Carolyna Vieira Cavalcante Anna, Catarina de Souza Oliveira Adriana, Gabriele Araújo de Oliveira Torres Aline, Cristina Dos Santos Félix Elise, Araújo da Silva Dantas Bruno, Arnoldo Nunes de Miranda Francisco, Laurência Gemito Maria, Rosa Parreira Mendes Felismina, de Vasconcelos Torres Gilson, Maria Chaves Maia Eulália
Federal University of Rio Grande do Norte, Health Sciences Center, Natal-RN, Brazil.
Catholic University of Murcia (UCAM), Faculty of Nursing, Murcia, Spain.
Psychiatry Clin Psychopharmacol. 2023 Mar 1;33(1):20-27. doi: 10.5152/pcp.2023.22377. eCollection 2023 Mar.
This study aimed to analyze and compare the association of depression levels with quality of life among older people in primary health care in Brazil and Portugal.
This was a cross-sectional study conducted with older people in primary health care. The Medical Outcomes Short-Form Health Quality of Life (SF-36) instrument was used to measure the quality of life, and the Beck Depression Inventory was used to evaluate depression. We grouped the depression level variables into "absent/mild" and "moderate/severe" and tested their association with the categorical variables of quality of life ("better quality of life" and "worse quality of life").
The total sample was 150 participants (Brazil n = 100 and Portugal n = 50). Each group results in the subcategory of absent/mild depression (n = 129) indicated better quality of life in Portugal in physical role functioning ( = .027/odds ratio = 2.768), physical functioning ( < .001/odds ratio = 5.864), and the physical health dimension ( = .002/odds ratio = 3.752). The binary logistic regression analysis highlighted the domains physical role functioning (odds ratio = 1.01/CI for 95% = 1.00-1.03), physical functioning (odds ratio = 1.02/CI for 95% = 1.01-1.03), and the physical health dimension (odds ratio = 1.09/CI for 95% = 1.04-1.13).
There was an association between better assessments of the physical and functional aspects of quality of life and lower levels of depression, in which we could highlight those aspects related to physical health and functionality. Among the groups studied, Portugal had better quality of life evaluations than Brazil. However, none of the groups overlapped the other in levels of depression.
本研究旨在分析和比较巴西和葡萄牙初级卫生保健机构中老年人的抑郁水平与生活质量之间的关联。
这是一项对初级卫生保健机构中的老年人进行的横断面研究。采用医学结局简明健康量表（SF-36）来测量生活质量，并用贝克抑郁量表评估抑郁情况。我们将抑郁水平变量分为“无/轻度”和“中度/重度”两组，并检验它们与生活质量分类变量（“生活质量较好”和“生活质量较差”）之间的关联。
总样本为150名参与者（巴西100名，葡萄牙50名）。在无/轻度抑郁亚组（n = 129）中，葡萄牙在身体角色功能（P = 0.027/比值比 = 2.768）、身体功能（P < 0.001/比值比 = 5.864）和身体健康维度（P = 0.002/比值比 = 3.752）方面的生活质量评估更好。二元逻辑回归分析突出了身体角色功能领域（比值比 = 1.01/95%置信区间 = 1.00 - 1.03）、身体功能（比值比 = 1.02/95%置信区间 = 1.01 - 1.03）和身体健康维度（比值比 = 1.09/9�%置信区间 = 1.04 - 1.13）。
生活质量的身体和功能方面评估较好与较低的抑郁水平之间存在关联，其中我们可以突出与身体健康和功能相关的那些方面。在所研究的组中，葡萄牙的生活质量评估比巴西更好。然而，两组在抑郁水平上没有重叠。
