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Dong W, Ding Z, Wu X, Wan R, Liu Y, Pei L, Zhu W. The association between neuropeptide oxytocin and neuropsychiatric disorders after orthopedic surgery stress in older patients. BMC Geriatr 2023; 23:416. [PMID: 37420191 PMCID: PMC10329356 DOI: 10.1186/s12877-023-03989-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 04/22/2023] [Indexed: 07/09/2023] Open
Abstract
BACKGROUND The health outcomes of geriatric patients exposed to surgery were found to be enhanced by social support and stress management. The aim of this study was to characterise the relationship between oxytocin and neuropsychiatric disorders after surgery. METHODS A total of 132 geriatric patients aged ≥ 60 years received orthopedic surgery in the First Affiliated Hospital of Harbin Medical University (Harbin, China) were enrolled in the present study. The salivary levels of stress hormone cortisol and oxytocin were measured by enzyme-linked immunosorbent assay for the screening of the stress state and oxytocin function. Moreover, the Depression Anxiety and Stress Scale (DASS), the Geriatric Anxiety Inventory (GAI), the Geriatric Depression Scale (GDS) and the Montgomery-Åsberg Depression Rating Scale (MADRS) were conducted to identify the severity of anxiety and depression. The association between oxytocin and mental health was performed by linear regression analyses in older patients receiving orthopedic surgery. Finally, the Duke Social Support Index (DSSI) was selected to measure the social support and the potential link to mental outcomes. RESULTS The scores from questionnaires showed that female patients with higher social support and higher levels of oxytocin demonstrated better stress-reducing responses as reflected by lower cortisol and decreased anxiety and depression symptoms. Regression analyses revealed that there was a significant association between oxytocin and scores in DASS, GAI, GDS, MADRS and DSSI, suggesting a potential link between peripheral oxytocin function and mood outcomes after orthopedic surgery. CONCLUSIONS Our findings reveal that oxytocin enhances the stress-protective effects of social support and reduces anxiety and depression states under stressful circumstances, particularly in older women receiving orthopedic surgery.
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Affiliation(s)
- Wanru Dong
- Drug Safety Evaluation Center, Heilongjiang University of Chinese Medicine, Harbin, 150040, China
| | - Zengbo Ding
- National Institute On Drug Dependence and Beijing Key Laboratory of Drug Dependence Research, Peking University, Beijing, 100191, China
| | - Xiao Wu
- National Institute On Drug Dependence and Beijing Key Laboratory of Drug Dependence Research, Peking University, Beijing, 100191, China
| | - Ran Wan
- Department of Orthopedics, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China
| | - Ying Liu
- College of Pharmacy, Hainan Medical College, Haikou, 570100, China
| | - Liubao Pei
- Department of Orthopedics, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
| | - Weili Zhu
- National Institute On Drug Dependence and Beijing Key Laboratory of Drug Dependence Research, Peking University, Beijing, 100191, China.
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Barbosa ARC, Nunes DP, Lima DB, Colombo FA, Nunes JB, Santos Orlandi AAD, Rocha GDS, Pereira DS, Corona LP, Brito TRPD. Association of Social Support Network with Telomere Length: A Cross-Sectional Study with Community-Dwelling Older Adults. Rejuvenation Res 2022; 25:253-259. [PMID: 36103374 DOI: 10.1089/rej.2022.0037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Considering that telomere length can be determined not only by issues related to cell biology but also by aspects related to social factors and environmental exposures, studies on the relationship between social aspects and telomere length can help to better understand the still scarcely known aspects of the human aging process. Thus, this research seeks to verify whether social support networks are associated with telomere length in older adults. This is a cross-sectional study conducted with 448 individuals aged at least 60 years living in the urban area of an inland Brazilian municipality. Relative quantification of telomere length was obtained through real-time qPCR. Social support was assessed through the Medical Outcomes Study Social Support Scale. Descriptive statistics and multiple logistic regression were used in data analysis. The evaluated social support networks for older adults consist in a mean of 16.4 people, and the percentage of older adults who reported up to five members in their network was 27.75%. Shorter telomere length was identified in 25% of the participants, and the older adults who reported having up to five members in their support network were more likely to have a shorter telomere length than those who reported more numerous networks (odds ratio: 1.89, p = 0.011) regardless of gender, age, household arrangement, cognitive decline, and dependence for basic and instrumental activities of daily living, which suggests that measures that stimulate the creation and maintenance of social support networks should be implemented to improve older adults' health.
