Psychiatric disorders among the elderly on non-psychiatric wards in an African setting

Background: The elderly are vulnerable to illness and particularly to psychiatric illness. Many mentally ill elderly patients end up on non-psychiatric wards owing to somatization of their illnesses. Even for these patients, a psychiatric diagnosis may not be made. The literature on the elderly in Uganda is very scanty. This study aims to establish the prevalence and factors associated with psychiatric disorders among elderly patients admitted to non-psychiatric wards.Methods: We carried out a descriptive cross-sectional study of 127 consenting elderly patients. They were administered a standardized questionnaire comprising the Self Reporting Questionnaire 25, the Mini-mental State Examination and the Structured Clinical Interview for the Diagnostic and Statistical Manual IV. Study variables included socio-demographic characteristics, physical illnesses, psychiatric disorders and the treatment given.Results: The rate of psychiatric morbidity was 48%. The sex ratio was 1:1; however, women had a higher rate of psychiatric illness than men, 54.6% and 41.3% respectively. Being widowed or separated and having cancer were associated with SRQ > 5, p = 0.02 and p = 0.04 respectively. Depressive disorders were the most common at 25.2% and were more common in women. Increasing age was associated with dementia (p < 0.00).Conclusion: There is a high rate of psychiatric morbidity among the elderly in Uganda. Particular attention should be given to the psychological health of elderly people admitted to general hospitals.

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Psychiatric morbidity among rural and slum female population: A comparative study

Bangabandhu Sheikh Mujib Medical University Journal ◽

10.3329/bsmmuj.v6i2.29131 ◽

2016 ◽

Vol 6 (2) ◽

pp. 146 ◽

Cited By ~ 1

Author(s):

Jhunu Shamsun Nahar ◽

Monami Haque ◽

Nafia Farzana Chowdhury ◽

M. M. A. Shalauddin Qusar ◽

Wasima Rahman ◽

...

Keyword(s):

Psychiatric Disorders ◽

Rural Women ◽

Stressful Life Events ◽

Psychiatric Morbidity ◽

Total Duration ◽

Cross Sectional ◽

Female Population ◽

Rural Sample ◽

Socio Demographic Factors ◽

Self Reporting Questionnaire

Background: Psychiatric disorders are more prevalent among women than men worldwide. The lifetime risk of depression and dysthymia are twice as common in women as men. Rural women usually undergoes more stressful situations and also scores more on stress scale than that of urban and slum population. Objectives: The research objectives of this study are: 1) To find out the prevalence of psychiatric disorders among the study population. 2) To compare the disorders among the rural and slum female population. 3) To find out the influence of existing socio-demographic factors on psychiatric disorders. Method: This is a community-based study, which is also cross sectional and descriptive in nature. The sample for the main study constituted 366 randomly selected respondents. A two-staged screening procedure was carried in the study. First, the total population was studied by screening test-Self Reporting Questionnaire (SRQ) to divide the sample into 'screen positive' and 'screen negative' subjects. In the second stage, full assessment of a mixture of all 'screen positive' and 25% 'screen negative' was carried out by structured clinical interview for diagnosis (SCID-NP). Later SCID filled by the respondents was assessed by consultant psychiatrists by using DSMIV in order to put exact clinical diagnosis. Stress was scored according to Presumptive Stressful Life Events Scale (PSLE). The total duration of the study was from July 2010 to June 2011. Results: Higher prevalence of psychiatric morbidity was found among rural sample (22.8%) than slum (10.90%) population. Regarding pattern of psychiatric disorders among rural sample (22.8%) than slum (10.9%) population.See the PDF for the rest of the abstract.

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Stress and psychiatric disorder in rural Punjab

The British Journal of Psychiatry ◽

10.1192/bjp.170.5.473 ◽

1997 ◽

Vol 170 (5) ◽

pp. 473-478 ◽

Cited By ~ 107

Author(s):

David B. Mumford ◽

Khalid Saeed ◽

Imtiaz Ahmad ◽

Shazia Latif ◽

Malik H. Mubbashar

Keyword(s):

