Mental illness in an elderly rural population in Ireland: a prevalence study

1998 ◽  
Vol 15 (4) ◽  
pp. 139-141 ◽  
Author(s):  
Margaret Kelleher ◽  
Mary O'Sullivan ◽  
Nuala McMahon
Keyword(s):  
Mental Illness ◽  
Rural Community ◽  
Rural Areas ◽  
Psychiatric Morbidity ◽  
Nursing Home Residents ◽  
Total Sample ◽  
Community Dwelling ◽  
Prevalence Data ◽  
Age Related ◽  
Prevalence Of Depression

AbstractObjectives: The aim of this study was to provide the first Irish prevalence data on mental illness in an elderly, rural, community dwelling population.Method: Subjects were identified from four general practitioners' lists. This included GMS patients, private patients and nursing home residents. Six hundred and fifty people aged 65 years or over were interviewed in their own homes using GMS-AGECAT, a standardised diagnostic instrument.Results: The overall prevalence of mental illness was 14.6%. The prevalence of depression was 9.4%. There was a significantly higher rate among women (13.2%) than men (4.3%). Depression in women was not age related. Of the total sample, 3.7% were classified as organic cases. Of the remaining cases, anxiety disorders occurred most frequently and represented 0.9% of all cases.Conclusions: Elderly people in rural areas experience similar levels of psychiatric morbidity as those in urban centres.

Control Beliefs of the Frail Elderly: Assessing Differences Between Homebound and Nursing Home Residents

2001 ◽  
Vol 3 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Madeleine Grain
Keyword(s):  
Life Satisfaction ◽  
Nursing Home ◽  
Rating Scale ◽  
Nursing Home Residents ◽  
Personal Control ◽  
Community Dwelling ◽  
Elderly Persons ◽  
Sense Of Control ◽  
Age Related ◽  
Dependent Samples

Previous age-related sense of control studies have largely focused on active, community-dwelling aged individuals and have excluded elderly persons who are frail. This study compares sense of control and life satisfaction as determined through rating scale administration between two frail, dependent samples: nursing home residents and homebound elderly. Differences in control scores were statistically significant for those who were homebound expressing higher perceived personal control than nursing home residents (p < .001). Sense of control has no correlation with either life satisfaction or length of stay in the nursing home cohort.

Depression, Dementia and Disability in the Elderly

1987 ◽  
Vol 150 (4) ◽  
pp. 482-493 ◽  
Author(s):  
R. A. Griffiths ◽  
W. R. Good ◽  
N. P. Watson ◽  
H. F. O'Donnell ◽  
P. J. Fell ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Rural Community ◽  
Test Score ◽  
Rating Scales ◽  
The Elderly ◽  
Community Practice ◽  
Mental Test ◽  
Mental Test Score ◽  
Age Related ◽  
Prevalence Of Depression

A structured sample of mobile elderly patients in a rural community practice was assessed on validated rating scales for depression, dementia and disability. A total of 62% of the sample was abnormal on at least one variable. The overall prevalence of depression was 13%; the overall prevalence of dementia was either 10 or 18% depending on the criterion of Mental Test Score (MTS). Depression and dementia were related, depression being more common in females. In depressed and demented patients, MTS was age-related in those over 60 years; in depression alone, MTS was not age-related. Dementia was age-related, particularly over the age of 75. Disability increased with age and was more common in females. Disability was associated with both depression and dementia.

Prevalence of mental illness in an elderly community dwelling population using AGECAT

1994 ◽  
Vol 11 (4) ◽  
pp. 157-159 ◽  
Author(s):  
Brian A Lawlor ◽  
Alicja Radic ◽  
Irene Bruce ◽  
Gregory RJ Swanwick ◽  
Fergus O' Kelly ◽  
...  
Keyword(s):  
Mental Illness ◽  
Local Level ◽  
Low Frequency ◽  
Diagnostic System ◽  
Community Dwelling ◽  
Age Group ◽  
Neurotic Disorders ◽  
Epidemiological Surveys ◽  
Prevalence Of Depression ◽  
Organic Case

