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Findings Regarding the Relationships Between Sociodemographic, Psychological, Comorbidity Factors, and Functional Status, in Geriatric Inpatients

  • Conference paper
  • First Online:
GeNeDis 2014

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 821))

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Abstract

Objective To assess the impact of socio-demographic and comorbidity factors, and quantified depressive symptoms on disability in inpatients.

Methods Observational cross-sectional study, including a number of 80 elderly (16 men, 64 women; mean age 72.48 years; standard deviation 9.95 years) admitted in the Geriatrics Clinic of “St. Luca” Hospital, Bucharest, between May-July, 2012. We used the Functional Independence Measure, Geriatric Depression Scale and an array of socio-demographic and poly-pathology parameters. Statistical analysis included Wilcoxon and Kruskal-Wallis tests for ordinal variables, linear bivariate correlations, general linear model analysis, ANOVA.

Results FIM scores were negatively correlated with age (R = −0.301; 95%CI = −0.439 −0.163; p = 0.007); GDS scores had a statistically significant negative correlation (R = −0.322; 95% CI = −0.324 −0.052; p = 0.004) with FIM scores. A general linear model, including other variables (gender, age, provenance, matrimonial state, living conditions, education, respectively number of chronic illnesses) as factors, found living conditions (p = 0.027) and the combination of matrimonial state and gender (p = 0.004) to significantly influence FIM scores. ANOVA showed significant differences in FIM scores stratified by the number of chronic diseases (p = 0.035).

Discussion and conclusions Our study objectified the negative impact of depression on functional status; interestingly, education had no influence on FIM scores; living conditions and a combination of matrimonial state and gender had an important impact: patients with living spouses showed better functional scores than divorced/widowers; the number of chronic diseases also affected the FIM scores: lower in patients with significant polypathology. These findings should be considered when designing geriatric rehabilitation programs, especially for home – including skilled – cares.

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References

  1. Onose G, Haras MA, Sinescu CJ, Daia CO, Andone I, Onose VL, Capisizu A, Grigorean VT, Ciobotaru C, Sandu AM, Blendea CD (2013) Basic wellness features and some related actions propensive for active and healthy ageing. World Med J 4(59):155–160

    Google Scholar 

  2. Brandtstadter J (2006) Adaptive resources in later life: tenacious goal pursuit and flexible goal adjustment. In: Csikszentmihalyi M, Csikszentmihalyi IS (eds) 4 life worth living. Contributions to positive psychology. Oxford University Press, Pp, New York, pp 143–164

    Google Scholar 

  3. Kraaij V, Arensman E, Spinhoven P (2002) Negative life events and depression in elderly persons: a meta-analysis. J Gerontol B Psychol Sci Soc Sci 57(1):P87–P94

    Article  PubMed  Google Scholar 

  4. Murray CJL, Lopez AD (eds) (1996) The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020, Global burden of disease and injury series. Harvard University Press, Cambridge

    Google Scholar 

  5. Fountoulakis KN, O’Hara R, Iacovides A, Camilleri CP, Kaprinis S, Kaprinis G, Yesavage J (2003) Unipolar late-onset depression: a comprehensive review. Ann Gen Hosp Psychiatry 2(1):11

    Article  PubMed Central  PubMed  Google Scholar 

  6. Mirowsky J, Ross CE (1992) Age and depression. J Health Soc Behav 33(3):187–205, discussion 206–212

    Article  CAS  PubMed  Google Scholar 

  7. Alonso J, Lépine JP, ESEMeD/MHEDEA 2000 Scientific Committee (2007) Overview of key data from the European Study of the Epidemiology of Mental Disorders (ESEMeD). J Clin Psychiatry 68(Suppl 2):3–9

    PubMed  Google Scholar 

  8. Scott KM, Von Korff M, Alonso J, Angermeyer M, Bromet EJ, Bruffaerts R, de Girolamo G, de Graaf R, Fernandez A, Gureje O, He Y, Kessler RC, Kovess V, Levinson D, Medina-Mora ME, Mneimneh Z, Oakley Browne MA, Posada-Villa J, Tachimori H, Williams D (2008) Age patterns in the prevalence of DSM-IV depressive/anxiety disorders with and without physical comorbidity. Psychol Med 38(11):1659–1669

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Chapman DP, Perry GS (2008) Depression as a major component of public health for older adults. Prev Chronic Dis 5(1):A22

    PubMed Central  PubMed  Google Scholar 

  10. Fiske A, Jones RS (2005) Depression. In: Johnson ML, Bengston VL, Coleman PG, Kirkwood TBL (eds) The Cambridge handbook of age and ageing. Cambridge University Press, Cambridge, pp 245–251

