Special Issue "Mental Health Issues and Quality of Life in Older Individuals"

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: closed (30 November 2020).

Special Issue Editors

Prof. Dr. Omar Cauli
Website
Guest Editor
Department of Nursing, University of Valencia, Valencia 46010, Spain
Interests: cogntive impairment; frailty syndrome; neurodevelopemntal disorders; depression; neuropathy; sleep; envirnomental factors; comorbidty; immune alterations; metabolic alterations; biomarkers
Special Issues and Collections in MDPI journals
Prof. Dr. Julio Fernández Garrido
Website
Guest Editor
Department of Nursing, University of Valencia, 46010 Valencia, Spain
Interests: sarcopenia, quality of life, biomarkers
Prof. Dr. Rut Navarro Martinez
Website
Guest Editor
Department of Nursing, University of Valencia, 46010 Valencia, Spain
Interests: sleep, haematological alterations, frailty

Special Issue Information

Dear Colleague,

There are numerous biological, psychological, and social factors that have a more or less prominent impact on the mental health of older adults. Apart from components derived from the normal processes of aging or the co-occurrence of various medical diseases, events such as the death of a loved one, retirement, or disability, contribute significantly to a variety of mental or emotional problems at this stage of the life cycle. The most frequent problems affect the neurocognitive, affective, and sleep functions, which can lead to a reduction in quality of life. Major neurocognitive disorders reduce a patient's overall performance and thus create demanding needs for dependency and higher level of frailty. Affective disorders can be accentuated by a lack of family support and a marked decrease in social interactions that can lead to significant isolation with resulting suicidal behavior. The increased frequency of sleep disorders such as insomnia, daytime sleepiness, and specific disorders such as obstructive apnea significantly can further alter the quality of life of this population. The complexity of these disorders needs the expertise of a multidisciplinary team to provide the best healthcare for these patients.

This Special Issue wishes to shed new light on this exciting and insightful field of research from a multidisciplinary perspective. This Special Issue, "Mental health issues and quality of life in older individuals," reflects the interplay between neurological and psychiatric sciences, with other health sciences at the leading edge of this growing research field, which intensively suggest new opportunities for improving care of older individuals, or to prevent adverse outcomes. In the Special Issue, the readership will find relevant research carried out by several health care professionals and researchers with extensive knowledge on clinical settings and is intended to address new issues of interest of specific importance to research and clinical practice.

Prof. Dr. Omar Cauli
Prof. Dr. Rut Navarro Martinez
Prof. Dr. Julio Fernández Garrido
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Life is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cognitive function
  • sleep
  • depression
  • quality of life
  • frailty
  • psychiatric disorders
  • gerontology
  • social factors
  • comorbidities
  • biomarkers
  • nursing
  • gender

Published Papers (6 papers)

