Experiencia de eventos estressantes associados ao cuidado, alterações de sono e sintomas depressivos entre idosos da comunidade : dados do PENSA / Experience of stressing events associated with care, sleeping alteration and depressive symptoms among aged of the community

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The present work is about the depression and its possible relation with stress and sleeping alterations among aged individuals. PENSA were used, based upon datas obtained by aged community living in Juiz de For a/MG. The instruments used for the collected data such as: social economic characteristics (age, gender, civil state, schooling), depressive symptoms tracking scale (Center for Epidemiologic Survey-Depression/CES-D), The Elders Life Stress Inventory (ELSI) and Mini-Sleep Questionnaire (MSQ). Among the sub sample of 898 participants interviewed at home between 2002 and 2004 women predominance was found (646 women - 71,9%/ 252 men - 28,1%) between 60 to 69 years (40,6%), between 70 to 79 years (40,0%) and more than 80 years (19,4%), married (50%) and with children (90,3%), individuals with elementary school level (81,9%), family income of 3 to 8 minimum salary (52,7%), more than two people in the house (49,9%), belonging to the medium social class (59,6%). Threw the CES-D punctuation, 66,0% didn t present depression signs. Threw MSQ there was a 10 to 49 points variation with average punctuation of 23 points (+-7,7) and 62,3% presented lower punctuation than 25. Among women (n=646), 36,5% scored for depressive symptoms. Comparing to men, the difference was statically significant (p<0,009). The women presented significantly higher score than men in the CES-D (p<0,001), the aged women presented more sleeping alterations than men (p=0,030). Threw the ELSI scale, aged were classified into three groups by the answers given about stressing events: stressing events related to care (319 or 35,5%), other stressing events ( all other events of the inventory ? 404 or 45,0%), lack of stressing events - 175 or 19,5%. The event 14 (a worsening in the health or behavior of a family member) presented significant relation with depression (p = 0,004). A statically significant relation was observed among depression and living event 14 (p<0,001). In the logistic regression univaried, aged with depression presented more risk for sleeping alterations this was more observed among women. It was concluded that there is a relation between depression and sleeping alterations, especially among women and related to stress events with one another. There is no significant relation among stressing events and sleeping alterations but among stressing events (of any kind) and depression.

ASSUNTO(S)

depressão sleep depression sleep disorders aging sono stress estresse disturbios do sono envelhecimento

ACESSO AO ARTIGO

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