RESEARCH PAPER
Assessment of socio-demographics, cognitive function and depressive symptoms in homeless seniors and community-dwelling seniors – a pilot study
 
More details
Hide details
1
Institute of Health Sciences, University of Opole, Poland
 
 
Submission date: 2022-07-06
 
 
Final revision date: 2022-11-07
 
 
Acceptance date: 2022-11-07
 
 
Online publication date: 2023-05-05
 
 
Corresponding author
Antonina Gabriela Kaczorowska   

Institute of Health Sciences, University of Opole, Katowicka 68, 45-060 Opole, Poland. Tel.: +48 692 639 634.
 
 
Pol. Ann. Med. 2023;30(1):25-30
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The effects of homelessness on homeless people are large. Elderly homeless are in a particularly difficult situation. Being rejected from professional, social and cultural life, homeless seniors may develop depression and cognitive dysfunction.

Aim:
The aim of the study was to assess socio-demographic variables of homeless seniors and to assess the intensity of depression symptoms and the cognitive functions of older people from different life environments.

Material and methods:
Forty people aged 65 and over from the Opolskie Voivodeship were examined. The study group consisted of 20 homeless people. The control group consisted of 20 people living independently. Socio-demographics included age, gender, marital status, education and working status. The 15-point geriatric depression scale (GDS) was used to assess symptoms of depression. The clock drawing test (CDT) in the Sunderland version was used to assess cognitive functions.

Results and discussion:
The homeless seniors and those living independently differed statistically significantly in terms of education (P < 0.001) and working status (P = 0.004). The differences in GDS between the groups were not statistically significant. The differences in CTD between the groups were statistically significant (P = 0.029). Homeless seniors have significantly greater cognitive impairment. The collected results in our own study, using the GDS and CDT scale, do not indicate a diagnosis of depression and cognitive disorders, but may only suggest their occurrence.

Conclusions:
Homeless seniors most often have a low level of education and are unemployed. Seniors experiencing homelessness demonstrate lower cognitive functioning.

ACKNOWLEDGEMENTS
We would like to thank the seniors for their contribution in this research.
FUNDING
This research received no external funding.
CONFLICT OF INTEREST
The authors declare that they have no conflict of interest.
 
REFERENCES (26)
1.
Moraczewska B. Homelessness. Definition, problems, solutions, and present historical reference to people loose [in Polish]. St Gd. 2013;10:113–128.
 
2.
Ministry of Family, Labor and Social Policy. Results of the National Survey on the Number of Homeless People – 2019 Edition. https://www.gov.pl/web/rodzina.... Published March 15, 2019. Accessed April 7, 2022.
 
3.
Cendrowicz D. The theory of rational legislator and social assistance law. Remarks on the way of determination of commune’s territorial jurisdiction in cases regarding granting social benefits to the homeless [in Polish]. Acta UWr PPiA. 2020;120(2):591–603. https://doi.org/10.19195/0137-....
 
4.
Ochal M, Kuchta R, Tokarczyk-Malesa K, Romaszko M, Skutecki R. A COVID-19 Micro-epidemic in the Shelter for the Homeless in Olsztyn. Pol Ann Med. 2021;28(2):194–198. https://doi.org/10.29089/2021.....
 
5.
Kałucka S. Characteristics of depression in the elderly – etiology, diagnosis and treatment [in Polish]. Geriatria. 2014;8:240–247.
 
6.
Filipska K, Pietrzykowski Ł, Ciesielska N, Dembowski Ł, Kędziora-Kornatowska K. Depressive disorders in elderly patients – the literature review [in Polish]. Gerontol Pol. 2015;4:215–219.
 
7.
Basterzi AD, Aydemir C, Kisa C, Aksaray S, Tuzer V, Yazici K, et al. IL-6 levels decrease with SSRI treatment in patients with major depression. Hum Psychopharmacol. 2005;20:473–476. https://doi.org/10.1002/hup.71....
 
8.
Jaeger J, Berns S, Uzelac S, Davis-Conway S. Neurocognitive deficits and disability in major depressive disorder. Psychiatry Res. 2006;145:39–48. https://doi.org/10.1016/j.psyc....
 