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Open AccessArticle
Analysis of Quality of Life and Nutritional Status in Elderly Patients with Dysphagia in Order to Prevent Hospital Admissions in a COVID-19 Pandemic
Life 2021, 11(1), 22; https://doi.org/10.3390/life11010022 - 31 Dec 2020
Abstract
(1) Background: Oropharyngeal dysphagia (OD) is currently recognized as one of the geriatric syndromes due to its high frequency in older people and its associated complications, which have a direct impact on quality of life. The main objective is to determine the effectiveness [...] Read more.
(1) Background: Oropharyngeal dysphagia (OD) is currently recognized as one of the geriatric syndromes due to its high frequency in older people and its associated complications, which have a direct impact on quality of life. The main objective is to determine the effectiveness of telehealth consultation for the re-evaluation of nutritional status and quality of life assessment in older people diagnosed with OD associated with active use of thickeners to prevent hospital admissions in a COVID-19 pandemic. (2) Methods: an observational, descriptive, and longitudinal study that included a sample of 33 subjects with age equal or superior to 65 years diagnosed with OD with conserved cognitive capacity. The nutritional status was evaluated through the Mini-Nutritional Assessment (MNA) questionnaire and biochemical parameters and, the quality of life was determined through the Swallowing Quality of Life (SWAL-QOL) questionnaire. (3) Results: Thirty-three older patients with OD were recruited (54.5% women), with a mean age of 83.5 ± 7.6 years. The main cause of OD in the study population was neurodegenerative disease (51.5%), followed by cerebrovascular disease (33.3%), and other causes (15.2%). Sixty point six percent of patients were found to be at risk of malnutrition. The MNA score was significantly correlated to albumin (r: 0.600, p < 0.001) and total proteins (r: 0.435, p = 0.015), but not to total cholesterol (r: −0.116, p = 0.534) or lymphocytes (r: −0.056, p = 0.758). The mean total score of the SWAL-QOL was 75.1 ± 16.4 points. (4) Conclusions: the quality of life of the subjects related to the use of a thickener is good. Although the body mass index (BMI) and average biochemical, nutritional parameters of the subjects are within the range of normality, the MNA has detected a high percentage of subjects with the risk of malnutrition, which suggests the need for continuous re-evaluation in these patients, demonstrating the viability of the telematic route in this research. Full article
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
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Open AccessArticle
Informal Caregivers’ Roles in Dementia: The Impact on Their Quality of Life
Life 2020, 10(11), 251; https://doi.org/10.3390/life10110251 - 23 Oct 2020
Abstract
The constantly changing process of caring for a person with dementia affects the informal caregivers’ role due to its psychosocial impact. This cross-sectional study aimed to analyze the impact of the Person with Dementia informal caregiver’s role caregiver to a person with dementia [...] Read more.
The constantly changing process of caring for a person with dementia affects the informal caregivers’ role due to its psychosocial impact. This cross-sectional study aimed to analyze the impact of the Person with Dementia informal caregiver’s role caregiver to a person with dementia on the self-perceived quality of life (QoL) of the caregiver. In total, 160 informal caregivers were recruited between January and December 2019. Informal caregivers’ quality of life was assessed using the European Quality of Life 5-Dimension scale, burden with the Zarit Burden Scale, emotional wellbeing using the General Health Questionnaire, and caregiver reactions using Caregiver Reaction Aspects. Patients’ cognitive impairment was assessed with the Mini-Mental State Examination, their quality of life using Quality of Life in Alzheimer’s Disease, and neuropsychiatric symptoms using the Neuropsychiatric Inventory. Outcomes were studied using the Pearson correlation coefficient and ANOVA test. Most informal caregivers’ outcomes were significantly associated with their quality of life. Male informal caregivers have a slightly better quality of life than female caregivers (p < 0.001). Caregiver burden (p < 0.001), psychological wellbeing (p < 0.001) and negative aspects of caregiving on health (p < 0.001) correlated moderately with informal caregivers’ quality of life. Factors associated with dementia, including the course of the illness and its severity with the presence of neuropsychiatric symptoms can negatively affect the informal caregiver’s role and produce a low self-perception of quality of life; thus, social and professional support for informal caregivers is essential. Full article
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
Open AccessArticle
Prevalence of Older Adult Disability and Primary Health Care Responsiveness in Low-Income Communities
Life 2020, 10(8), 133; https://doi.org/10.3390/life10080133 - 05 Aug 2020
Abstract
In Brazil and in most low- and middle-income countries (LMICs), information about how prepared the health care system is for the rapid aging of the population is scarce. We investigated the prevalence of disability and areas of life affected by disability among elders [...] Read more.
