Rodrigues, Fett, and Piva (2019) reported that those individuals living a sedentary lifestyle had an increased risk of anxiety and depression, whereas those who were physically active reported ahigher overall quality of life. In the study by Roh et al., (2015), the odd of depression in the elderly decreased by 36% with more than two types of activity compared to those who did not participate in any type of activity. Trajkov, Eminović, Radovanović, Dopsaj, Pavlović, and Kljajić (2018) discovered that not only does exercise in the elderly decrease the odds of depression in the elderly, but it does not matter the length of activity sessions or the number of times a week it is performed for it to be effective. Catalan-Matamoros, Gomez-Conesa, Stubbs, and Vancampfort (2016) suggests prescribing exercise tailored to the patients ability to reduce depression severity and Chang, Chien, and Chen (2016) found “a significant association betweenregular exercise and depressive symptoms in community-dwelling older adults and again the duration and frequency had no effect on depression symptoms”.Treatment Options Based on Evidence
ACTIVITY AND DEPRESSION IN THE ELDERLY4Based on the evidence provided, it can be concluded that activity of any type is beneficialto the mental health of the elderly. Beginning with the least invasive and least expensive therapy,the practitioner can provide an exercise regimen based on the patients age and physical ability. This, in addition to psychotherapy, if the patient is willing, may be enough to help decrease a mild depressive state. If it is not, an antidepressant would be the next step. Citalopram has been shown to be effective and safely used in the elderly for treatment of depression as it is an antidepressant with little anticholinergic effect (Cipriani et al., 2018).ConclusionDepression is common in the elderly but is not a normal part of aging. With the increase of the elderly population, it is important that the Advanced Nurse Practitioner is adept at identifying and treating depression using both pharmacological and non-pharmacological means.Despite the limitations of the research, this review of literature has shown the importance of the correlation of physical activity and decrease in depression. More research would be beneficial, taking into consideration these limitations.
Running head: ACTIVITY AND DEPRESSION IN THE ELDERLY5Electronic DatabasesResearch or Professional OrganizationsExperts in the Field to ConsultBooks, Encyclopedias, HandbooksPubMedCINAHLScience DirectCochranePro QuestMedline
ACTIVITY AND DEPRESSION IN THE ELDERLY6Keywords and PhrasesMajor AuthorsInclusion CriteriaExclusion CriteriaDepressionda Silva Santos Castelo Branco de Oliveira, Souza, Andrade Silva Rodrigues, Fett, & PivaCatalan-Matamoros, Gomez-Conesa, Stubbs, & VancampfortRoh et al.
You've reached the end of your free preview.
Want to read all 13 pages?
- Spring '16
- Gretchen Zunkel