Psychiatric Disorders ◽

Emotional Distress ◽

Rural Areas ◽

Depressive Disorders ◽

Indian Subcontinent ◽

Psychiatric Morbidity ◽

Northern Pakistan ◽

Younger Men ◽

Icd 10 ◽

Self Reporting Questionnaire

BackgroundThe prevalence of psychiatric disorders in rural Punjab is unknown. Previous studies in rural areas elsewhere in the Indian subcontinent have yielded widely differing estimates.MethodFirst-stage screening of a village near Gujar Khan used the Bradford Somatic Inventory and Self Reporting Questionnaire. Psychiatric interviews were conducted with stratified samples using the ICD-10 Diagnostic Criteria for Research.ResultsIt is estimated that 66% of women and 25% of men suffered from anxiety and depressive disorders. Levels of emotional distress increased with age in both genders. Women living in unitary households reported more distress than those living in extended or joint families. With younger men and women, lower levels of education were associated with greater risk of psychiatric disorders. Social disadvantage was associated with more emotional distress.ConclusionsThis study in rural Punjab confirms the findings of a previous study in Chitral, northern Pakistan, of high levels of emotional distress and psychiatric morbidity among women in rural areas of Pakistan.

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Prevalence of Psychiatric Disorders among Elderly In-Patients in Non-Psychiatric Wards of a Teaching Hospital in Northern Nigeria

Journal of BioMedical Research and Clinical Practice ◽

10.46912/jbrcp.77 ◽

2018 ◽

Vol 1 (3) ◽

pp. 199-206

Author(s):

M A Amedu ◽

O Baiyewu ◽

A J Yusuf

Keyword(s):

Psychiatric Disorders ◽

Low Socioeconomic Status ◽

Mental State ◽

Psychiatric Morbidity ◽

Female Gender ◽

Northern Nigeria ◽

Cross Sectional ◽

Medical Diagnoses ◽

Icd 10 ◽

Self Reporting Questionnaire

The population of the elderly is increasing globally with enormous challenges particularly in developing countries. Aging increases the risk for both physical and psychiatric disorders with psychiatric disorders often unrecognized in non-psychiatric settings. This presents huge costs to both patient and society. The study aimed at estimating the rate of psychiatric morbidity in non-psychiatric wards of a tertiary hospital in Northern Nigeria. One hundred and forty (140) subjects were recruited into this cross-sectional descriptive study. Participants were initially screened using the Self Reporting Questionnaire (SRQ) and the Modified Mini-Mental State Examination (MMSE) after administering the Socio-demographic questionnaire. Subjects scoring >5 in the SRQ and or ≤13 in the Modified MMSE were then further interviewed using the Geriatric Mental State Schedule (GMS). Clinical Psychiatric diagnosis was also made based on ICD-10 diagnostic criteria from all information available and later compared with GMS diagnoses. Mean age of participants was 67.5, SD ±6.4. The rate of psychiatric morbidity using ICD-10 diagnosis was 47.9% with depression being the commonest disorder (18.6%) followed by delirium (17.1%) and dementia (10.7%). Depression and anxiety disorders were particularly under-recognized by non-psychiatric doctors. Identified risk factors for psychiatric morbidity included female gender, low socioeconomic status, low educational level and presence of multiple medical diagnoses. The rate of psychiatric morbidity among elderly in-patients in non-psychiatric settings has remained high in comparison to previous studies with huge gaps in recognition and treatment reflecting the need for more collaboration between medical teams.

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Minor psychiatric disorders and their associations in family caregivers of people with mental disorders

Ciência & Saúde Coletiva ◽

10.1590/1413-812320172211.06922016 ◽

2017 ◽

Vol 22 (11) ◽

pp. 3567-3578 ◽

Cited By ~ 3

Author(s):

Carlos Alberto dos Santos Treichel ◽

Vanda Maria da Rosa Jardim ◽

Luciane Prado Kantorski ◽

Aline dos Santos Neutzling ◽

Michele Mandagará de Oliveira ◽

...

Keyword(s):

Mental Disorders ◽

Psychiatric Disorders ◽

Family Caregivers ◽

Linear Trend ◽

Trend Test ◽

P Value ◽

Test Statistic ◽

Cross Sectional ◽

Self Reporting Questionnaire ◽

Minor Psychiatric Disorders

Abstract This study aims to analyze the occurrence of minor psychiatric disorder and their associations in relatives of people with mental disorders. This is a cross-sectional study of 1164 relatives. For the tracking of minor psychiatric disorders the Self-Reporting Questionnaire Scale (SRQ20) was used, adopting 6/8 as cut-off point. Bivariate analyzes were conducted using Chi-squared test. Trends among strata of independent variables were investigated in relation to the outcome using nonparametric linear trend test. Statistic significance was defined as p-value < 0.05. Crude and adjusted binary logistic regressions were conducted using as a basis the hierarchical model developed through a systematic literature review. It was observed in the population a prevalence of 46.9% for minor psychiatric disorders. Higher prevalence of minor psychiatric disorders were strongly associated with the female gender, older age, first degree family ties, not having a paid work, lower education level, lower income, health problems, lower quality of life and feeling of burden. Many factors are related to the emotional and mental illness of family caregivers, demanding health services to be prepared to recognize and intervene in these situations.