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Revealing the Role of Social Support on Cognitive Deficits in Fibromyalgia Syndrome. Behav Neurol 2022; 2022:3852746. [PMID: 36091221 PMCID: PMC9458397 DOI: 10.1155/2022/3852746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 07/04/2022] [Accepted: 08/22/2022] [Indexed: 01/10/2023] Open
Abstract
Despite the relevance of cognitive deficits in fibromyalgia syndrome (FMS) and the attempts to elucidate the influence of the disorder symptoms in the cognitive decline reported by patients, no studies have explored the specific role of social support on cognition in FMS. Social support has been shown to be an essential modulator factor on cognitive performance in other diseases. Sixty-four women with FMS and 32 healthy women participated in the study and completed questionnaires pertaining to anxiety, depression, fatigue, insomnia, clinical pain, and social support, along with a neuropsychological battery assessing verbal memory, organization, strategic and planning abilities, self-regulation, processing speed, attention, and cognitive flexibility. Results showed that FMS patients exhibited lower values in all social support dimensions in comparison with healthy individuals, especially in the socializing dimension. Despite the lower social support observed in FMS, all social support dimensions showed a positive impact on verbal memory, organization and planning abilities, strategic planning, self-regulation, processing speed, attention, and cognitive flexibility in these patients. In fact, social support was associated with greater correct responses and processing speed and minor number of errors in all the neuropsychological battery tests. Socializing was the main predictor of organization and planning abilities, strategic planning, and self-regulation. In sum, results suggest that social support may be a key factor in buffering the cognitive decline observed in FMS. Designing psychoeducation programs and intervention programs directed not only to FMS patients but also relatives, health care workers, and the general population might be essential to improve the social support of FMS patients and positively impact on patient's cognitive status.
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Pallone JM, Santos DGMD, Oliveira Dias AL, Ferreira LGS, Costa da Silva C, Orlandi FDS. Loneliness Level and Its Associated Factors in Patients With Hemodialysis. Clin Nurs Res 2021; 31:1164-1171. [PMID: 34955033 DOI: 10.1177/10547738211061447] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Verify the level of loneliness and its relationship with socioeconomic and health conditions, social support, family functionality, and depressive symptoms in patients undergoing hemodialysis. Analysis of secondary data, with a primary cross-sectional investigation, correlational with a quantitative approach, carried out in 2019, with 80 patients with CKD on hemodialysis. Applied instruments: socio-demographic, economic, and health condition characterization, UCLA Loneliness Scale, Medical Outcomes Study Social Support Scale, Patient Health Questionnaire9, and the Family APGAR. Showed female prevalence (55%), white ethnicity (65%), and mean age 59.63 years. In the perception of loneliness, the highest index was (55%), moderately high. Social support scored worst in the Positive Social Interaction domain, mean 74.31. In depression, showed prevalence of severe depression (28.7%). Family functioning showed good score (68.8%). There was a weak negative correlation between loneliness and all domains of Social Support, besides Family Functioning.
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LEITE SV, FRANÇA LHDFP, LEITE SBF. The influence of social support and social skills on the academic performance of younger individuals and older adult college students. ESTUDOS DE PSICOLOGIA (CAMPINAS) 2021. [DOI: 10.1590/1982-0275202138e190146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract The ageing process has provoked a visible increase of older adult students in Brazilian universities. Several studies have been conducted on the development of this older adult student, but few have tested the influence of social skills and perceived social support on academic performance by comparing different age groups. The goal of this longitudinal study was to investigate the influence of social support and social skills on the academic performance of older adult college students compared to younger individuals. The sample was composed of 326 college students (200 younger individuals and 126 older adults), from 13 universities in the metropolitan area of the city of Rio de Janeiro. Multiple hierarchical regression confirmed the predictive power of the social support (but not the social skills) over academic performance. The evolution of academic performance (performance coefficient) was observed for two years. New studies with larger samples in other regional contexts are recommended.
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Hosseingholizadeh N, Sadeghi R, Ardebili HE, Foroushani AR, Taghdisi MH. The Correlation of Self-efficacy and Social Support with Social Participation: A Cross Sectional Study among the Elderly. J Med Life 2019; 12:239-246. [PMID: 31666825 PMCID: PMC6814884 DOI: 10.25122/jml-2019-0010] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
There is ample evidence that a key contributor to healthy aging is social participation; thus, identifying its determinants can help to improve it. The current study aimed at assessing the relationship between social support and general self-efficacy with social participation. This cross-sectional study was conducted on 456 (male: 237, female: 219) older adults, aged 60-74 years, who were the member of community centers in Tehran, Iran, in 2016. The multi-stage cluster sampling method was employed to select the participants. Primarily, Tehran was divided into five areas (i e, North, South, East, West, and Center). Then, two community centers were randomly selected from each area. Participants with the ability to perform their daily activities independently were enrolled in the study. Participants responded to four self-report questionnaires: socio-demographic, social participation, social support, and general self-efficacy. The majority of the participants were within the age range of 62–68 years with the maximum proportion of social participation (mean ± standard deviation (SD): 37.69 ± 8.34). Findings of the current study indicated that gender, education level, reading books, newspapers, or magazines (p <0.001), living area, living arrangement, and occupational status (p<0.05) were associated with social participation. Multiple linear regression adjusted for living area, sex, and educational level showed that self-efficacy (β= .08; p<.001) and social support (β= .64; p<.001) predicted social participation. Findings showed the importance of social support and self-efficacy in social participation. Also enhancing the literacy of seniors should be given priority.