AbstractObjective: The purpose of this study was to determine the prevalence of a range of mental disorders in an elderly community dwelling population in Dublin using AGECAT, a reliable and standardised computerised diagnostic system that has been previously validated in community epidemiological surveys.Methods: A total of 451 individuals over the age of 65 in a GP group practice were interviewed using AGECAT.Results: Approximately one in five subjects had a mental illness according to AGECAT criteria. The prevalence of depression was 13.1% and did not change appreciably with age. 5.5% of subjects met organic ‘case’ criteria, and the frequency of organic cases increased with age, approximating 15% in the over 80 year age group. Neurotic disorders occurred with very low frequency, representing 1.1% of the subjects tested.Conclusions: These findings have implications for mentalhealth services planning at a local level, and underscore the utility of AGECAT as a tool for comparative crosscultural epidemiological surveys.

scholarly journals Prevalence of psychiatric morbidity among prisoners attending OPD of Central Jail Hospital, Kathmandu

2018 ◽  
Vol 7 (1) ◽  
pp. 24-31
Author(s):  
P. Bhattarai ◽  
V.D. Sharma ◽  
M. Chapagai ◽  
P. Tulachan
Keyword(s):  
Mental Illness ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Functional Disability ◽  
Prison Population ◽  
Psychiatric Morbidity ◽  
Somatoform Disorder ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Self Reporting Questionnaire

Introduction: Prisoners are one of the most vulnerable groups for having high prevalence of mental illness. There is a dearth of major studies conducted amongst prisoners in Nepal. The basic objective of this study is to study prevalence and nature of psychiatric morbidity in prisoners attending general OPD of Central jail Hospital, Kathmandu. Material and Method: This was a descriptive, cross-sectional study carried out in prisoners attending OPD of central jail for a period of six months. Initial screening was done with self- reporting questionnaire (SRQ) and those having distress on SRQ were interviewed and diagnosis was made based on ICD-10 DCR and data analysis was done using SPSS version 16. Results: A total of 121 prisoners out of 300 prisoners attending OPD of central jail hospital during a period of six months had been diagnosed to suffer from psychiatric morbidity. Majority of cases were within age group 26-30 years (20.7%) with male preponderance (76.9%), married (69.4%), educated up to higher secondary level (38%), doing occupation as labor work (24%), Hindus (62.8%) with janajatis (32.2%), having low socioeconomic status (51.2%), belonging to joint family (50.4%) and were from rural areas (45.4%). Murder was the most common offence committed (33.9%) followed by drug trafficking (28.1%). Most common primary diagnosis belong to Neurotic, stress related and somatoform disorder (57%) followed by mood disorder (32.2%). Most common psychiatric morbidity among prisoners was generalized anxiety disorder (36.4%) followed by Moderate depressive episode (23.1%) and somatoform disorder (9.1%). The overall prevalence of psychiatric morbidity in prisoners attending OPD of central jail hospital was found to be 40.33%. Conclusion: A substantial burden of psychiatric morbidity exists in prison population of Nepal. Prompt recognition and treatment of mental illness in prison lead to decrease in functional disability and better quality of life.

scholarly journals Prevalence of frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka: a population-based cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e026314 ◽  
Author(s):  
Dhammika Deepani Siriwardhana ◽  
Manuj Chrishantha Weerasinghe ◽  
Greta Rait ◽  
Milena Falcaro ◽  
Shaun Scholes ◽  
...  
Keyword(s):  
Older Adults ◽  
Sri Lanka ◽  
Rural Community ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health And Social Care ◽  
Community Dwelling Older Adults