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Assessment of caregiver burden with elderly having cognitive deficit

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002012000600013 ◽

2012 ◽

Vol 25 (6) ◽

pp. 908-913 ◽

Cited By ~ 2

Author(s):

Aline Cristina Martins Gratao ◽

Luana Flávia da Silva Talmelli ◽

Vanderlei José Haas ◽

Sueli Marques ◽

Luciana Kusumota ◽

...

Keyword(s):

Caregiver Burden ◽

Cognitive Deficit ◽

The Elderly ◽

Cross Sectional Study ◽

Cognitive Capacity ◽

Cross Sectional ◽

Caregiver Health ◽

Burden Scale ◽

Double Entry ◽

Self Reporting Questionnaire

To characterize the elderly with cognitive déficit, and family caregivers who live in the urban communit,y and to identify the caregiver burden. METHODS: An observational, cross-sectional study, conducted between January and July 2009. Seventy elderly (aged 65 and older) were assessed for cognitive deficit using the Mini Mental State Examination (MMSE); their 70 caregivers were evaluated by the Zarit Burden Scale (ZBS) and the Self Reporting Questionnaire (SRQ). The data were entered and validated by double entry in the MS Excel Program, and were analyzed using SPSS software, version 15.0. RESULTS: Of the caregivers, 47.1% were children. We obtained a mean for the ZBS of 30.3 (± 17.3) and 6.2 (± 3.2) for the SRQ, p <0.05, correlating lower scores of the MMSE with high scores on ZBS and SRQ. CONCLUSIONS: Cognitive deficit of the elderly was a predictive factor for burden and emotional distress of caregivers. Knowing the reduction of cognitive capacity related to caregiver burden is essential for preserving caregiver health.

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Elderly victims of falls seen by prehospital care: gender differences

Revista Brasileira de Epidemiologia ◽

10.1590/1415-790x201400010002eng ◽

2014 ◽

Vol 17 (1) ◽

pp. 3-16 ◽

Cited By ~ 12

Author(s):

William Campo Meschial ◽

Dorotéia Fátima Pelissari de Paula Soares ◽

Nelson Luiz Batista de Oliveira ◽

Alice Milani Nespollo ◽

Wesley Alexandre da Silva ◽

...

Keyword(s):

Gender Differences ◽

Elderly Patients ◽

Exploratory Study ◽

Prehospital Care ◽

The Elderly ◽

Cross Sectional ◽

Significance Level ◽

Care Services ◽

Preventive Actions ◽

Type Of Injury

OBJECTIVE: To identify elderly who are victims of falls, according to gender, who received care from prehospital services of Maringá, Paraná. METHODS: A cross-sectional exploratory study carried out with 1,444 elderly patients who suffered falls in Maringá in the period from 2006 to 2008. Data were gathered from prehospital care services, typed and processed using the Epi Info 6.04d(r). The χ² test was used to compare the falls in relation to gender (significance level = 0.05). RESULTS: The number of falls according to gender presented similar percentages, 51.0% for males and 49.0% for females. Significant differences between genders were observed regarding age (p < 0.001), presence of alcohol breath (p < 0.001), type of fall (p < 0.001), place of fall (p < 0.001), treatment at hospital (p = 0.023), number of injuries (p = 0.014), type of injury (p < 0.001) and injury location (p <0.001). CONCLUSION: These results show that falls happen differently among the elderly when considering gender. It highlights the importance of understanding these differences in detail and the circumstances in which the fall occurred, since this knowledge is key to plan preventive actions.

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Prevalence and factors associated with minor psychiatric disorders in hospital housekeeping workers*

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2016026303239 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 1

Author(s):

Cintia da Silva Marconato ◽

Ana Carolina de Souza Magnago ◽

Tânia Solange Bosi de Souza Magnago ◽

Graziele de Lima Dalmolin ◽

Rafaela Andolhe ◽

...

