Envellir vivint a casa amb poca salut, soledat i depressió. Quina realitat viuen les dones grans?
- 1 Grup d’Investigació en Intervenció Psicosocial en els Envelliments i Cures al llarg del Cicle Vital de la Universitat de València.
ISSN: 2174-7997
Año de publicación: 2023
Año: 2023
Páginas: 102-120
Tipo: Artículo
Otras publicaciones en: Anuari de l'envelliment: Illes Balears
Resumen
Envejecer en casa es un objetivo deseado por la mayor parte de las personas. La clave para envejecer en casa es mantener el equilibrio entre las capacidades y pérdidas que tienen las personas y el entorno en el que viven. Participantes: 790 mujeres que viven en casa (media: 83 años). El objetivo era conocer la relación entre variables de salud en personas que viven en casa: salud percibida, bienestar psicológico, depresión, estado funcional y cognitivo, estilo de vida (ejercicio físico, salir de casa), número de caídas, apoyo social y soledad. Se observaron puntuaciones moderadas de soledad y salud funcional. Así pues, un 35,7% había tenido alguna caída en el último año, con alteraciones en la vida cotidiana tras la caída (62,11%). Sólo el 40% salía de casa con frecuencia; el 56% no realizaba ejercicio diario, y el 82,3% había recibido cuidados en los últimos doce meses. Se observaron relaciones significativas y negativas entre depresión y bienestar; apoyo social, estado funcional y cognitivo y salud percibida; y una relación positiva y significativa entre depresión y soledad. Entender los determinantes de la calidad de vida de las personas que viven en casa es importante debido al creciente número de personas mayores y las preferencias por envejecer en casa.
Referencias bibliográficas
- Barger, S. D., Messerli-Burgy, N., i Barth, J. (2014). Social relationship correlates of major depressive disorder and depressive symptoms in Switzerland: nationally representative cross-sectional study. BMC Public Health, 14, 273. https://doi.org/10.1186/1471-2458-14-273.
- Beutel, M. E., Brähler, E., Wiltink, J., Kerahrodi, J. G., Burghardt, J., Michal, M., i Tibubos, A. N. (2019). New onset of depression in aging women and men: contributions of social, psychological, behavioral, and somatic predictors in the community. Psychological Medicine, 49(7), 1148-1155. https://doi.org/10.1017/S0033291718001848
- Cho, I. Y., Kang, J., Ko, H., Sung, E., Chung, P. W., i Kim, C. (2021). Association between frailty-related factors and depression among older adults. Clinical Gerontologist, 45(2), 366-375. https://doi.org/10.1080/07317115.2021.1952676
- Cohen-Mansfield, J., i Parpura-Gill, A. (2007). Loneliness in older persons: A theoretical model and empirical findings. International Psychogeriatrics, 19(2), 279-294.
- Cudjoe, T. K. M., Roth, D. L, Szanton, S. L., Wolff, J. L., Boyd, C. M., i Thorpe, R. J. (2020). The Epidemiology of social isolation: National Health and Aging Trends Study. J Gerontol B. Psychol Sci Soc Sci., 75, 107-113. https://doi.org/10.1093/geronb/gby037
- De Jong-Gierveld, J., i Kamphuls, F. (1985). The development of a Rasch-type loneliness scale. Applied Psychological Measurement, 9(3), 289-299. https://doi.org/10.1177/014662168500900307
- Diener, E., Emmons, R. A., Larsen, R. J., i Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71-75.
- Domènech-Abella J., Lara E., Rubio-Valera M., Olaya B., Moneta, M. V., Rico-Uribe, L.A., Ayuso-Mateos, J. L., Mundó J., i Haro, J. M. (2017). Loneliness and depression in the elderly: the role of social network. Soc Psychiatry Psychiatr Epidemiol, 52, 381-390. https://doi.org/10.1007/s00127-017-1339-3.
