Palabras clave
Depresión
Tratamiento
Intervención
Psicología
Cómo citar
Copyright © | Todos los derechos reservados.
La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.
Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.
Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.
Resumen
Objetivo: Identificar las diferentes estrategias de intervención dirigidas a mejorar la calidad de vida de las personas mayores con depresión. Métodos: Revisión integrativa de la literatura en la base de datos PubMed, utilizando los descriptores: envejecimiento AND depresión AND adultos mayores, aplicando un filtro para ensayos clínicos aleatorizados y un filtro para los últimos 5 años, realizada de mayo a junio de 2024. Resultados: La muestra final consistió en ocho estudios aleatorizados con personas mayores de 60 años, a quienes se les evaluó la presencia de síntomas depresivos antes y después de la intervención. Las intervenciones incluyeron medicación, suplementos, acupuntura, psicoeducación, entrenamiento cognitivo y actividad física. Los síntomas depresivos se identificaron mediante medidas de cribado con escalas de depresión en cada estudio incluido. Conclusión: Tras analizar las intervenciones mediante medidas de cribado, se observó una reducción de los síntomas depresivos, lo que sugiere que todas las estrategias se consideraron beneficiosas, y algunas contribuyeron tanto individualmente como en combinación con otras intervenciones. La detección temprana y la implementación de intervenciones adecuadas tienden a mejorar significativamente la calidad de vida y el bienestar emocional de las personas mayores con depresión.
Referencias
ALMEIDA O, et al. Preventing depression among older people living in rural areas: A randomised controlled trial of behavioural activation in collaborative care. International Journal of Geriatric Psychiatry, 2021, 36(4): 530–539, 2021.
AVILA R, BOTTINO CM. Atualização sobre alterações cognitivas em idosos com síndrome depressiva [Cognitive changes update among elderly with depressive syndrome]. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil: 1999), 2006, 28(4): 316–320.
BEZERRA PA, et al. Envelhecimento e isolamento social: uma revisão integrativa [Aging and social isolation: an integrative review]. Acta Paulista de Enfermagem, 2021, 34: eAPE02661.
BRASIL. Ministério da Saúde. Envelhecimento e Saúde da Pessoa Idosa.Caderno de Atenção Básica, 2006. Disponível em: <https://bvsms.saude.gov.br/bvs/publicacoes/evelhecimento_saude_pessoa_idosa.pdf>. Acesso em: 12 de abr. 2024.
BREWSTER K, et al. A pilot randomized controlled trial of hearing aids to improve mood and cognition in older adults. International Journal of Geriatric Psychiatry, 2020, 35(8):842–850.
CALIXTO FC, et al. Impactos da depressão sobre o envelhecimento: uma revisão integrativa. Brazilian Journal of Development, 2023, 9(6): 19480–19494.
CARCELÉN-FRAILE MDC, et al. Exercise and Nutrition in the Mental Health of the Older Adult Population: A Randomized Controlled Clinical Trial. Nutrients, 2024, 16(11): 1741.
COHN-SCHWARTZ E, et al.Reciprocal associations of posttraumatic stress symptoms and cognitive decline in community-dwelling older adults: The mediating role of depression. International Psychogeriatrics, 2024, 36(2):119-129.
GARCIA A, et al. A depressão e o processo de envelhecimento.Ciência & Cognição, 2006, 7(1): 111-121.
KIM KM, et al. Development of a prediction model for the depression level of the elderly in low-income households: using decision trees, logistic regression, neural networks, and random forest. Scientific Reports, 2023, 13(1): 11473.
LAVRETSKY H, et al. A Randomized Double-Blind Placebo-Controlled Trial of Combined Escitalopram and Memantine for Older Adults With Major Depression and Subjective Memory Complaints. The American Journal of Geriatric Psychiatry: official journal of the American Association for Geriatric Psychiatry, 2020, 28(2): 178–190.
LEANDRO-FRANÇA C, GIARDINI MURTA S. Prevenção e promoção da saúde mental no envelhecimento: conceitos e intervenções. Psicologia: Ciência e Profissão, 2014, 34(2): 318–329.
LI Z, etal. Aging and age‐related diseases: from mechanisms to therapeutic strategies. Biogerontology, 2021, 22(2): 165–187.
LIN L, et al. Mobile device use and the cognitive function and depressive symptoms of older adults living in residential care homes. BMC Geriatrics, 2020, 20(41).
MA SL, et al. Effect of computerized cognitive training on mood, cognition, and serum brain-derived neurotrophic factor level in late-life depression – a pilot randomized controlled trial. Front. Psychiatry, 2024, 14:1287822.
MAGALHÃES JP, et al. The business of anti-aging science. Trends in Biotechnology, 2017, 35(11): 1062–1073.
MANTZOROU M, et al. Mediterranean diet adherence is associated with better cognitive status and less depressive symptoms in a Greek elderly population. Aging Clinical and Experimental Research, 2021, 33(4): 1033-1040.
MASANA MF, et al. Mediterranean diet and depression among older individuals: The multinational MEDIS study. Experimental Gerontology, 2018, 110: 67–72.
MOLASSIOTIS A. The effectiveness of acupressure in the management of depressive symptoms and in improving quality of life in older people living in the community: a randomised sham-controlled trial. Aging & mental health, 2020, 24(6): 1001–1009.
MUHAMMAD T, MAURYA P. Social support moderates the association of functional difficulty with major depression among community-dwelling older adults: evidence from LASI, 2017–18.BMC Psychiatry, 2022, 22: 317.
OSTFELD I, et al. Role of β-Alanine Supplementation on Cognitive Function, Mood, and Physical Function in Older Adults; Double-Blind Randomized Controlled Study. Nutrients, 2023, 15(4): 923.
PAGE MJ, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 2021, 372: n71.
PAULO DLV, YASSUDA MS. Queixas de memória de idosos e sua relação com escolaridade, desempenho cognitivo e sintomas de depressão e ansiedade. Archives of Clinical Psychiatry (São Paulo), 2010, 37(1): 23–26.
STEPTOE A, et al. Subjective wellbeing, health, and ageing. Lancet, 2015, 385(9968): 640-648.
TIAN H, WANG Y. Mobile Phone Addiction and Sleep Quality among Older People: The Mediating Roles of Depression and Loneliness. Behav Sci (Basel), 2023, 13(2):153.
THAPA DK, et al. Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross-sectional population-based study. Nursing & health sciences, 2020, 22(4): 1139–1152.
TSAI TY, et al.Loneliness and isolated living status in middle-aged and older adults in Taiwan: exploration on stress-related biomarkers, depressive symptoms, and disability. BMC Psychiatry, 2022, 22(1).
WANG D, et al. Sedentary behavior and physical activity are associated with risk of depression among adult and older populations: a systematic review and dose–response meta-analysis. Frontiers in Psychology, 2025, 16:1542340.
WESTGÅRD T, et al.Comprehensive geriatric assessment is associated with increased antidepressant treatment in frail older people with unplanned hospital admissions - results from the randomised controlled study CGA-Swed. BMC Geriatrics, 2022, 22(645).
WOOLF C, et al. A feasibility, randomised controlled trial of Club Connect: a group-based healthy brain ageing cognitive training program for older adults with major depression within an older people's mental health service. BMC psychiatry, 2024, 24(1): 208.
WU X, et al. The effects of modified problem-solving therapy on depression, coping, and self-efficacy in elderly nursing home residents. Frontiers in psychology, 2023, 13:1030104.