Depression in the elderly with chronic heart failure

Czech version

Authors: Gorylová N.; Lukšová H.
Authors‘ workplace: Lékařská fakulta, Ostravská univerzita
Published in: Kardiol Rev Int Med 2018, 20(4): 307-311

Overview

Aim:

Depression is up to two times more common in cardiology patients than in the general population and it is also a risk factor for cardiac morbidity and mortality. The aim of the research was to investigate the occurrence of depression in elderly patients with chronic heart failure, hospitalised in the cardiovascular department.

Methodology:

The Geriatric Depression Scale (GDS) was used to obtain the data. The group consisted of 103 respondents with chronic heart failure.

Results:

In the monitored group of 103 respondents, there were 50 respondents (48.5%) without depressive syndrome, 43 respondents (41.8%) with mild depression and 10 respondents (9.7%) with manifest depressive syndrome. Statistically significant results were found in terms of dependence between depression and age (p = 0.026) and between depression and family background (p = 0.019) based on the statistical analysis.

Conclusion:

Elderly patients with chronic heart failure hospitalised in cardiovascular departments suffered from depression. Depression occurred in varying degrees in the majority of the patients in the monitored group. It is therefore desirable to detect depression before it has a negative impact on the associated disease of the patient.

Key words:

depression – elderly – chronic heart failure – GDS

Sources

1. Dušek K, Večeřová-Procházková A. Diagnostika a terapie duševních poruch. 2. vyd. Praha: Grada Publishing 2015.

2. Málek F et al. Speciální problémy u chronického srdečního selhání. 1. vyd. Praha: Mladá fronta 2013.

3. Drástová H, Krombholz R. Deprese v seniu. Med Pro Praxi 2006; 5: 241–243.

4. Franková V. Depresivní poruchy ve stáří. Postgrad Med 2010; 12(6): 634–642.

5. Huffmann JC, Celano CM, Beach SR et al. Depression and cardiac disease: epidemiology, mechanisms, and diagnosis. Cardiovasc Psychiatry Neurol 2013; 2013: 695925. doi: 10.1155/ 2013/ 695925.

6. Knapen J, Vancampfort D, Moriën Y et al. Exercise therapy improves both mental and physical health in patients with major depression. Disabil Rehabil 2015; 37(16): 1490–1495. doi: 10.3109/ 09638288.2014.972579.

7. Polách L et al. Příručka duševního zdraví: 25 příběhů z psychiatrické ambulance. 1. vyd. Bílovice: Symedis Pro 2016.

8. Křivohlavý J. Jak zvládat depresi. 3. vyd. Praha: Grada Publishing 2013.

9. Greenberg SA. The Geriatric Depression Scale (GDS). In: Try This: Best Practices in Nursing Care to Older Adults. Clin Nurse Spec 2012: 4. Available at: https:/ / consultgeri.org/ try-this/ general-assessment/ issue-4.pdf.

10. Sheikh JI, Yesavage JA. Geriatric Depression Scale: recent evidence and development of a shorter version. Clinical Gerontology 2014; 5: 165–173.

11. Kitzlerová E. Deprese a kardiovaskulární onemocnění. Interní Med 2012; 14(2): 73–77.

12. Málek F, Málek I. Srdeční selhání. 1. vyd. Praha: Karolinum 2014.

13. Widimský J et al. Srdeční selhání. 4. vyd. Praha: Triton 2013.

14. Dotazníky. AD Centrum. NUDZ 2017. Dostupné na: http:/ / www.nudz.cz/ adcentrum/ klinicka_cast_clenove.html.

15. Kalvach Z, Zadák Z, Jirák R et al. Geriatrie a gerontologie. 1. vyd. Praha: Grada Publishing 2004.

16. Altimir S, Lupón J, González B et al. Sex and age differences in fragility in a heart failure population. Eur J Heart Fail 2005; 7(5): 798–802. doi: 10.1016/ j.ejheart.2004.09.015.

17. Freedland KE, Rich MW, Skala JA et al. Prevalence of depression in hospitalized patients with congestive heart failur. Psychosomatic Medicine 2003; 65(1): 119–128.

18. Rohyans LM, Pressler SJ. Depressive symptoms and heart failure: examining the sociodemographic variables. Clin Nurse Spec 2009; 23(3): 138–144. doi: 10.1097/ NUR.0b013e3181a443b4.

19. Hägglund L, Boman K, Lundman et al. Depression among elderly people with and without heart failure, managed in a primary healthcare setting. Scand J Caring Sci 2008; 22(3): 376–382. doi: 10.1111/ j.1471-6712.2007.00540.x.

20. Guallar-Castillón P, Magariños-Losada MM, Montoto-Otero C et al. Prevalence of depression and associated medical and psychosocial factors in elderly hospitalized patients with heart failure in Spain. Rev Esp Cardiol 2006; 59(8): 770–778. doi: 10.1016/ S1885-5857(07)60042-5.

21. Lesman-Leegte I, Jaarsma T, Sanderman R et al. Depressive symptoms are prominent among elderly hospitalised heart failure patients. Eur J Heart Fail 2006; 8(6): 634–640. doi: 10.1016/ j.ejheart.2005.11.010.

22. Pena MF, da Silva Soares J, Paiva BT et al. Sociodemographic factors and depressive symptoms in hospitalized patients with heart failure. Exp Clin Cardiol 2010; 15(2): e29–e32.

23. Murberg T, Bru E, Aarsland T et al. Functional status and depression among men and women with congestive heart failure. Int J Psychiatry Med 1998; 28(3): 273–291. doi: 10.2190/ 8TRC-PX8R-N498-7BTP.

24. Aggelopoulou Z, Fotos NV, Chatziefstratiou AA et al. The level of anxiety, depression and quality of life among patients with heart failure in Greece. Appl Nurs Res 2017; 34: 52–56. doi: 10.1016/ j.apnr.2017.01.003

25. Havranek PE, Spertus JA, Masoudi FA et al. Predictors of the onset of depressive symptoms in patients with heart failure. J Am Coll Cardiol 2004; 44(12): 2333–2338. doi: 10.1016/ j.jacc.2004.09.034.

26. Moser D, Dracup K, Evangelista LS et al. Comparison of prevalence of symptoms of depression, anxiety and hostility in elderly heart failure, myocardial infarction and coronary artery bypass graft patients. Heart Lung 2010; 39(5): 378–385. doi: 10.1016/ j.hrtlng.2009.10.017.