Correlation between Depression and Dementia among the Elderly
DOI:
https://doi.org/10.25311/keskom.Vol11.Iss2.2259Keywords:
community health centerAbstract
This study aimed to analyze the relationship between depression and cognitive function among older adults living in a social institution. A quantitative approach with a cross-sectional design was employed. The sample consisted of 68 older adults aged ≥60 years residing at Sentra Terpadu Pangudi Luhur (STPL) in Bekasi City, who were verbally communicative and willing to participate. Depression levels were assessed using the Indonesian version of the Geriatric Depression Scale-15 (GDS-15), while cognitive function was measured using the Indonesian version of the Mini-Mental State Examination (MMSE). Univariate analysis showed that the majority of participants did not experience depression, while half demonstrated cognitive impairment. Bivariate analysis using the Spearman rank correlation test revealed a weak but statistically significant negative relationship between depression and cognitive function. This suggests that higher depressive symptoms tend to be associated with lower cognitive function among older adults. These findings indicate an association between psychological conditions and cognitive decline in institutionalized elderly populations. Although the strength of the association is weak and the study design does not allow for causal conclusions, the results highlight the importance of mental health monitoring in older adults. Further longitudinal studies with larger samples are needed to explore the dynamics of this relationship in greater depth.
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[1] A. A. N. Aryawangsa and N. L. P. Ariastuti, “Prevalensi dan distribusi faktor risiko depresi pada lansia di wilayah kerja Puskesmas Tampaksiring I Kabupaten Gianyar Bali 2015,” Intisari Sains Medis, vol. 7, no. 1, pp. 12–23, 2016. DOI: https://doi.org/10.15562/ism.v7i1.7
[2] Z. Arvanitakis and D. A. Bennett, “What is dementia?,” Jama, vol. 322, no. 17, p. 1728, 2019. DOI: https://doi.org/10.1001/jama.2019.11653
[3] S. T. Creavin et al., “Mini‐Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations,” Cochrane Database Syst. Rev., no. 1, 2016. DOI: https://doi.org/10.1002/14651858.CD011145.pub2
[4] H. Elser et al., “Association of early-, middle-, and late-life depression with incident dementia in a Danish cohort,” JAMA Neurol., vol. 80, no. 9, pp. 949–958, 2023. DOI: https://doi.org/10.1001/jamaneurol.2023.2309
[5] D. Kamanjaya and B. J. Karjono, “Hubungan depresi dan demensia pada pasien lanjut usia dengan hipertensi primer.” Faculty of Medicine Diponegoro University, 2014.
[6] A. H. Sengkey, N. Mulyadi, and J. Bawotong, “Hubungan depresi dengan interaksi sosial lanjut usia di desa tombasian atas kecamatan kawangkoan barat,” E-Journal Keperawatan, vol. 5, no. 1, p. 15948, 2017.
[7] N. Farina et al., “Comprehensive measurement of the prevalence of dementia in low-and middle-income countries: STRiDE methodology and its application in Indonesia and South Africa,” BJPsych open, vol. 9, no. 4, p. e102, 2023.
[8] W. H. Organization and U. N. C. Fund, Avances en materia de agua para consumo, saneamiento e higiene en las escuelas: actualización de los datos de 2000 a 2021. World Health Organization, 2022.
[9] R. I. Kemenkes, “Pedoman Gizi Seimbang Jakarta: Kementrian Kesehatan RI,” Jakarta Kemenkes RI https//drive. google. com/file/d/0ByNVq5MFhBMEd0Q3 X3hiV3kzMFk/view, 2014.
[10] F. Hoffmann, H. Kaduszkiewicz, G. Glaeske, H. van den Bussche, and D. Koller, “Prevalence of dementia in nursing home and community-dwelling older adults in Germany,” Aging Clin. Exp. Res., vol. 26, pp. 555–559, 2014. DOI: https://doi.org/10.1007/s40520-014-0210-6
[11] Permendikbud, “Peraturan Menteri Pendidikan dan Kebudayaan Republik Indonesia Nomor 111 Tahun 2014 Tentang Bimbingan dan Konseling Pada Pendidikan Dasar dan Pendidikan Menengah,” Jakarta Kemendikbud RI, pp. 1–45, 2014, [Online]. Available: https://jdih.kemdikbud.go.id/arsip/Permendikbud Nomor 111 Tahun 2014.pdf
[12] W. Irawan, “Hubungan tingkat depresi dengan demensia pada lansia didesa Bindang kecamatan Pasean Pamekasan.” STIKES BINA SEHAT PPNI, 2021.
