The relationship between syncope, depression and anti-depressant use in older adults.
نویسندگان
چکیده
BACKGROUND syncope is a common problem which increases in older age groups. In syncope clinics, patients who are depressed have higher rates of unexplained syncope and higher rates of recurrent syncope. OBJECTIVES : we aim to examine the rates of depression in older patients reporting syncope and the effect of anti-depressants (ADs) on the rates of syncope. DESIGN : epidemiological, point-prevalence study. SETTING AND PARTICIPANTS : data came from the Irish Longitudinal Study on Ageing, which includes 8,175 adults aged 50 and older, living in the community in Ireland. MEASUREMENTS : the Centre for Epidemiological Studies Depression scale was used to assess levels of depression. Multinomial regression was used to analyse the data with a P-value of <0.05 determining significance. RESULTS : 7,993 participants aged 50 and older were included, and of these 349 reported at least one syncopal episode in the last year. Prevalence of syncope was 4.4%. After controlling for participant characteristics and general health, those with severe depression had a greater risk of single and multiple syncopal events (relative risk ratios [RRR]: 2.78 and 2.84, respectively, P < 0.050) and participants treated with tricyclic anti-depressants (TCAs) were also at greater risk for single and multiple syncopal episode in the last year (RRR: 2.31, P = 0.062; RRR: 2.95, P < 0.05). CONCLUSIONS : this study demonstrates an increased risk of syncope in patients with depression, with higher rates of syncope reported with increasing severity of depression. Treatment with TCAs increases both the risk and frequency of syncope in the community. Depression is a potentially modifiable risk factor for syncope but treatment options need to be tailored in the older patient population.
منابع مشابه
Hearing Aid Effect on Elderly's Depression in Tehran's Nursing Homes
Objectives: Moderate hearing impairment in older age can affect physical and psychosocial health of people. The rate of isolation, lack of self confidence, depression and probably dementia in this people is high. This study was conducted to study the hearing aid effect on older adults depression in tehran nursing homes. Methods & Materials: In this study depression was assessed in 3 groups o...
متن کاملCompensating the gaps caused by aging: Analyzing the main themes of physical activity in the neighborhood environment from the perspective of the older adults(A phenomenological approach)
Introduction: Physical activity and aerobic exercises have anti-anxiety and anti-depressant effects in compensating for the problems and gaps caused by psychological issues among the older adult. Epidemiological studies show that physical activity is related to better mental health and flexibility against mental distress, such as depression and anxiety symptoms. Therefore, the purpose of this r...
متن کاملOral Problems and Psychological Status of Older Adults Referred to Hospital and Its Relationship With Cognition Status, Stress, Anxiety, and Depression
Background and Purpose: Oral health is a critical factor in the quality of life (QoL) of older adults in relation to their nutrition, mental health, and healthy social relationships. This study aimed to investigate oral problems and psychological status of older adults referred to a hospital and its relationship with cognition status, stress, anxiety, and depression. Materials and Methods: Thi...
متن کاملارتباط بین تفکر قطعینگر با احساس تنهایی و افسردگی در سالمندان
Objectives Deterministic thinking as a destructive factor in disrupting the balance of hope and fear plays an important role in mental health, especially depression and anxiety .This distortion is caused by cognitive inflexibility in the mind. This study was conducted to investigate the relationship between deterministic thinking and depression and sense of loneliness in older adults. Me...
متن کاملA Meta-Analysis of the Association between Leisure Participation and Depressive Symptoms among Older Adults
Background. Depression is one of the major public health concerns among older adults. Participation in preferred leisure activities has been found to be effective for reducing the symptoms of depression among this population. Objectives. The purpose of this study was to conduct a meta-analysis of the association between leisure participation and depression. Methods. A systematic review of Pub...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Age and ageing
دوره 43 4 شماره
صفحات -
تاریخ انتشار 2014