Abstract

HOLOVATINO, Lillian; NERI, Anita; YASSUDA, Mônica  and  BATISTONI, Samila. Functional dependence and depressive symptoms in community-dwelling elderly. Psic., Saúde & Doenças [online]. 2023, vol.24, n.3, pp.1173-1185.  Epub Dec 31, 2023. ISSN 1645-0086.  https://doi.org/10.15309/23psd240331.

Depending on help to carry out instrumental activities of daily living (IADLs) in old age reveals robust relationships with vulnerabilities to well-being and risks to mental health. The present study examined the formation of groups of elderly people living in the community according to the type of instrumental activities in which there is dependence and the report of particular depressive symptoms. Data from 419 participants (80+ 4.5 years old; 69.4% female) from the follow-up collection of the FIBRA study - Frailty in Brazilian Elderly people were used. The prevalence of dependence for IADLs was 49.64% of 29.1% for depression, according to the total GDS-15 score. Through cluster analysis, four groups of manifestation of dependence were identified according to the number, type of IADL, and associations with sociodemographic conditions, health, perceived autonomy, and control. Multinomial regression analyzes identified differences in odds ratios for one of the depressive symptoms that make up the GDS-15, after adjusting variables. Regarding the functionally preserved cluster (cluster 1), items representative of downgrading in positive affects and physical disposition (“anhedonia”) were more likely in cluster 2. Cluster 3, with greater dependencies for IADLs performed outside the home, was characterized by experiences of social isolation. Cluster 4, with the highest number of types of addictions, was more likely to have central depressive symptoms of clinical depression. The evidence suggests validity in specifying relationships between addictions and emotional experiences which may be part of care plans and public policies in health and aging.

Keywords : Aged; Functional residual capacity; Octogenarians; Activities of daily living; Depression.

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