    Google Scholar 

  11. Copeland JR, Beekman AT, Braam AW, Dewey ME, Delespaul P, Fuhrer R, Hooijer C, Lawlor BA, Kivela SL, Lobo A, Magnusson H, Mann AH, Meller I, Prince MJ, Reischies F, Roelands M, Skoog I, Turrina C, deVries MW, Wilson KC (2004) Depression among older people in Europe: the EURODEP studies. World Psychiatry 3(1):45–49

    PubMed Central  PubMed  Google Scholar 

  12. Castro-Costa E, Dewey M, Stewart R, Banerjee S, Huppert F, Mendonca-Lima C, Bula C, Reisches F, Wancata J, Ritchie K, Tsolaki M, Mateos R, Prince M (2007) Prevalence of depressive symptoms and syndromes in later life in ten European countries. The SHARE study. Br J Psychiatry 191:393–401

    Article  CAS  PubMed  Google Scholar 

  13. Carrière I, Villebrun D, Pérès K, Stewart R, Ritchie K, Ancelin ML (2009) Modelling complex pathways between late-life depression and disability: evidence for mediating and moderating factors. Psychol Med 39(10):1587–1590

    Article  PubMed  Google Scholar 

  14. Barry LC, Allore HG, Bruce ML, Gill TM (2009) Longitudinal association between depressive symptoms and disability burden among older persons. J Gerontol A Biol Sci Med Sci 64(12):1325–1332

    Article  PubMed  Google Scholar 

  15. Braam AW, Prince MJ, Beekman AT, Delespaul P, Dewey ME, Geerlings SW, Kivela SL, Lawlor BA, Magnusson H, Meller I, Pérès K, Reischies FM, Roelands M, Schoevers RA, Saz P, Skoog I, Turrina C, Versporten A, Copelan JR (2005) Physical health and depressive symptoms in older Europeans. Results from EURODEP. Br J Psychiatry 187:35–42

    Article  CAS  PubMed  Google Scholar 

  16. Bruce M, Seeman T, Merrill S, Blazer DG (1994) The impact of depressive symptomatology on physical disability: MacArthur studies of successful aging. Am J Public Health 84:1796–1799

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Cronin-Stubbs D, Mendes de Leon CF, Beckett LA, Field TS, Glynn RJ, Evans DA (2000) Six-year effect of depressive symptoms on the course of physical disability in community-living older adults. Arch Intern Med 160:3074–3080

    Article  CAS  PubMed  Google Scholar 

  18. Geerlings SW, Beekman AT, Deeg DJ, Twisk JW, Van Tilburg W (2001) The longitudinal effect of depression on functional limitations and disability in older adults: an eight-wave prospective community-based study. Psychol Med 31(8):1361–1371

    Article  CAS  PubMed  Google Scholar 

  19. Kessler RC, Ustün TB (2004) The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 13(2):93–121

    Article  PubMed  Google Scholar 

  20. Lenze EJ, Rogers JC, Martire LM, Mulsant BH, Rollman BL, Dew MA, Schulz R, Reynolds CF 3rd (2001) The association of late-life depression and anxiety with physical disability: a review of the literature and prospectus for future research. Am J Geriatr Psychiatry 9(2):113–135

    Article  CAS  PubMed  Google Scholar 

  21. Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B (2007) Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet 370(9590):851–858

    Article  PubMed  Google Scholar 

  22. Ormel J, Kempen GI, Deeg DJ, Brilman EI, van Sonderen E, Relyveld J (1998) Functioning, well-being, and health perception in late middle-aged and older people: comparing the effects of depressive symptoms and chronic medical conditions. J Am Geriatr Soc 46(1):39–48

    CAS  PubMed  Google Scholar 

  23. Bruce ML (2001) Depression and disability in late life: directions for future research. Am J Geriatr Psychiatry 9(2):102–112

    Article  CAS  PubMed  Google Scholar 

  24. Demakakos P, Cooper R, Hamer M, de Oliveira C, Hardy R, Breeze E (2013) The bidirectional association between depressive symptoms and gait speed: evidence from the English Longitudinal Study of Ageing (ELSA). PLoS One 8(7):e68632. doi:10.1371/journal.pone.0068632, Print 2013

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  25. Ormel J, Rijsdijk FV, Sullivan M, van Sonderen E, Kempen GI (2002) Temporal and reciprocal relationship between IADL/ADL disability and depressive symptoms in late life. J Gerontol B Psychol Sci Soc Sci 57(4):338–347

    Article  Google Scholar 

  26. Engberg H, Jeune B, Andersen-Ranberg K, Martinussen T, Vaupel JW, Christensen K (2013) Optimism and survival: does an optimistic outlook predict better survival at advanced ages? A twelve-year follow-up of Danish nonagenarians. Aging Clin Exp Res 25(5):517–525

