Increased prevalence of depression in cohorts of the elderly: an 11-year follow-up in the general population – the HUNT study

2011 ◽  
Vol 24 (1) ◽  
pp. 151-158 ◽  
Author(s):  
Hanne Indermo Solhaug ◽  
Elisabeth Bratland Romuld ◽  
Ulla Romild ◽  
Eystein Stordal

ABSTRACTBackground: Depression is a common disorder in late life. As the elderly population continues to grow worldwide, depression is also likely to become an increasing health problem. The aim of this study was to examine changes in prevalence of depression in various age cohorts over an 11-year period.Methods: This study involved two cross-sectional studies (HUNT 2 and HUNT 3) of all adult inhabitants of the Norwegian county of Nord-Trøndelag with an 11 year-interval between the two studies. The participants aged 45 years or above at HUNT 2 and with a valid depression rating at both HUNT 2 (baseline) and HUNT 3 (follow-up) (N = 16517), were included and divided into five-year age cohorts. Depression was measured by the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D).Results: A significant increase in depression was found in all age cohorts from 76 years at follow-up, with the greatest increase (9.6%) in the oldest age cohort (86–90 years at follow-up). The incidence of depression is increasing with age, with over 10% new cases in all age cohorts aged 81 years and above at follow-up. About 5% of the participants in all age cohorts reported depression at both measure points, and there is a decrease in recovery from depression from baseline to follow-up with increasing age.Conclusions: We found increased prevalence of depression and a large number of new cases of depression in the oldest age cohorts.

2011 ◽  
Vol 26 (S2) ◽  
pp. 1183-1183 ◽  
Author(s):  
H.I. Solhaug ◽  
E.B. Johansen ◽  
U. Romild ◽  
E. Stordal

IntroductionAs the elderly population is growing world-wide, depression in the elderly is becoming an increasing health problem. Studies of depression shows varying results in development patterns with age (1, 2).AimsTo study changes in prevalence and new cases of depression in elderly age cohorts.MethodsThe Nord-Trøndelag Health Survey (HUNT) is a general health survey conducted in Nord-Trøndelag County with a follow-up after 11 years. The participants aged 45 years or above at baseline were included. Depression was covered by the depression sub-scale of the Hospital Anxiety and Depression Scale (HADS-D; 3). Prevalence and incidence of depression was estimated in the different age cohorts.Results16517 participants were included and divided in age cohorts based on their age at baseline. A significant increase in depression was found in all age cohorts from 76 years at follow-up. The oldest age cohort (86–90 years at follow-up) had the greatest increase with a change from 11.3% to 20.9%. New cases of depression is increasing with age, with over 10% new cases in all age cohorts aged 81 years and above at follow-up.ConclusionsWe found increased prevalence of depression and a large number of new cases of depression in the oldest age cohorts.


2018 ◽  
Vol 3 (1) ◽  
pp. 325-330 ◽  
Author(s):  
Khem Raj Sharma ◽  
Birendra Kumar Yadav ◽  
Meika Battachan

Introduction: With an increase in life expectancy, demographic transition has led to sharp rise in number of elderly population. The elderly population growth rate per year has always been more than the total population growth rate, signifying the start of the ageing dynamics in Nepal. Mental health is a neglected health problem of the elderly in Nepal, with depression topping the list. This needs to be addressed in the national programs for the elderly to bring about an overall improvement in their health status.Objectives: This study was conducted with objectives to identify the prevalence of depression and factors associated with it in an urban municipality of eastern Nepal.Methodology: A community based cross-sectional study was conducted using the Geriatric Depression Scale- Short Form (GDS-SF) with 15 questions to screen for depression with a cutoff of 4/5. Door to door visit was done for data collection and face to face interviews were conducted. Pearson's Chi-square was used and Odds Ratio (OR) with confidence limits was calculated for inferential statistics. Logistic regression analysis was performed for all independent variables significantly associated in the bivariate analysis.Results: Among the 353 study subjects interviewed, depression was identified in 65.2% by GDS-SF. Regression Model showed that age more than 70 years, being in the lower class of Kuppuswamy Socioeconomic scale and elderly who were not satisfied with the respect given by their community had more odds of being depressed.Conclusion: Prevalence of depression among elderly was found to be very high in this study which was significantly associated with older age, low socio-economic status and perceived lack of respect from the community. BJHS 2018;3(1)5 : 325-330


