hXps://doi.org/10.4103/0972-2327.74248
Smalbrugge, M., Jongenelis, L., Pot, A. M., EefsOng, J. A., Ribbe, M. W., & Beekman, A. T. (2006). Incidence and outcome of depressive symptoms in nursing home paOents in the Netherlands. American Journal of Geriatric Psychiatry, 14(12), 1069-1076. hXps://doi.org/10.1097/01.JGP.0000224605.37317.88
World Health OrganizaOon. (2022, October 1). Ageing and health. WHO. Retrieved from hXps://www.who.int/news-room/fact-sheets/detail/ageing-and-health
World Health OrganizaOon. (2023, March 31). Depressive disorder (depression). WHO. hXps://www.who.int/news-room/fact-sheets/detail/depression