[13] W. E. Hanson, V. L. Plano Clark, K. S. Petska, J. W. Creswell, and J. D. Creswell, “Mixed methods research designs in counseling psychology,” J. Couns. Psychol., vol. 52, no. 2, pp. 224–235, 2005, doi: 10.1037/0022-0167.52.2.224. DOI: https://doi.org/10.1037/0022-0167.52.2.224
[14] M. B. Snowden et al., “Longitudinal association of dementia and depression,” Am. J. Geriatr. Psychiatry, vol. 23, no. 9, pp. 897–905, 2015. DOI: https://doi.org/10.1016/j.jagp.2014.09.002
[15] G.-H. SUH et al., “Prevalence and risk factors of dementia and depression in the elderly,” J. Korean Neuropsychiatr. Assoc., pp. 809–824, 2000.
[16] R. Maslim, “Diagnosis gangguan jiwa rujukan ringkas dari PPDGJ-III dan DSM-5,” Jakarta PT Nuh Jaya, 2013.
[17] S. L. Wright and C. Persad, “Distinguishing between depression and dementia in older persons: neuropsychological and neuropathological correlates,” J. Geriatr. Psychiatry Neurol., vol. 20, no. 4, pp. 189–198, 2007. DOI: https://doi.org/10.1177/0891988707308801
[18] H. Wetterberg, J. Najar, T. R. Sterner, S. Kern, and I. Skoog, “The effect of diagnostic criteria on dementia prevalence–a population-based study from gothenburg, Sweden,” Am. J. Geriatr. Psychiatry, vol. 32, no. 2, pp. 230–243, 2024. DOI: https://doi.org/10.1016/j.jagp.2023.08.018
[19] C. de S. dos Santos, T. A. de Bessa, and A. J. Xavier, “Factors associated with dementia in elderly,” Cien. Saude Colet., vol. 25, pp. 603–611, 2020. DOI: https://doi.org/10.1590/1413-81232020252.02042018
[20] U. Kurniasih, N. T. Wahyuni, H. F. Aeni, S. I. Giri, and A. Fuadah, “Hubungan dukungan keluarga dengan demensia pada lansia,” J. Kesehat., vol. 12, no. 2, pp. 102–109, 2021. DOI: https://doi.org/10.38165/jk.v12i2.253
[21] Y. Winter, A. Korchounov, T. V Zhukova, and N. E. Bertschi, “Depression in elderly patients with Alzheimer dementia or vascular dementia and its influence on their quality of life,” J. Neurosci. Rural Pract., vol. 2, no. 1, p. 27, 2011.
[22] L. N. Fitriana, D. R. Lestari, and D. Rahmayanti, “Hubungan Antara Aktivitas Fisik Dengan Tingkat Kesepian Pada Lanjut Usia Di Karang Lansia Bahagia Banjarmasin,” Dunia Keperawatan J. Keperawatan Dan Kesehat., vol. 9, no. 2, pp. 169–179, 2021. DOI: https://doi.org/10.20527/dk.v9i2.6544
[23] K. H. Lee and Y. Y. Choi, “Association between oral health and dementia in the elderly: a population-based study in Korea,” Sci. Rep., vol. 9, no. 1, p. 14407, 2019. DOI: https://doi.org/10.1038/s41598-019-50863-0
[24] A. Sampaio, I. Marques-Aleixo, A. Seabra, J. Mota, E. Marques, and J. Carvalho, “Physical fitness in institutionalized older adults with dementia: association with cognition, functional capacity and quality of life,” Aging Clin. Exp. Res., vol. 32, no. 11, pp. 2329–2338, 2020. DOI: https://doi.org/10.1007/s40520-019-01445-7
[25] E. Kornblith, A. Bahorik, W. J. Boscardin, F. Xia, D. E. Barnes, and K. Yaffe, “Association of race and ethnicity with incidence of dementia among older adults,” Jama, vol. 327, no. 15, pp. 1488–1495, 2022. DOI: https://doi.org/10.1001/jama.2022.3550
[26] R. D. Hill, L. Bäckman, and L. Fratiglioni, “Determinants of functional abilities in dementia,” J. Am. Geriatr. Soc., vol. 43, no. 10, pp. 1092–1097, 1995. DOI: https://doi.org/10.1111/j.1532-5415.1995.tb07006.x
[27] G. Cipriani, S. Danti, L. Picchi, A. Nuti, and M. Di Fiorino, “Daily functioning and dementia,” Dement. Neuropsychol., vol. 14, no. 2, pp. 93–102, 2020. DOI: https://doi.org/10.1590/1980-57642020dn14-020001
[28] K. P. Muliyala and M. Varghese, “The complex relationship between depression and dementia,” Ann. Indian Acad. Neurol., vol. 13, no. Suppl2, pp. S69–S73, 2010. DOI: https://doi.org/10.4103/0972-2327.74248
[29] R. Rubin, “Exploring the relationship between depression and dementia,” Jama, vol. 320, no. 10, pp. 961–962, 2018. DOI: https://doi.org/10.1001/jama.2018.11154
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