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Vad förebygger depression bland äldre: en litteraturstudie
University of Skövde, School of Life Sciences.
University of Skövde, School of Life Sciences.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Depression bland äldre är ett utbrett folkhälsoproblem, samtidigt ett eftersatt område. Depression innebär lidande för individen och dennes anhöriga samt medför stora sjukvårdskostnader. Cirka 12-15 procent av befolkningen över 65 år beräknas vara drabbade av depression. Syftet med litteraturstudien var att sammanställa och analysera forskningsresultat avseende vilka faktorer som kan ha betydelse för att förebygga depression bland äldre. Litteratursökningar gjordes i databaserna LibHub, PubMed och Cinahl med sökorden: prevention, depression, depressive symptoms, elderly, old och old people. Tolv artiklar analyserades och delades in i fem teman: aktivitet, kosttillskott, socialt stöd, kognitiva strategier och utbildning av omsorgspersonal. Tema aktivitet visade motstridiga resultat, kosttillskott var effektivt i en av två studier, socialt stöd var en betydelsefull faktor för att förebygga depression och motverka negativa effekter av stressfulla livshändelser och ekonomisk stress. Kognitiva strategier såsom copingstrategin ”positiv omstrukturering” samt KBT-behandling visade sig ha effekt på depressionssymtom. Ett interventionsprogram innehållande utbildning av omsorgspersonal hade signifikant effekt, speciellt på äldreboenden med hög prevalens av depression. Slutsats: Vidare litteraturstudier och ytterligare fördjupning i de olika temana behövs för att kunna dra riktiga slutsatser. Det finns behov av mer forskning på området, större studier och längre uppföljning behövs.

Abstract [en]

Late-life depression is a major public health problem which causes emotional suffering among individuals and their relatives, and also leads to increased health care costs. In Sweden the prevalence of late-life depression is approximately 12-15 % among those aged 65 and older. The aim of this literature review was to compile and examine previous research considering late-life depression-preventive factors. Literature searches were made in the databases LibHub, PubMed and Cinahl using the keywords: prevention, depression, depressive symptoms, elderly, old and old people. Twelve scientific articles were selected and analyzed. Five main themes were identified. Theme activity showed conflicting results, dietary supplements were effective in one of two studies and social support was an important factor in preventing depression and counteracts the negative effects of stressful life events and economic stress. Cognitive strategies such as “positive restructuring” and CBT treatment were found to have an effect on depression symptoms. An intervention program including training of nursery care staff had significant effect, especially in nursing homes with a high prevalence of depression. Conclusion: Further literature studies and further deepening of the different themes are needed to draw accurate conclusions. There is a need for more research in this area, larger studies and longer follow-up is needed.

Place, publisher, year, edition, pages
2012. , p. 30
Keywords [en]
depression, elderly, late-life, prevention, protective factors, mental health
Keywords [sv]
depression, äldre, prevention, skyddsfaktorer, psykisk hälsa
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-6123OAI: oai:DiVA.org:his-6123DiVA, id: diva2:539968
Subject / course
Public Health Science
Educational program
Health Coach
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-09-06 Created: 2012-07-05 Last updated: 2012-09-06Bibliographically approved

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CiteExportLink to record
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