- Domènech-Abella, J., Mundo, J., Haro, J. M., i Rubio-Valera, M. (2019). Anxiety, depression, loneliness and social network in the elderly: Longitudinal associations from The Irish Longitudinal Study on Ageing (TILDA). J Affect Disord, 246, 82-88. https://doi.org/10.1016/j.jad.2018.12.043
- Donovan, N. J., Wu, Q., Rentz, D. M., Sperling, R. A., Marshall, G. A., i Glymour, M. M. (2016). Loneliness, depression and cognitive function in older U.S. adults. Int J Geriatr Psychiatry, 32, 564-573. https://doi.org/10.1002/gps.4495
- Falk-Dahl, C. A., i Dahl, A. A. (2010). Lifestyle and social network in individuals with high level of social phobia/anxiety symptoms: a community-based study. Soc Psychiatry Psychiatr Epidemiol, 45, 309-317. https://doi.org/10.1007/s00127-009-0069-6
- Geerlings, S. W., Beekman, A. T., Deeg, D. J., i Van Tilburg, W. (2000). The longitudinal effect of depression on functional limitations and disability in older adults: an eightwave prospective community-based study. Psychological Medicin, 30(2), 369-380. https://doi.org/10.1017/S0033291799001890
- Hirani, S. P., Beynon, M., Cartwright, M., Rixon, L., Doll, H., Henderson, C., Bardsley, M., Steventon, A., Knapp, M., Rogers, A., Bower, P., Sanders, C., Fitzpatrick, R., Stanton, J.H., i Newman, S. P. (2014). The effect of telecare on the quality of life and psychological well-being of elderly recipients of social care over a 12-month period: the Whole Systems Demonstrator cluster randomised trial. Age and Ageing, 43(3), 334-341. https://doi.org/10.1093/ageing/aft185
- Holt-Lunstad, J., i Smith, T. B. (2016). Loneliness and social isolation as risk factors for CVD: implications for evidence-based patient care and scientific inquiry. Heart, 102, 987-989. http://dx.doi.org/10.1136/heartjnl-2015-309242
- Jarach, C. M., Tettamanti M., Nobili A., i D’Avanzo B. (2020). Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE). Age & Ageing, 50(1): 258-262. https://doi.org/10.1093/ageing/afaa168
- Kuiper, J. S., Zuidersma, M., Oude, R. C., Zuidema, S., Van der Heuwel, E., Stolk, R., i Smidt, N. (2015). Social relationships and risk of dementia: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Res Rev, 22, 39-57. https://doi.org/10.1016/j.arr.2015.04.006
- Lampinen, P., i Heikkinen, E. (2003). Reduced mobility and physical activity as predictors of depressive symptoms among community-dwelling older adults: an eight-year followup study. Aging Clin Exp Res, 15, 205-211. https://doi.org/10.1007/BF03324501
- Lubben, J., Blozik, E., Gillmann, G., IIiffe, S., von Renteln Kruse, W., Beck, J. C., i Stuck, A. E. (2006). Performance of an abbreviated version of the Lubben Social Network Scale among three European Community–dwelling older adult populations. The Gerontologist, 46(4), 503-513. https://doi.org/10.1093/geront/46.4.503
- Mahoney, F. I., i Barthel, D. W. (1965). Functional evaluation: the Barthel Index: A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland State Medical Journal, 14, 61-65.
- Martin, E., i Velayudhan, L. (2020). Neuropsychiatric symptoms in mild cognitive impairment: a literature review. Dementia and Geriatric Cognitive Disorders, 49(2), 146-155. https://doi.org/10.1159/000507078
- Mayer, H., Stolz, E., i Freidl, W. (2020). Frailty and depression: Reciprocal influences or common causes. Soc Sci Med, 263, 113273. https://doi.org/10.1016/j.socscimed.2020.113273
- McHugh, J., Hannigan, C., Hyland, P., Brennan, S., Kee, F., i Lawlor, B. A. (2020). Depressive symptoms predict increased social and emotional loneliness in older adults. Aging & Mental Health, 24, 110-118. https://doi.org/10.1080/13607863.2018.1517728.
- Pavot, W., i Diener, E. (2008). The Satisfaction with Life Scale and the emerging construct of life satisfaction. Journal of Positive Psychology, 3, 137-152.
- Penninkilampi, R., Casey, A. N., Singh, M. F., i Brodaty, H. (2018). The association between social engagement, loneliness, and risk of dementia: a systematic review and metaanalysis. J Alzheimer Dis, 66, 1619-1633. https://doi.org/10.3233/JAD-180439
- Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433-441.
- Pinazo-Hernandis, S., Blanco-Molina, M., i Ortega-Moreno, R. (2022). Aging in Place: Connections, Relationships, Social Participation and Social Support in the Face of Crisis Situations. Int. J. Environ. Res. Public Health, 19, 16623. https://doi.org/10.3390/ijerph192416623
- Schwarzbach, M., Luppa, M., Forstmeier, S., König, H. H., i Riedel-Heller, S. G. (2014). Social relations and depression in late life-a systematic review. Int J Geriatr Psychiatry, 29, 1-21. https://doi.org/10.1002/gps.3971
- Sha S., Xu Y., i Chen L. (2020). Loneliness as a risk factor for frailty transition among older Chinese people. BMC Geriatr, 20(1), 300. https://doi.org/10.1186/s12877-020-01714-5
- Sheikh, J. I., i Yesavage, J. A. (1986). Geriatric Depression Scale: Recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165-173.
- Taylor, H. O., Taylor, R. J., Nguyen, A. W., i Chatters L. (2018). Social isolation, depression, and psychological distress among older adults. J Aging Health, 30, 229-246. https://doi.org/10.1177/0898264316673511
- Valltorta, N. K., Kanaan, M., Gilbody, S., Ronzi, S., i Hanratty, B. (2016). Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart, 102, 1009-1016.
- Vink, D., Aartsen, M. J., i Schoevers, R. A. (2008). Risk factors for anxiety and depression in the elderly: a review. J Affect Disord, 106, 29-44. pmid:17707515
- Watson, P., Bearpark, T., i Ling, J. (2021). The impact of rapid response and telecare services on elderly and vulnerable residents. Health & Social Care in the Community, 29(4), 897-904. https://doi.org/10.1111/hsc.13123
- Wilson, R. S., Krueger, K. R., Arnold, S. E., Schneider, J. A., Kelly, J. F., Barnes, L. L., i Bennett, D. A. (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64(2), 234-240. https://doi.org/10.1001/archpsyc.64.2.234
- Yeh, S. C., i Lo, S. K. (2004). Living alone, social support, and feeling lonely among the elderly. Social Behavior and Personality: an International Journal, 32(2), 129-138. https://doi.org/10.2224/sbp.2004.32.2.129
- Zuo, S., Lin, L., Chen, S., Wang, Z., Tian, L., Li, H., i Xu, Y. (2022). Influencing factors of loneliness among older adults in China: a systematic review and meta-analysis. Psychogeriatrics, 21. https://doi.org/10.1111/psyg.12897