The Relationship Between Activities of Daily Living and Depression Among Community-Dwelling Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/621653
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Relationship Between Activities of Daily Living and Depression Among Community-Dwelling Older Adults
Author(s):
Kwon, Myoungjin; Song, Youngshin; Seo, Kawoun
Lead Author STTI Affiliation:
Non-member
Author Details:
Myoungjin Kwon, PhD, RN, Professional Experience: 2014-present--Prodessor, Daejeon University Department of Nursing, Daejeon, Republic of Korea 2010-2014--Professor, Hyechon College Department of Nursing, Daejeon, Republic of Korea 1996-2004--Nurse Staff, Chungnam National University Hospital, Daejeon, Republic of Korea Author Summary: Prof. Kwon is a prefessor of Daejeon University Department of Nursing. Research area is for mental health for older adults. This wrok was supported by research foundation of Daejeon University
Abstract:
Background and purpose: Depression has recently become a major public health concern, not only to personal suffering but national economic burden that related morbidity and increased mortality. Physical function such as daily activity have emphasized to reduce the depressive symptoms for older adults who cognitively intact in community-dwelling. Studies have proved physiological mechanism of physical activity that not only associate with depressive symptom, but also mediate the relationship between depression and cognitive decline. Despite accumulative evidence showing the interrelatedness between depressive symptoms and ADLs among older adults, the strength of the association may differ depending on sample characteristics and methodology across the studies. For instance, the strength of the relationship between depressive symptoms and ADLs in aged living at home showed the weak correlation than in institutionalized older adults despite of similar cognitive status. Thus, this study examined this relationship among community-dwelling older adults, via a systematic review and meta-analysis. We synthesized the information obtained to calculate the strength of the relationship. Methods: Systematic review and meta-analysis were conducted to search the existing published observational literature using 5 electronic databases. Published and unpublished studies measuring the direction and strength of the relationship between depressive symptoms and ADLs were independently extracted by the researchers. Several electronic databases, such as PubMed, EMBASE, PsycINFO, the Cochrane library, CINAHL, and Medline, were used. MeSH terms such as "Aged"[Mesh] OR "Aging"[Mesh] OR "Housing for the Older adults"[Mesh], "Depressive symptoms"[Mesh] OR "Depressive Disorder"[Mesh] AND "Activities of Daily Living"[Mesh] were used to retrieve relevant articles from June 2005 to June 2015. Studies reporting r-values between depressive symptoms and the ADLs of older adults were included in the meta-analysis. relationship is affected by various factors of interest, such as sample and study characteristics. Results: Of total 11840 studies, 16 studies that reported the association r-values were included in the meta-analysis. A total of 7184 older adults participated in 16 studies, with sample sizes ranging from 44 to 1308. Among the 16 studies, three were designed as longitudinal surveys and the design of remaining studies was cross-sectional. The mean ages of the participants included in these studies ranged from 63 to 84 years. No significant bias was observed for the included studies. The quality of the 16 included studies was assured using the appraisal tool for descriptive/cross-sectional studies. The overall effect size suggested a moderate association between ADLs and depressive symptoms among older adults. The strength of the relationship between ADLs and depressive symptoms tended to be larger in studies in which the majority of the participants were female, under 75 years, and not Asians population. The effect size of residing in a senior residence was significantly greater compared to those studies in which the participants were living at home. Conclusion: Based on these findings, we provisionally conclude that there is a significant negative association between ADLs and depressive symptoms, and this relationship is of moderate strength. Further meta-analysis should be conducted to confirm this relationship by using data accumulated from individual studies.
Keywords:
Meta-analysis; activities of daily living; aged
Repository Posting Date:
5-Jul-2017
Date of Publication:
5-Jul-2017
Other Identifiers:
INRC17PST328
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Relationship Between Activities of Daily Living and Depression Among Community-Dwelling Older Adultsen_US
dc.contributor.authorKwon, Myoungjinen
dc.contributor.authorSong, Youngshinen
dc.contributor.authorSeo, Kawounen
dc.contributor.departmentNon-memberen
dc.author.detailsMyoungjin Kwon, PhD, RN, Professional Experience: 2014-present--Prodessor, Daejeon University Department of Nursing, Daejeon, Republic of Korea 2010-2014--Professor, Hyechon College Department of Nursing, Daejeon, Republic of Korea 1996-2004--Nurse Staff, Chungnam National University Hospital, Daejeon, Republic of Korea Author Summary: Prof. Kwon is a prefessor of Daejeon University Department of Nursing. Research area is for mental health for older adults. This wrok was supported by research foundation of Daejeon Universityen
dc.identifier.urihttp://hdl.handle.net/10755/621653-
dc.description.abstractBackground and purpose: Depression has recently become a major public health concern, not only to personal suffering but national economic burden that related morbidity and increased mortality. Physical function such as daily activity have emphasized to reduce the depressive symptoms for older adults who cognitively intact in community-dwelling. Studies have proved physiological mechanism of physical activity that not only associate with depressive symptom, but also mediate the relationship between depression and cognitive decline. Despite accumulative evidence showing the interrelatedness between depressive symptoms and ADLs among older adults, the strength of the association may differ depending on sample characteristics and methodology across the studies. For instance, the strength of the relationship between depressive symptoms and ADLs in aged living at home showed the weak correlation than in institutionalized older adults despite of similar cognitive status. Thus, this study examined this relationship among community-dwelling older adults, via a systematic review and meta-analysis. We synthesized the information obtained to calculate the strength of the relationship. Methods: Systematic review and meta-analysis were conducted to search the existing published observational literature using 5 electronic databases. Published and unpublished studies measuring the direction and strength of the relationship between depressive symptoms and ADLs were independently extracted by the researchers. Several electronic databases, such as PubMed, EMBASE, PsycINFO, the Cochrane library, CINAHL, and Medline, were used. MeSH terms such as "Aged"[Mesh] OR "Aging"[Mesh] OR "Housing for the Older adults"[Mesh], "Depressive symptoms"[Mesh] OR "Depressive Disorder"[Mesh] AND "Activities of Daily Living"[Mesh] were used to retrieve relevant articles from June 2005 to June 2015. Studies reporting r-values between depressive symptoms and the ADLs of older adults were included in the meta-analysis. relationship is affected by various factors of interest, such as sample and study characteristics. Results: Of total 11840 studies, 16 studies that reported the association r-values were included in the meta-analysis. A total of 7184 older adults participated in 16 studies, with sample sizes ranging from 44 to 1308. Among the 16 studies, three were designed as longitudinal surveys and the design of remaining studies was cross-sectional. The mean ages of the participants included in these studies ranged from 63 to 84 years. No significant bias was observed for the included studies. The quality of the 16 included studies was assured using the appraisal tool for descriptive/cross-sectional studies. The overall effect size suggested a moderate association between ADLs and depressive symptoms among older adults. The strength of the relationship between ADLs and depressive symptoms tended to be larger in studies in which the majority of the participants were female, under 75 years, and not Asians population. The effect size of residing in a senior residence was significantly greater compared to those studies in which the participants were living at home. Conclusion: Based on these findings, we provisionally conclude that there is a significant negative association between ADLs and depressive symptoms, and this relationship is of moderate strength. Further meta-analysis should be conducted to confirm this relationship by using data accumulated from individual studies.en
dc.subjectMeta-analysisen
dc.subjectactivities of daily livingen
dc.subjectageden
dc.date.available2017-07-05T18:03:06Z-
dc.date.issued2017-07-05-
dc.date.accessioned2017-07-05T18:03:06Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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