Vol. 14 nº 2 - Apr/May/Jun de 2020
Original Article Páginas: 165 a 170

Depressive symptoms and chronotypes of elderly nursing home residents: a case management study

Authors Evany Bettine de Almeida1; Thais Bento Lima-Silva2,3; Luiz Menna-Barreto1


keywords: sleep, depression, institutionalization, temporal conflict, temporal clash.

Institutionalization potentiates the tendency for specific sleep disturbances which occur with aging, besides negative health consequences such as increased rate of depressive symptoms.
OBJECTIVE: To compare sleep profile and depressive symptoms in elderly nursing home residents, highlighting gender differences.
METHODS: A quantitative descriptive study of 29 elderly from two different nursing homes was conducted. A sociodemographics questionnaire, Sleep Diary, Morningness-Eveningness Questionnaire and the 15-item Geriatric Depression Scale were applied. Data were analyzed using descriptive statistics, Student's t-test and the Mann-Whitney U-test.
RESULTS: The sample comprised individuals that were predominantly female (72%), aged 80-90 years (48%), widowed (66%) and low-educated (83%). The women were found to sleep and awake later than the men. Regarding chronotypes, the women were classified as evening types and men as intermediate/indifferent types. Most of the elderly exhibited symptoms of major depression (48%). Compared to men, women had more depressive symptoms in both dysthymia and major depression categories.
CONCLUSION: No significant differences were evident on comparisons of sleep profile and depressive symptoms, but elderly with the intermediate chronotype scored lower on the depressive symptoms scale.


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