ObjectiveOur main objective was to describe the prevalence and associated sociodemographic factors of frailty and pre-frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka.DesignCommunity-based cross-sectional study.SettingThe study was conducted in rural areas of Kegalle district in Sri Lanka.ParticipantsA total of 746 community-dwelling older adults aged ≥60 years were included in the study.ResultsThe prevalence of frailty and pre-frailty in rural Kegalle district was 15.2% (95% CI 12.3% to 18.6%) and 48.5% (95% CI 43.8% to 53.2%), respectively. We found a strong association between age and both frailty and pre-frailty. There were strong associations between longest-held occupation and frailty and education level and pre-frailty.ConclusionsThe prevalence of frailty in this rural Sri Lankan older population was high compared with high-income and upper middle-income countries. The profile of health and social care services in Sri Lanka needs to address frailty and its consequences.

scholarly journals Validity of Two Simplified Algorithms of the Asian Working Group for Sarcopenia Consensus for Diagnosis of Sarcopenia in Rural Community-Dwelling Older Adults in Korea

2020 ◽  
Author(s):  
MiKyoung Kim ◽  
Ji-Yeon Lee ◽  
Cho-Rong Gil ◽  
Hee Kyung Chang
Keyword(s):  
Older Adults ◽  
Skeletal Muscle ◽  
Muscle Mass ◽  
Rural Community ◽  
Working Group ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Recommended Algorithm ◽  
Community Dwelling Older Adults

Abstract Background: Sarcopenia, i.e., the decline of skeletal muscle tissue with age, is a key cause of functional deterioration and loss of independence in older adults, and increases the risks of fall, hospitalization, and mortality; it requires active prevention and management of sarcopenia in community-dwelling older adults. Existing diagnostic criteria for sarcopenia have typically been developed for European populations and may not be applicable to Asian populations. The present study aimed to identify the prevalence of sarcopenia in community-dwelling Korean older adults, and validate two simplified diagnostic algorithms based on the Asian Working Group for Sarcopenia (AWGS) algorithm for identifying sarcopenia. Methods: This cross-sectional study was conducted on 388 community-dwelling older adults (254 women and 134 men, with a mean age of 77.8 ± 6.26 years [range, 65‒93 years]), from a rural area in Korea. Muscle strength was measured by hand grip strength, physical performance by gait speed, and muscle mass by skeletal muscle mass index (SMI). Sarcopenia was assessed using the AWGS-recommended algorithm as well as two simplified algorithms (A and B). Algorithms A and B were validated with respect to the AWGS-recommended algorithm using the chi-square test, and the sensitivity and specificity were obtained. Results: The prevalence of sarcopenia, determined using the AWGS-recommended algorithm, was 41.7% and 40.3% in men and women, respectively. The overall prevalence of sarcopenia was 39.2% by the AWGS-recommended algorithm, 37.6% by algorithm A, and 37.6% by algorithm B; 137 participants were classified as sarcopenia by all three methods (p = .223).Conclusion: We established the prevalence of sarcopenia among rural community-dwelling adults in Korea and confirmed that the simplified algorithms were suitable for identification of sarcopenia in rural community-dwelling older adults in Korea. Further studies are needed to assess whether these simplified algorithms are also applicable to older Asian adults with functional and/or cognitive impairment, as well as nursing home residents.

Socioeconomic, emotional, and physical execution variables as predictors of cognitive performance in a Spanish sample of middle-aged and older community-dwelling participants

2017 ◽  
Vol 29 (10) ◽  
pp. 1669-1680 ◽  
Author(s):  
Mari Feli González ◽  
David Facal ◽  
Onésimo Juncos-Rabadán ◽  
Javier Yanguas
Keyword(s):  
Cognitive Performance ◽  
Economic Status ◽  
Total Sample ◽  
Community Dwelling ◽  
Age Group ◽  
Multiple Linear Regressions ◽  
Independent Variables ◽  
Age Related ◽  
Physical Variables ◽  
Linear Regressions

