Associations between Depressive States in Elderly Persons Who are Users of Transportation Services for Ambulatory Care and Their Physical Symptoms, Mental Symptoms, and Living Status

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  • Tsukahara Takako
    Department of Nursing, Faculty of Medical Welfare, Kawasaki University of Medical Welfare
  • Yamashita Ayako
    Department of Nursing, Faculty of Human Health Sciences, Niimi College

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Other Title
  • 通所サービスを利用している高齢者のうつ状態と身体症状，精神症状および生活状況の関連
  • ツウショ サービス オ リヨウ シテ イル コウレイシャ ノ ウツ ジョウタイ ト シンタイ ショウジョウ,セイシン ショウジョウ オヨビ セイカツ ジョウキョウ ノ カンレン

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Abstract

<p>This study was conducted to assess the characteristics of mental and physical symptoms in depressed home healthcare recipients in need of support or long-term care, and to identify factors associated with depressive states.</p><p>The study population comprised 111 persons aged 65 years or older who were certified to be in need of support or long-term care and able to express their wishes, selected from among the recipients of daycare services in Prefecture A. The following items were studied: basic patient attributes; depressive state determined on the Geriatric Depression Scale (GDS)-15 (Short Form); the three lower scales of the Tokyo Metropolitan Institute of Gerontology Index of Competence (instrumental independence, intellectual activity, and social roles); social support size score and exchange score; and mental and physical symptoms of depressive states.</p><p>The results identified 52 patients (46.8%) in mild depressive state (5 to 9 points of GDS score) and 8 patients (7.2%) in severe depressive state (10 points or higher). A logistic regression analysis (variable-increasing method) of GDS-correlated parameters with GDS score as a dependent variable found the number of physical symptoms (odds ratio OR=1.272) and the number of mental symptoms (OR=2.876) to be depressive state risk factors. In contrast, the size score (OR=0.891) was identified as a depressive state amelioration factor. Hypochondriac complaints were the most commonly detected physical symptom of depressive states. Mental symptoms included “inability to make up one's mind,” “decreased mental concentration,” “irritation,” and “seeming to have become weak-headed.”</p>

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