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Affiliation(s)
- Nasrin Hosseingholizadeh
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Roya Sadeghi
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Hassan Eftkhar Ardebili
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas Rahimi Foroushani
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Nakano TDC, Machado WDL, Abreu ICCD. Relações entre estilos de pensar e criar, bem-estar, saúde percebida e estresse na terceira idade. PSICO-USF 2019. [DOI: 10.1590/1413-82712019240312] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo O presente estudo teve como objetivo, investigar a relação entre estilos de pensar e criar, bem-estar, saúde percebida e estresse na terceira idade. Para isso, 123 idosos (98 mulheres e 25 homens), com idades entre 60 a 90 anos (M=68,35; DP=7,4) responderam a Escala de Estilos de Pensar e Criar, Escala de Saúde Mental Positiva, Escala de Estresse Percebido e um questionário sociodemográfico. Análises de ρ de Spearman e uma rede de correlações parciais regularizadas foram utilizadas para investigar as relações entre os construtos avaliados. Os resultados mostraram que os estilos que mais se relacionaram, de forma positiva, com as variáveis de saúde, bem-estar e estresse foram os estilos inconformista-transformador e emocional-intuitivo. As características de tais estilos podem ser incentivadas de modo a atuarem como fatores positivos para a qualidade de vida na maturidade.
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Lima RJD, Pimenta CJL, Frazão MCLDO, Ferreira GRS, Costa TFD, Viana LRDC, Martins KP, Costa KNDFM. Functional capacity and social support to people affected by cerebrovascular accident. Rev Bras Enferm 2019; 72:868-873. [PMID: 31432940 DOI: 10.1590/0034-7167-2017-0854] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Accepted: 10/15/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To investigate the functional capacity and its relationship with the level of social support to people affected by cerebrovascular accident. METHODS Cross-sectional and quantitative research, conducted with 108 individuals with sequelae of cerebrovascular accident in João Pessoa/PB. Data were collected through interviews, using a sociodemographic instrument - the Barthel Index and the Social Support Scale. RESULTS We observed the prevalence of functional dependency in 93.5%, and the mild dependency stood out in 40.7%. Medium social support was the most found, with 48.2%. The predominant dimensions of social support were the material dimension, followed by the emotional. There was a significant association (p ≤ 0.05) between very serious dependency and high social support. CONCLUSION The results found allow us to reflect on the need for involvement of health professionals in strengthening the social support of patients with disabling diseases, such as the cerebrovascular accident.
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Couples in Need of Home Care Services: Experiences With Support From Care Professionals. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2018. [DOI: 10.1177/1084822318755379] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Many older people desire to remain in their homes and be cared for by a family member, but this arrangement requires support from care professionals. The aim was to describe how couples in need of home care services experienced the received support from care professionals. A qualitative design with content analysis was used. Data were collected through diaries and focus groups consisting of eight couples between 65 and 80 years, and two registered nurses. The main findings are described by the following categories: Organizational adapted, Withholding, Being in a gap, resulting in the theme Lack of professional support. Couples experienced shortcomings that were related to the organization, the care professionals, and the couples themselves. The theme Lack of professional support requires more knowledge.
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Díaz-López MDP, Aguilar-Parra JM, López-Liria R, Rocamora-Pérez P, Vargas-Muñoz ME, Padilla-Góngora D. Skills for Successful Ageing in the Elderly. Education, well-being and health. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.sbspro.2017.02.140] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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da Silva SM, Braido NF, Ottaviani AC, Gesualdo GD, Zazzetta MS, Orlandi FDS. Social support of adults and elderly with chronic kidney disease on dialysis. Rev Lat Am Enfermagem 2016; 24:e2752. [PMID: 27508920 PMCID: PMC4990047 DOI: 10.1590/1518-8345.0411.2752] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2014] [Accepted: 01/11/2016] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to evaluate the instrumental and emotional social support of patients with chronic kidney disease on hemodialysis. METHOD descriptive cross-sectional study. The sample was sized for convenience and included 103 participants under treatment in a Renal Replacement Therapy Unit. Data were collected through individual interviews, using the Social Support Scale. RESULTS the mean scores of the emotional and instrumental social support were 3.92 (± 0.78) and 3.81 (± 0.69) respectively, an indication of good support received. The most frequent sources of instrumental and emotional social support mentioned by participants were partners, spouse, companion or boyfriend and friends. CONCLUSION patients with chronic kidney disease have high social support, both instrumental and emotional, and the main support comes from the family.