    Article  PubMed  Google Scholar 

  27. Steptoe A, de Oliveira C, Demakakos P, Zaninotto P (2014) Enjoyment of life and declining physical function at older ages: a longitudinal cohort study. CMAJ. doi:10.1503/cmaj.131155 [Epub ahead of print]

    PubMed Central  PubMed  Google Scholar 

  28. CPME Statement on the Management of Chronic Conditions (2013) http://www.cpme.eu/cpme-statement-on-the-management-of-chronic-conditions

  29. elearnSCI.org Submodule: Clinical assessment of patients with SCI - Doctor’s Module - Aito S (coordinator) et al. (2012) http://www.elearnsci.org/ – with permission

  30. Guide for the Uniform Data Set for Medical Rehabilitation, Version 5.1 Buffalo, State University of New York, Buffalo – from Uniform Data System for Medical Rehabilitation, UBFA (cited in: Braddom RL et al (2007) Physical medicine & rehabilitation, 3rd edn. W. B. Saunders Company, Philadelphia)

    Google Scholar 

  31. Hamilton BB, Granger CV, Sherwin FS et al (1987) UK version of the Functional Assessment Measure (UK FIM-m). A uniform national data system for Medical rehabilitation. In: Fuhrer MJ (ed) Rehabilitation outcomes: analysis and measurement. Brookes, Baltimore, MD, pp 137–147

    Google Scholar 

  32. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO (1982–1983) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17(1):37–49

    Article  Google Scholar 

  33. Harvat TA, McKenzie G (2012) Depression in older adults. In: Boltz M, Capezuti E, Fulmer TT, Zwicker D (eds), O’Meara A (managing ed). Evidence-based geriatric nursing protocols for best practice, 4th edn. Springer Publishing Company, LLC, New York, pp 135–162

    Google Scholar 

  34. Alexandre TD, Corona LP, Nunes DP, Santos JL, Duarte YA, Lebrão ML (2014) Similarities among factors associated with components of frailty in elderly: SABE Study. J Aging Health. doi:10.1177/0898264313519818 [Epub ahead of print]

    Google Scholar 

  35. Hirosaki M, Ishimoto Y, Kasahara Y, Konno A, Kimura Y, Fukutomi E, Chen W, Nakatsuka M, Fujisawa M, Sakamoto R, Ishine M, Okumiya K, Otsuka K, Wada T, Matsubayashi K (2013) Positive affect as a predictor of lower risk of functional decline in community-dwelling elderly in Japan. Geriatr Gerontol Int 13(4):1051–1058

    Article  PubMed  Google Scholar 

  36. Diener E, Chan MY (2011) Happy people live longer: subjective wellbeing contributes to health and longevity. Appl Psychol Health Well Being 3:1–43

    Article  Google Scholar 

  37. Steptoe A, Wardle J (2011) Positive affect measured using ecological momentary assessment and survival in older men and women. Proc Natl Acad Sci U S A 108:18244–18248

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  38. Warner DF, Kelley-Moore J (2012) The social context of disablement among older adults: does marital quality matter for loneliness? J Health Soc Behav 53(1):50–66

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

    Ana Capisizu, Monica Haras, Tiberiu Spircu & Gelu Onose

  2. The Hospital for Chronic Diseases “St. Lucas”, Bucharest, Romania

    Ana Capisizu, Andreea Zamfirescu & Ioana Omer

  3. The “Titu Maiorescu” University, Bucharest, Romania

    Sorina Aurelian

  4. The Teaching Emergency Hospital “Bagdasar-Arseni”, Bucharest, Romania

    Monica Haras & Gelu Onose

  5. The University “Ovidius”, Constanţa, Romania

    Camelia Ciobotaru

  6. Sf. Apostol Andrei Emergency Hospital Constanţa, Constanţa, Romania

    Camelia Ciobotaru

  7. The Medical Service of “Metrorex”, Bucharest, Romania

    Liliana Onose

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  1. Ana Capisizu
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Correspondence to Monica Haras .

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Editors and Affiliations

  1. Department of Informatics, Ionian University, Corfu, Greece

    Panayiotis Vlamos

  2. Department of Informatics, Ionian University, Corfu, Greece

    Athanasios Alexiou

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Capisizu, A. et al. (2015). Findings Regarding the Relationships Between Sociodemographic, Psychological, Comorbidity Factors, and Functional Status, in Geriatric Inpatients. In: Vlamos, P., Alexiou, A. (eds) GeNeDis 2014. Advances in Experimental Medicine and Biology, vol 821. Springer, Cham. https://doi.org/10.1007/978-3-319-08939-3_9

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