9.
Etkin A, Gyurak A, O’Hara R. A neurobiological approach to the cognitive deficits of psychiatric disorders. Dialogues Clin Neurosci 2013;15:419–429. https://doi.org/10.31887/dcns.....
 
10.
Murrough JW, Iacoviello B, Neumeister A, Charney DS, Iosifescu DV. Cognitive dysfunctions in depression: neurocircuitry and new therapeutic strategies. Neurobiol Learn Mem. 2011;96:553–563. https://doi.org/10.1016/j.nlm.....
 
11.
Yesavage J, Brink T, Rose T, Lum O. Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1983;17(1):37–49. https://doi.org/10.1016/0022-3....
 
12.
Grodzicki T, Kocemba J, Skalska A, ed. Geriatrics with elements of general gerontology: A textbook for physicians and students. Kraków: Via Medica; 2006.
 
13.
Sunderland T, Hill JL, Mellow AM, Lawlor BA, Gundersheimer J, Newhouse PA, et al. Clock drawing in Alzheimerʼs discase. A novel measure of dementia severity. J Am Geriatr Soc. 1989;37:725–729. https://doi.org/10.1111/j.1532....
 
14.
Krzymiński S. The clock-drawing test [in Polish]. Postępy Psychiatr Neurol. 1995;4(Suppl 1): 21–30.
 
15.
Abrams RC, Teresi JA, Butin DN. Depression in nursing home residents. Clin Geriatr Med. 1996;8(2):309–322.
 
16.
Mroczkowska D, Bałdyga E, Żechowicz T, Gromadziński L. Neuropsychological rehabilitation of patients with symptoms of depression after ischemic stroke. Pol Ann Med. 2019;26(2):130–133. https://doi.org/10.29089/2019.....
 
17.
Tesky WA, Schall A, Schulze U, Stangier U, Oswald F, Knopf M, et al. Depression in the nursing home: a cluster-randomized stepped-wedge study to probe the effectiveness of a novel case management approach to improve treatment (the DAVOS project). Trials. 2019;20(1):424. https://doi.org/10.1186/s13063....
 
18.
Petersen RC, Negash S. Mild cognitive impairment: an overview. CNS Spectr. 2008;13:45–53. https://doi.org/10.1017/s10928....
 
19.
Bradford A, Kunik ME, Schulz P, Williams S, Singh H. Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors. Alzheimer Dis Assoc Disord. 2009;23:306–314. https://doi.org/10.1097/wad.0b....
 
20.
Gryglewska B. Consequences of the ageing process on health. In: Gryglewska B, Grodzicki T, ed. Vademecum of Geriatrics for the Practitioner. Tom I. Gdańsk: Via Medica; 2016:9–17.
 
21.
Szczepańska-Gieracha J, Jaworska L, Mazurek J, Skrzek A. Biopsychosocial approach for the treatment of depression in the elderly [in Polish]. Gerontol Współcz. 2017;3(5):108–112.
 
22.
Chen CM, Liu LF. The effect of disability and depression on cognitive function and screening factors. Arch Gerontol Geriatr. 2017,73:154–159. https://doi.org/10.1016/j.arch....
 
23.
Donovan NJ, Wu Q, Rentz DM, Sperling NA, Marshall GA, Glymour M.M. Loneliness, depression and cognitive function in older U.S. adults. Int J Geriatr Psychiatry. 2017;32(5),564–573. https://doi.org/10.1002/gps.44....
 
24.
Wilmańska J, Gułaj E. Assessment of cognition disorders in elderly adults – attempt to compare different screening methods [in Polish]. Gerontol Pol. 2019;16(2):111–118.
 
25.
Gonda X, Pompili M, Serafini G, Carvalho AF, Rihmer Z, Dome P. The role of cognitive dysfunction in the symptoms and remission from depression. Ann Gen Psychiatry. 2015;14(1):27. https://doi.org/10.1186/s12991....
 
26.
Czerwińska A, Pawłowski T. Cognitive dysfunctions in depression – significance, description and treatment prospects. Psychiatr Pol. 2020;54(3):453–466. https://doi.org/10.12740/pp/on....
 
Journals System - logo
Scroll to top