Depressive and subthreshold depressive symptomatology among older adults in a socioeconomically deprived area in Brazil

Autor(es)

Nakamura, Carina Akemi ^[1] ; Scazufca, Marcia ^[1] ; Peters, Tim J. ^[2] ; Fajersztajn, Lais ^{[3, 4]} ; Van de Ven, Pepijn ^[5] ; Hollingworth, William ^[2] ; Araya, Ricardo ^[6] ; Moreno-Agostino, Dario ^{[6, 7, 8]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Fac Med FMUSP, Dept Psiquiatria, LIM 23, Sao Paulo, SP - Brazil

^[2] Univ Bristol, Populat Hlth Sci, Bristol, Avon - England

^[3] Univ Sao Paulo, Fac Med FMUSP, Dept Patol, Lab Poluicao Ambiental, Sao Paulo - Brazil

^[4] Global Brain Hlth Inst, San Francisco, CA - USA

^[5] Univ Limerick, Hlth Res Inst, Limerick - Ireland

^[6] Kings Coll London, Inst Psychiat Psychol & Neurosci, Ctr Global Mental Hlth, Hlth Serv & Populat Res Dept, London - England

^[7] Kings Coll London, ESRC Ctr Soc & Mental Hlth, London - England

^[8] UCL, UCL Social Res Inst, Ctr Longitudinal Studies, London - England

• Tipo de documento: Artigo Científico
• Fonte: INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY; DEC 2021.
• Citações Web of Science: 0

Resumo

Depressive and subthreshold depressive symptomatology are common but often neglected in older adults. Objective This study aimed to assess rates of depressive and subthreshold depressive symptomatology, and the characteristics associated, among older adults living in a socioeconomically deprived area of Brazil. Methods This study is part of the PROACTIVE cluster randomised controlled trial. 3356 adults aged 60+ years and registered in 20 primary health clinics were screened for depressive symptomatology with the Patient Health Questionnaire-9 (PHQ-9). Depressive status was classified according to the total PHQ-9 score and the presence of core depressive symptoms (depressed mood and anhedonia) as follows: no depressive symptomatology (PHQ-9 score 0-4, or 5-9 but with no core depressive symptom); subthreshold depressive symptomatology (PHQ-9 score 5-9 and at least one core depressive symptom); and depressive symptomatology (PHQ-9 score >= 10). Sociodemographic information and self-reported chronic conditions were collected. Relative risk ratios and 95% CIs were obtained using a multinomial regression model. Results Depressive and subthreshold depressive symptomatology were present in 30% and 14% of the screened sample. Depressive symptomatology was associated with female gender, low socioeconomic conditions and presence of chronic conditions, whereas subthreshold depressive symptomatology was only associated with female gender and having hypertension. Conclusions Depressive and subthreshold depressive symptomatology is highly prevalent in this population registered with primary care clinics. Strategies managed by primary care non-mental health specialists can be a first step for improving this alarming and neglected situation among older adults. (AU)

• Processo FAPESP: 17/50094-2 - Cluster randomised controlled trial for late life Depression in socieconomically deprived areas of São Paulo, Brazil
• Beneficiário: Marcia Scazufca
• Modalidade de apoio: Auxílio à Pesquisa - Temático