Keyword(s):

Psychiatric Disorders ◽

Health Workers ◽

Leisure Activities ◽

Cross Sectional Study ◽

University Hospital ◽

Cross Sectional ◽

Factors Associated ◽

Study Population ◽

Self Reporting Questionnaire ◽

Minor Psychiatric Disorders

Abstract OBJECTIVE Investigating the prevalence and factors associated with minor psychiatric disorders (MPDs) in Hospital housekeeping workers. METHOD A cross-sectional study carried out in 2013 with workers from the cleaning service of a public university hospital in Rio Grande do Sul, Brazil. Data were collected through a form containing sociodemographic, occupational, habits and health variables. The Self-Reporting Questionnaire-20 was used in order to evaluate MPDs. RESULTS The study population consisted of 161 workers. The overall prevalence of suspected MPD was 29.3%. The chances of suspected MPDs were higher in workers with Effort-Reward Imbalance, those who did not have time or who occasionally had time for leisure activities, and those taking medications. CONCLUSION The prevalence of MPDs was similar to that found in the literature for health workers. Therefore, we consider it important to include these workers in institutional programs for continuing health education.

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HUBUNGAN PANDEMI COVID-19 DAN PSBB DENGAN GANGGUAN DEPRESI PADA LANSIA DI PANTI WREDA HANA CIPUTAT JAKARTA

Jurnal Muara Medika dan Psikologi Klinis ◽

10.24912/jmmpk.v1i1.12087 ◽

2021 ◽

Vol 1 (1) ◽

pp. 66

Author(s):

Anggun Tsabitah Rachmah ◽

Noer Saelan Tadjudin

Keyword(s):

Nursing Home ◽

Large Scale ◽

Depressive Disorders ◽

The Elderly ◽

Elderly Subjects ◽

Research Subjects ◽

Chi Square ◽

Cross Sectional ◽

The Government ◽

The Impact

Pemerintah Indonesia selama pandemi COVID-19 menerapkan PSBB (Pembatasan Sosial Berskala Besar) dimana PSBB tersebut membuat aktivitas masyarakat dibatasi, dampaknya juga bisa dirasakan pada lansia di Panti Wreda sehingga dapat menyebabkan timbulnya gangguan depresi. Penelitian ini bertujuan untuk mengetahui hubungan pandemi COVID-19 dan PSBB dengan gangguan depresi pada lansia di Panti Wreda Hana Ciputat Jakarta. Penelitian ini menggunakan metode analitik observational dengan desain studi cross sectional. Penelitian ini dilakukan di Panti Wreda Hana Ciputat Jakarta terhadap lansia sejumlah 56 subjek penelitian yang terdiri dari perempuan 48 orang dan laki-laki 8 orang. Dari 56 subjek penelitian jumlah laki-laki 8 (14,3%) dan perempuan 48 (85,7%). Sebelum terjadinya pandemi COVID-19 dan PSBB, subjek penelitian yang tidak depresi sejumlah 49 subjek (87,5 %), kemungkinan besar depresi 6 subjek (10,7%), dan yang mengalami depresi 1 subjek (1,8%). Selama pandemi COVID19 dan PSBB, subjek penelitian yang tidak depresi 38 subjek (67,9%), kemungkinan besar depresi 14 subjek (25%), dan yang mengalami depresi 4 subjek (7,1%). Berdasarkan hasil uji Chi-square nilai p= 0,000. Dapat disimpulkan terdapat hubungan pandemi COVID-19 dan PSBB dengan gangguan depresi pada lansia di Panti Wreda Hana Ciputat Jakarta. The Government of Indonesia during the COVID-19 pandemic implemented PSBB (Large-Scale Social Restrictions) where the PSBB made community activities restricted, the impact can also be felt on the elderly in nursing home so that it can cause depressive disorders. This research was done in order to determine the relationship of the COVID-19 pandemic and PSBB with depressive disorders in the elderly at the Ciputat Hana Nursing Home in Jakarta. This study used an observational analytic method with a cross sectional study design. The research was conducted at the Ciputat Hana Nursing Home in Jakarta for 56 elderly subjects. In the nursing home consist of 48 women and 8 men. In 56 research subjects, there were 8 (14,3%) men and 48 (85,7%) women. Before the Pandemic of COVID-19 and PSBB, there were 49 (87,5%) research subjects who were not depressed, 6 (10,7%) research subjects who were most likely depressed, and 1 (1,8%) research subject who were depressed. During the Pandemic of COVID-19 and PSBB, there were 38 (67,9%) research subjects who were not depressed, 14 (25%) research subjects who were most likely depressed, and 4 (7,1%) research subjects who were depressed. Based on Chi-Square test result, the value of P = 0,000. In conclusion, there is a correlation between the pandemic of COVID-19 and PSBB with depression disorder in the elderly at Ciputat Hana Nursing Home in Jakarta.