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Affiliation(s)
- Simone Márcia da Silva
- Master's Student, Faculdade de Medicina de Ribeirão Preto, Universidade
de São Paulo, Ribeirão Preto, SP, Brazil
| | - Natalia Fernanda Braido
- Undegraduate student in Gerontology, Universidade Federal de São Carlos,
São Carlos, SC, Brazil
| | - Ana Carolina Ottaviani
- Master's Student, Departamento de Enfermagem, Universidade Federal de
São Carlos, São Carlos, SP, Brazil
| | - Gabriela Dutra Gesualdo
- Master's Student, Departamento de Enfermagem, Universidade Federal de
São Carlos, São Carlos, SP, Brazil
| | - Marisa Silvana Zazzetta
- PhD, Adjunct Professor, Departamento de Gerontologia, Universidade
Federal de São Carlos, São Carlos, SP, Brazil
| | - Fabiana de Souza Orlandi
- PhD, Adjunct Professor, Departamento de Gerontologia, Universidade
Federal de São Carlos, São Carlos, SP, Brazil
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Silva ADC, Ferreira RC, Ferreira MAA, Ribeiro MTDF. Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais. Rev Soc Bras Med Trop 2014; 47:212-7. [PMID: 24861296 DOI: 10.1590/0037-8682-0012-2014] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2014] [Accepted: 04/11/2014] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION In addition to the common alterations and diseases inherent in the aging process, elderly persons with a history of leprosy are particularly vulnerable to dependence because of disease-related impairments. OBJECTIVE determine whether physical impairment from leprosy is associated with dependence among the elderly. METHODS An analytical cross-sectional study of elderly individuals with a history of leprosy and no signs of cognitive impairment was conducted using a database from a former leprosy colony-hospital. The patients were evaluated for dependence in the basic activities of daily living (BADL) and instrumental activities of daily living (IADL), respectively) and subjected to standard leprosy physical disability grading. Subsequently, descriptive and univariate analyses were conducted, the latter using Pearson's chi-squared test. RESULTS A total of 186 elderly persons were included in the study. Of these individuals, 53.8% were women, 49.5% were older than 75 years of age, 93% had four or less years of formal education, 24.2% lived in an institution for the long-term care of the elderly (ILTC), and 18.3% had lower limb amputations. Among those evaluated, 79.8% had visible physical impairments from leprosy (grade 2), 83.3% were independent in BADL, and 10.2% were independent in IADL. There was a higher impairment grade among those patients who were IADL dependent (p=0.038). CONCLUSIONS The leprosy physical impairment grade is associated with dependence for IADL, creating the need for greater social support and systematic monitoring by a multidisciplinary team. The results highlight the importance of early diagnosis and treatment of leprosy to prevent physical impairment and dependence in later years.
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Affiliation(s)
- Alisson da Costa Silva
- Casa de Saúde Santa Izabel, Fundação Hospitalar do Estado de Minas Gerais, Betim, MG, Brasil
| | - Raquel Conceição Ferreira
- Departamento de Odontologia Social e Preventiva, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BRAZIL
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Machado FN, Machado AN, Soares SM. Comparison between ability and performance: a study on the functionality of dependent elderly individuals. Rev Lat Am Enfermagem 2014; 21:1321-9. [PMID: 24402345 DOI: 10.1590/0104-1169.2682.2370] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2012] [Accepted: 08/21/2013] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to compare the ability and performance of Basic Activities of Daily Living of dependent elderly individuals cared for in a geriatric healthcare center. METHOD cross-sectional, observational study with quantitative approach. The Functional Independence Measure (FIM) was applied in 109 elderly individuals cared for in a geriatric healthcare center. Of these, 60 individuals were classified as dependent in the case of basic activities of daily living described according to the International Classification of Functionality, Disability and Health (ICF). The process of triangulation reinforced reliability of data, which included information provided by patients and caregivers and that contained in medical files and objective assessment. RESULTS the average age was 81.0±7.1 with a predominance of women. The difference between ability and performance was statistically significant (p<0.05) in most daily tasks. CONCLUSION the contribution of this study in using ICF was semi-quantitatively interpreting its qualifiers, which enabled more objective comparisons and inferences, and revealed a clear distance between the performance and ability of these individuals in most of the assessed activities.
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Affiliation(s)
| | - Adriana Nunes Machado
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São PauloSP, Brazil
| | - Sônia Maria Soares
- Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo HorizonteMG, Brazil
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