ABSTRACTBackground:Cognitive performance is not easily predicted, since different variables play an important role in the manifestation of age-related declines. The objective of this study is to analyze the predictors of cognitive performance in a Spanish sample over 50 years from a multidimensional perspective, including socioeconomic, affective, and physical variables. Some of them are well-known predictors of cognition and others are emergent variables in the study of cognition.Methods:The total sample, drawn from the “Longitudinal Study Aging in Spain (ELES)” project, consisted of 832 individuals without signs of cognitive impairment. Cognitive function was measured with tests evaluating episodic and working memory, visuomotor speed, fluency, and naming. Thirteen independent variables were selected as predictors belonging to socioeconomic, emotional, and physical execution areas. Multiple linear regressions, following the enter method, were calculated for each age group in order to study the influence of these variables in cognitive performance.Results:Education is the variable which best predicts cognitive performance in the 50–59, 60–69, and 70–79 years old groups. In the 80+ group, the best predictor is objective economic status and education does not enter in the model.Conclusions:Age-related decline can be modified by the influence of educational and socioeconomic variables. In this context, it is relevant to take into account how easy is to modify certain variables, compared to others which depend on each person's life course.

scholarly journals Rural Community Perceptions and Interests in Pharmacogenomics

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 159
Author(s):  
John Stegelmeier ◽  
Christopher Nartker ◽  
Charles Barnes ◽  
Hugo Rayo ◽  
Rebecca Hoover ◽  
...  
Keyword(s):  
Patient Care ◽  
Rural Community ◽  
Rural Areas ◽  
General Public ◽  
Community Dwelling ◽  
Multiple Choice Question ◽  
Community Pharmacies ◽  
Community Perceptions ◽  
Free Response ◽  
Health Fair

Pharmacogenomics testing is a rapidly expanding field with increasing importance to individualized patient care. However, it remains unclear whether the general public in rural areas would be willing to engage in this service. The objective of this survey was to determine rural community-dwelling members’ perceptions of pharmacogenomics. A questionnaire was developed consisting of five Likert-style questions on knowledge and perceptions of pharmacogenomics, a single multiple-choice question on cost of testing, and a free-response question. Two cohorts received the same questionnaire: attendees at a university-sponsored health fair and patients presenting to two independent community pharmacies in southeastern Idaho. While both showed positive reception to the implementation and value of pharmacogenomics, those at the health fair were more in favor of pharmacogenomics, suggesting a need for greater outreach and education to the general public. The findings suggest that interest of rural community-dwelling individuals may be amenable to the expansion of pharmacogenomics testing.

Quality of Care for Florida Nursing Home Residents With Serious Mental Illness

2006 ◽  
Author(s):  
Kathy Hyer ◽  
Christopher Johnson ◽  
Victor A. Molinari ◽  
Marion Becker
Keyword(s):  
Mental Illness ◽  
Nursing Home ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Nursing Home Residents

scholarly journals A Capabilities-Led Approach to Assessing Technological Solutions for a Rural Community

Energies ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1398
Author(s):  
Xinfang Wang ◽  
Rosie Day ◽  
Dan Murrant ◽  
Antonio Diego Marín ◽  
David Castrejón Botello ◽  
...  
Keyword(s):  
Rural Community ◽  
Rural Areas ◽  
Assessment Method ◽  
Unintended Consequences ◽  
Energy Services ◽  
Grid Systems ◽  
Technological Interventions ◽  
Solution Design ◽  
Improve Access

To improve access to affordable, reliable and sustainable energy in rural areas of the global south, off-grid systems using renewable generation and energy storage are often proposed. However, solution design is often technology-driven, with insufficient consideration of social and cultural contexts. This leads to a risk of unintended consequences and inappropriate systems that do not meet local needs. To address this problem, this paper describes the application of a capabilities-led approach to understanding a community’s multi-dimensional energy poverty and assessing their needs as they see them, in order to better design suitable technological interventions. Data were collected in Tlamacazapa, Mexico, through site visits and focus groups with men and women. These revealed the ways in which constrained energy services undermined essential capabilities, including relating to health, safety, relationships and earning a living, and highlighted the specific ways in which improved energy services, such as lighting, cooking and mechanical power could improve capabilities in the specific context of Tlamacazapa. Based on these findings, we propose some potential technological interventions to address these needs. The case study offers an illustration of an assessment method that could be deployed in a variety of contexts to inform the design of appropriate technological interventions.

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