Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina
Current research indicates that the changes that accompany aging (feeling of insecurity, modification of lifestyle, restriction of the social environment, loss of family and friends, and less psycho-physical autonomy) may favor the appearance of depressive symptoms. However, there are few studies th...
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| Publicado en: | Apuntes Universitarios |
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| Formato: | Artículo de revista |
| Lenguaje: | español |
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Universidad Peruana Unión
2020
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| _version_ | 1881695020448219136 |
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| author | Viviana Salinas, Angélica |
| author_browse | Viviana Salinas, Angélica |
| author_facet | Viviana Salinas, Angélica |
| author_sort | Viviana Salinas, Angélica |
| collection | Revistas |
| container_title | Apuntes Universitarios |
| description | Current research indicates that the changes that accompany aging (feeling of insecurity, modification of lifestyle, restriction of the social environment, loss of family and friends, and less psycho-physical autonomy) may favor the appearance of depressive symptoms. However, there are few studies that address this issue, including rural areas. Therefore, the present work seeks to identify the risk of depression and predisposing psychosocial factors in older adults in rural and urban settings. Therefore, the present work seeks to identify the risk of depression and predisposing psychosocial factors in older adults in rural and urban settings. For this purpose, a descriptive-comparative study was carried out. 80 people over 65 from rural and urban areas in the south of the province of Misiones participated. Depression was assessed with the GDS-15, and predisposing factors with a semi-structured interview. The risk of depression was estimated using descriptive statistics, and the comparison of depressive state and risk factors between the samples was analyzed with the t and Chi2 tests. Regression analysis was used to determine the predictive weight of risk factors for depression. This study showed normal and mild values of depression in both samples, with greater preponderance in the urban segment (light-moderate level). The main predisposing factors in the rural population are low spirituality, socioeconomic status, and recent grief; and in the urban sample, the lack of purpose in life and recent duels. Increased propensity for depression was observed in urban adults, with levels reaching moderate depression in some cases. The difference may be due to the fact that urban older adults, although they have a somewhat better socioeconomic level, perceive less social support, experience greater loneliness, have a less clear and defined purpose in life, and a lesser sense of spirituality. |
| format | Online |
| id | oai:ojs2.apuntesuniversitarios.upeu.edu.pe:article/488 |
| institution | UPeU |
| issn | 2304-0335 2225-7136 |
| language | Spanish |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Universidad Peruana Unión |
| publisherStr | Universidad Peruana Unión |
| record_format | ojs |
| revista_str_mv | Apuntes Universitarios |
| spelling | oai:ojs2.apuntesuniversitarios.upeu.edu.pe:article/4882020-08-20T22:20:48Z Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina Depresión en adultos mayores: prevalencia y factores de riesgo psicosocial en entornos rurales y urbano de la provincia de Misiones, Argentina Viviana Salinas, Angélica Psychology, aging, depression, rural population, urban population. Psicología, adulto mayor, depresión, población rural, población urbana. Current research indicates that the changes that accompany aging (feeling of insecurity, modification of lifestyle, restriction of the social environment, loss of family and friends, and less psycho-physical autonomy) may favor the appearance of depressive symptoms. However, there are few studies that address this issue, including rural areas. Therefore, the present work seeks to identify the risk of depression and predisposing psychosocial factors in older adults in rural and urban settings. Therefore, the present work seeks to identify the risk of depression and predisposing psychosocial factors in older adults in rural and urban settings. For this purpose, a descriptive-comparative study was carried out. 80 people over 65 from rural and urban areas in the south of the province of Misiones participated. Depression was assessed with the GDS-15, and predisposing factors with a semi-structured interview. The risk of depression was estimated using descriptive statistics, and the comparison of depressive state and