Depression, socio-family factors and physical dependence in elderly aged in a hospital in Quito (in Spanish)

Abstract

INTRODUCTION. Depression is common in the elderly and is associated with various social, economic and physical factors. OBJECTIVE. To identify the association and interaction between depression, social and family conditions and dependence in elderly adults with social security in a Quito hospital consultation. MATERIALS AND METHODS. An observational, descriptive, cross-sectional study was carried out. 390 older adult patients who met the inclusion criteria (178 men and 212 women) participated. The MINI International Neuropsychiatric Interview for the diagnosis of depression and the Katz, socio-family of Gijon scales and demographic data were used. The association was established through chi square, calculation of prevalence Odds and, for the interaction of variables, binary logistic regression models were developed. RESULTS. The prevalence of depression was 26.4% (103; 390) with 15.4% (60; 103) of mild depressive episode. Depression showed an association with belonging to social groups (p = 0.049), dependence (p = 0.006) and social risk situation (p = 0.000). In the binomial logistic regression with the socio-family variables, the greatest weight fell on bad social relationships (Exp B: 1.8); in the model with the significant variables, in the dependency (Exp B: 2.6). The models correctly classified the depressed. Several variables became significant when interacting with risk and social problem. CONCLUSIONS. There is an association between depression and dependency, social risk and belonging to social groups. The profile of depressed people was dependent people, at social risk and who did not belong to social groups. The variables interact with each other.