In Brazil and in most low- and middle-income countries (LMICs), information about how prepared the health care system is for the rapid aging of the population is scarce. We investigated the prevalence of disability and areas of life affected by disability among elders of the public primary health care in São Paulo and Manaus, Brazil. We investigated whether people with disability visited a primary care professional more frequently, the individual characteristics associated with disability, and differences by city. We randomly selected participants aged ≥60 years (n = 1375). The main outcome was disability, evaluated with the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0). Exposure variables were consultation with a family physician, sociodemographic characteristics, health status, social support, and lifestyle. The prevalence of global disability was higher in Manaus (66.2% vs. 56.4% in São Paulo). In both cities, participation and mobility were the areas of life most affected by disability. The number of consultations with a family physician was not associated with disability. The high prevalence of disability and associated risk factors indicates that public primary health care is not meeting the needs of elders in both cities. It is warning because most elders in LMICs live in more underserved communities compared to Brazil. Full article
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
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Open AccessArticle
EQ-5D-3L for Assessing Quality of Life in Older Nursing Home Residents with Cognitive Impairment
Life 2020, 10(7), 100; https://doi.org/10.3390/life10070100 - 30 Jun 2020
Cited by 3
Abstract
Background: Quality of life (QoL) is recognized as an important patient-reported outcome measure. Assessing QoL in older people with cognitive impairment is a challenge due to discrepancies in the collection of data via proxies versus self-report. This study aimed to assess the psychometric [...] Read more.
Background: Quality of life (QoL) is recognized as an important patient-reported outcome measure. Assessing QoL in older people with cognitive impairment is a challenge due to discrepancies in the collection of data via proxies versus self-report. This study aimed to assess the psychometric properties of the self-reported EQ-5D (including the EQ index and EQ visual analog scale (VAS)) in nursing homes residents with cognitive impairment and to analyze its validity based on scales included in the comprehensive geriatric assessment. Methods: Cross-sectional, multicenter study analyzing the feasibility, acceptability, reliability, and validity of the EQ-5D based on 251 self-administered questionnaires in a sample of nursing home residents with cognitive impairment. Reference scales were those from the comprehensive geriatric assessment, equivalent to the five dimensions of the EuroQol. Results: The EQ index was 0.31 (0.37) and the EQ VAS was 35.96 (29.86), showing adequate acceptability and feasibility. Cronbach’s alpha was 0.723. The EQ index and EQ VAS, as outcome variables for multiple linear regression models including CGA titration scales, showed better validity for the EQ index than the EQ VAS. Conclusions: As a self-administered generic scale, the EQ-5D-3L could be a good tool for QoL assessment in nursing home residents with cognitive impairment. Full article
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
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Open AccessArticle
Subtypes of Depression: Latent Class Analysis in Spanish Old People with Depressive Symptoms
Life 2020, 10(5), 70; https://doi.org/10.3390/life10050070 - 18 May 2020
Cited by 1
Abstract
Major depressive disorder (MDD) is one of the most disabling disorders and the one that most contributes to disability. When it occurs in older people, it is an additional burden to their potential physical and cognitive deficiencies, making MDD an important public health [...] Read more.
Major depressive disorder (MDD) is one of the most disabling disorders and the one that most contributes to disability. When it occurs in older people, it is an additional burden to their potential physical and cognitive deficiencies, making MDD an important public health problem that supposes a large investment in health. There is a clear lack of consistency between the subtypes of depression found in the literature, ranging from two to seven classes, with three being the most commonly found non-melancholic, melancholic and psychotic, or putative psychotics. The aim of this research is to add knowledge to the profiles of depressive symptoms in a representative sample of older Spanish people, and to study the possible relationship of these symptom profiles with variables that have traditionally been related to depression. Spanish data from the sixth wave of SHARE were used, with 612 Spanish older adults living in Spain. A routine of several LCAs with a different number of classes was performed to answer this first aim to classify Spanish adults with depression symptoms. The results pointed out the presence of three different classes among the participants in the study: psychosomatic (11.12%), melancholic (14.21%), and anhedonic (74.67%). This work represents a step forward to understand the heterogeneity of major depressive disorder, facilitating the diagnosis, and subsequent treatment of older adults. Full article
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
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Open AccessErratum
Erratum: Pérez-Belmonte, S., et al. Subtypes of Depression: Latent Class Analysis in Spanish Old People with Depressive Symptoms. Life 2020, 10, 70
Life 2020, 10(10), 222; https://doi.org/10.3390/life10100222 - 27 Sep 2020
Abstract
The authors wish to make the following erratum to this paper [...] Full article
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
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