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Health Problems of Elderly Patients attending Combined Military Hospital, Dhaka

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v13i1.41008 ◽

2017 ◽

Vol 13 (1) ◽

pp. 8-12

Author(s):

SM Humayun Kabir ◽

Md Ziaul Islam ◽

Masuda Begum ◽

Masud Ahmed ◽

Mohammad Mohsin ◽

...

Keyword(s):

Elderly Patients ◽

Health Care Providers ◽

Family Income ◽

Sampling Technique ◽

Armed Forces ◽

The Elderly ◽

Health Problems ◽

Military Hospital ◽

Care Providers ◽

Cross Sectional

Introduction: Health problems of elderly are an emerging health burden throughout the world. Bangladesh is currently undergoing a demographic transition and the proportion of the population of 60 years and older is increasing rapidly. Health care providers and policymakers are highly concerned with this burning issue. Objective: To know the disease pattern among the elderly patients in Combined Military Hospital, Dhaka. Materials and Methods: This cross-sectional study was carried out from July 2015 to June 2016 among 152 elderly patients above 60 years of age admitted in Combined Military Hospital (CMH), Dhaka Cantonment. Data were collected by face-to-face interview with semi-structured questionnaire and checklist following purposive sampling technique. Analysis of data was done by Statistical Package for Social Science (SPSS, version 20.0). Results: Mean age of the elderly was 72.06±4.56 years with the range of 60-80 years and majority (90.8%) of the elderly was male. Out of total 152 elderly patients, by occupation majority (31.6%) were in the business group followed by 30.3% in the retired group and 9.2 % in the housewife group. Average monthly family income was BDT 17927.63±7360.75 with the range of BDT 6000-35000. With initial complaints elderly patients reported to doctors in private chamber (38.2%), private hospital (25.6%) and Govt hospital (5.9%). Among all of the elderly patients, majority (21.1%) had Diabetes Mellitus followed by Rheumatoid Arthritis (17.6%), Asthma (12.5%), Cataract (11.2%), ENT problem (6.6%), Malignancy (5.9%) and Benign Enlargement of Prostate 8(5.3%). Conclusion: The number of elderly people is expanding rapidly; it also presents multifaceted health problems and thus creates unique challenges for the national healthcareservices. Early identification of problem and ensuring the availability of health with economic and social support can have a control over the elderly health problems. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 8-12

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MEDICATION BURDEN AND INAPPROPRIATE PRESCRIPTION RISK AMONG ELDERLY WITH ADVANCED CHRONIC KIDNEY DISEASE

10.21203/rs.2.10876/v1 ◽

2019 ◽

Author(s):

Clarisse Roux-Marson ◽

Jean-Baptiste Baranski ◽

Coraline Fafin ◽

Guillaume Extermann ◽

Cecile Vigneau ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Elderly Patients ◽

Healthcare Providers ◽

Antihypertensive Agents ◽

The Elderly ◽

Anticholinergic Drugs ◽

Cross Sectional ◽

French Study ◽

Sectional Analysis

Abstract Background Elderly patients with chronic kidney disease (CKD) frequently present comorbidities that put them at risk of polypharmacy and medication-related problems. This study aims to describe the overall medication profile of patients aged ≥ 75 years with advanced CKD from a multicenter French study and specifically the renally (RIMs) and potentially inappropriate-for-the-elderly medications (PIMs) that they take. Methods This is a cross-sectional analysis of medication profiles of individuals aged ≥ 75 years with eGFR < 20 ml/min/1.73m2 followed by a nephrologist, who collected their active prescriptions at the study inclusion visit. Medication profiles were analyzed according to route of administration, therapeutic classification, and their potential inappropriateness for these patients, according to Beers' criteria. Results We collected 5196 individual medication prescriptions for 556 patients, for a median of 9 daily medications [7-11]. Antihypertensive agents, antithrombotics, and antianemics were the classes most frequently prescribed. Moreover, 88% of patients had at least 1 medication classified as a RIM, and 21% of those were contraindicated drugs. At least 1 PIM was taken by 68.9%. The prescriptions most frequently requiring reassessment due to potential adverse effects were for proton pump inhibitors and allopurinol. The PIMs for which deprescription is especially important in this population are rilmenidine, long-term benzodiazepines, and anticholinergic drugs such as hydroxyzine. Conclusion We showed potential drug-related problems in elderly patients with advanced CKD. Healthcare providers must reassess each medication prescribed for this population, particularly the specific medications identified here.

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