Author(s):  
Vandana Ganganapalli ◽  
Sujatha N. ◽  
Bhaskar Kurre

Background: Globally, more than 300 million people of all ages suffer from depression. With an ageing population, depression among the elderly is likely to increase in the coming years, with higher prevalence among the elderly people than that in the general adult population. This study was intended to know the prevalence of depression and factors associated with depression among elderly people.Methods: A cross-sectional study was conducted in the urban field practice area of Navodaya Medical College, Raichur. A pre-designed and pre-tested questionnaire was used to interview the elderly person, after taking verbal consent. Depression was assessed using geriatric depression scale (short version). The study duration was from 1st September 2018 – 31st December, 2018 with 360 sample size.Results: Out of 360 elderly people, the prevalence of depression was found to be 31.4 %. The prevalence of depression was more in females 31.9% (63 out of 197). Significant association of depression was noted with age, socio-economic status, marital status, type of family, education and occupation with p<0.05.Conclusions: Around 1/3rd of the study participants were found to be suffering from depression. Depression was significantly associated with age, illiteracy, nuclear family, dependent on family members. Family support to the elderly population may prevent depression.


Author(s):  
Deepthi Karini ◽  
Siva Kumar Lotheti ◽  
Devi Madhavi Bhimarasetty

Background: Depression in old age is an emerging public health problem leading to morbidity and disabling effect on the quality of life. Depression in elderly is not yet perceived as a public health problem and is grossly underdiagnosed and undertreated. The physical and social environment plays an important role on the mental health of the elderly. Hence the present study was undertaken to assess and compare the depression among elderly residing in old age homes (OAHs) and community. The objective of the study was to assess and compare depression among elderly residing in OAHs and those living in community.Methods: A cross sectional study was done from October to December, 2016 among 100 elderly, of which 50 were inmates of old age homes and 50 were living in community selected by house to house survey. A pre tested, externally validated short form geriatric depression scale (GDS-15) in the local language is used after taking informed consent.Results: Prevalence of depression was high among inmates of old age homes (80%) compared to those of community (52%), this difference was statistically significant (p=0.003). On analyzing the association between sociodemographic factors and depression among the elderly residing in the community, it was found that marital status and presence of chronic disease were significantly associated with depression (p<0.05). Whereas among the elderly residing in old age homes, no significant asociation was found between depression and the sociodemographic factors.Conclusions: High prevalence of depression observed among the studied population indicates the need of screening for depression among elderly.


Author(s):  
Vivin Vincent ◽  
Jeevithan Shanmugam ◽  
Shanmugapriya Duraisamy ◽  
Padmavathy Loganathan ◽  
Vijay Ganeshkumar ◽  
...  

Background: Depression among elderly is the commonest psychiatric disorder however it is commonly misdiagnosed and under treated. Most of the time it is considered as part of aging process rather than a treatable condition. Diagnosing depression in the elderly is often difficult as a result of presence of cognitive impairment as well as reluctance and denial by the elderly and their family members. Objective of the study was to estimate the prevalence of depression among elderly rural population in South India.  Methods: A community based cross sectional study was conducted over a period of 2 months among 575 elderly people aged 60 years and above in the rural field practice area of a tertiary care hospital in south India using a pre validated Geriatric Depression Scale. Data entered and analysed using MS Excel.Results: 77.56% of the study participants were found to be depressed. Among them 74.66% were mild depressive and 25.34% had severe depression. Depression was common in elderly males as compared to females. The prevalence of depression was higher in those who live single and those living with their children without their spouse and those with co morbidities.Conclusions: Prevalence of depression among elderly is high in rural areas. It also increases as the age increases. Early identification and timely intervention would promote healthy old age.


Salmand ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 140-151
Author(s):  
Fatemeh Hosseini Moghaddam ◽  
◽  
Masumeh Amiri Delui ◽  
Leila Sadegh Moghadam ◽  
Fatemeh Kameli ◽  
...  

Objectives: The outbreak of Coronavirus Disease 2019 (COVID-19) due to its rapid transmission has created an emergency situation in global health in less than a few months around the world. This disease not only causes public health concerns but also causes a number of psychological illnesses including depression. The present study aims to investigate the prevalence of depression during the COVID-19 quarantine among the elderly in Iran. Methods & Materials: This is a descriptive cross-sectional study conducted on 432 eligible older adults living in Gonabad city who were selected by cluster random sampling method. Data were collected by a demographic checklist and the Geriatric Depression Scale (GDS) which were completed via phone. Collected data were analyzed in SPSS software using descriptive and inferential statistics, considering a significance level of P<0.05. Results: The prevalence of depression was 55.8% which had a statistically significant relationship with marital status (P<0.001), living status (P<0.001), economic status (P<0.001), family history of depression (P<0.001), history of chronic disease (P<0.003), level of education (P<0.001), and sleep quality (P<0.001). Conclusion: Depression has a high prevalence among the elderly in Gonabad city during the COVID-19 quarantine. In this regard, related interventions for this group should be considered in the plans of health care providers.