risk factors between the samples was analyzed with the t and Chi2 tests. Regression analysis was used to determine the predictive weight of risk factors for depression. This study showed normal and mild values of depression in both samples, with greater preponderance in the urban segment (light-moderate level). The main predisposing factors in the rural population are low spirituality, socioeconomic status, and recent grief; and in the urban sample, the lack of purpose in life and recent duels. Increased propensity for depression was observed in urban adults, with levels reaching moderate depression in some cases. The difference may be due to the fact that urban older adults, although they have a somewhat better socioeconomic level, perceive less social support, experience greater loneliness, have a less clear and defined purpose in life, and a lesser sense of spirituality. Las investigaciones actuales indican que los cambios que acompañan el envejecimiento (sensación de inseguridad, modificación del modo de vida, restricción del entorno social, pérdida de familiares y amigos, y menor autonomía psico-física) pueden favorecer la aparición de síntomas depresivos. Sin embargo, resultan escasos los estudios que abordan esta temática incluyendo los ámbitos rurales. Por ello, el presente trabajo busca identificar el riesgo de depresión y los factores psicosociales predisponentes en adultos mayores de ámbitos rurales y urbanos. Para este fin, se realizó un estudio descriptivo-comparativo. Participaron 80 personas mayores a 65 años de zonas rurales y urbanas del sur de la provincia de Misiones. La depresión fue evaluada con el GDS-15, y los factores predisponentes con una entrevista semiestructurada. El riesgo de depresión fue estimado mediante estadísticos descriptivos, y la comparación del estado depresivo y los factores de riesgo entre las muestras fue analizado con las pruebas t y Chi2. Un análisis de regresión fue empleado para determinar el peso predictivo de los factores de riesgo sobre la depresión. El estudio arrojó valores normales y leves de depresión en ambas muestras, con mayor preponderancia en el segmento urbano (nivel leve-moderado). Los principales factores predisponentes en la población rural son la baja espiritualidad, la situación socioeconómica y los duelos recientes; y en la muestra urbana, la falta de propósito en la vida y los duelos recientes. Se observó mayor propensión a la depresión en los adultos urbanos, con niveles que llegan hasta depresión moderada en algunos casos. La diferencia puede deberse a que los adultos mayores urbanos, si bien tienen un nivel socioeconómico algo mejor, perciben un menor apoyo social, experimentan mayor soledad, tienen un propósito en la vida menos claro y definido, y un menor sentido de espiritualidad. Universidad Peruana Unión 2020-07-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://apuntesuniversitarios.upeu.edu.pe/index.php/revapuntes/article/view/488 10.17162/au.v10i4.488 Apuntes Universitarios; Vol. 10 Núm. 4 (2020): Revista de Investigación Apuntes Universitarios; 40 - 54 2304-0335 2225-7136 10.17162/au.v4i10 spa https://apuntesuniversitarios.upeu.edu.pe/index.php/revapuntes/article/view/488/567 https://apuntesuniversitarios.upeu.edu.pe/index.php/revapuntes/article/view/488/574 Derechos de autor 2020 Angélica Viviana Salinas |
| spellingShingle | Psychology, aging, depression, rural population, urban population. Psicología, adulto mayor, depresión, población rural, población urbana. Viviana Salinas, Angélica Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina |
| title | Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina |
| title_alt | Depresión en adultos mayores: prevalencia y factores de riesgo psicosocial en entornos rurales y urbano de la provincia de Misiones, Argentina |
| title_full | Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina |
| title_fullStr | Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina |
| title_full_unstemmed | Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina |
| title_short | Depression in older adults: prevalence and psychosocial risk factors in rural and urban settings in the province of Misiones, Argentina |
| title_sort | depression in older adults prevalence and psychosocial risk factors in rural and urban settings in the province of misiones argentina |
| topic | Psychology, aging, depression, rural population, urban population. Psicología, adulto mayor, depresión, población rural, población urbana. |
| topic_facet | Psychology, aging, depression, rural population, urban population. Psicología, adulto mayor, depresión, población rural, población urbana. |
| url | https://apuntesuniversitarios.upeu.edu.pe/index.php/revapuntes/article/view/488 |
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