Author(s):  
Yogesh Mohan ◽  
Timsi Jain ◽  
S. Krishna ◽  
A. Rajkumar ◽  
Sathvika Bonigi

Background: Worldwide proportion of elderly population is expected to double from current 12% to 22% by 2050. This growth in elderly population inevitably leads to increase in age related diseases such as depression and serious constrains on quality of life among them. As depression frequently manifest with somatic symptoms like tension, headache and heaviness, etc., most of the elderly persons visit non psychiatry outpatient services seeking relief for their symptoms.Methods: A cross sectional study was done in the field practice area of Saveetha Medical College and Hospital. Geriatric depression scale (GDS) short form was used to measure the level of depression in geriatric population. Structured questionnaire was used in order to assess their physical health, socio-demographic data and social support. Elderly mobility scale was used to measure the level of physical dependency. Proportion and chi-square were used for analysis.Results: Prevalence of depression was found to be 76%. Among depressed elderly 47% had mild depression, 28% had moderate depression and 25% were suffering from severe depression. Severity of depression was also found to be significantly more among those who had lost their life partner and those who were physically dependent on others.Conclusions: Prevalence of depression in the elderly was found to be high moreover none of the elderly were diagnosed to be depressed. Steps like screening for depression among elderly should be undertaken to diagnose the cases of depression, they should be treated and also be given proper counseling sessions to reduce their levels of depression. 


2020 ◽  
Vol 8 (3) ◽  
pp. 329
Author(s):  
Safitri Burhan Mumulati ◽  
Susanti Niman ◽  
Maria Yunita Indriarini

The prevalence of depression in the elderly in the world with an average age of 60 years is estimated there are 500 million people. The prevalence of depression in Indonesia based on the Information Center for Non-Communicable Diseases, elderly who experience depression by 11.6%. The effects of depression are decreased concentration and suicidal ideation. The purpose of this study was to identify the relationship between education level, age, sex, marital status and length of stay in nursing homes with the incidence of depression in the elderly. Research using quantitative methods with cross-sectional design. 101 elderly research respondents obtained by purposive sampling. The instrument used was a questionnaire and geriatric depression scale (GDS-15). Analysis of the data with chi-square test, the results obtained there is a relationship between the last education with the incidence of depression (p-value 0.014) and there is no relationship between age and the incidence of depression (p-value 0.132), there is no relationship between sex with the incidence of depression (p-value 0.273), there was no relationship between marital status and depressive events (p-value 0.187), there was no association of length of stay with depressive events (p-value 0.192), there was no relationship between family visits and depressive events (p-value 0.879).


2017 ◽  
Vol 41 (S1) ◽  
pp. S528-S528 ◽  
Author(s):  
L. Ghanmi ◽  
S. Aloulou ◽  
A. Mechri ◽  
K. Zitoun ◽  
A. Ben Hmida ◽  
...  

IntroductionDepression is one of the most common mental illnesses in the elderly and its consequences are severe.AimsTo measure the prevalence of depression in elderly cancer patients and subsequently determine the sociodemographic and clinical factors correlated with this disorder.MethodsWe conducted a descriptive and analytical cross-sectional study of patients aged over than 65 years old, suffering from cancer and who had no cognitive impairment, admitted in 2013 in the Oncology and palliative care unit of Gabes regional Hospital (Tunisia). We used a self-rating questionnaire to detect sociodemographics and clinical variables, the Geriatric depression scale (GDS) to assess depressive symptoms, and the Activity of Daily Living to determine the degree of autonomy.ResultsAt the end of our investigation, we included 60 patients. The prevalence of depression was 48%. Depression was significantly correlated with: marital status (widower subjects were more depressed (74% vs. 34%, P = 0.007)), less degree of autonomy (80% vs. 38%, P = 0.04), fatigue (62% vs. 26%, P = 0.007), pain (59% vs. 26%, P = 0.02), family psychiatric history (80% vs. 20%, P = 0.02), family history of death by cancer (72% vs. 38%, P = 0.01), WHO condition (67% vs. 34%, P = 0.04) and the presence of co morbidity in particularly diabetes (69% vs. 41%, P = 0.05).ConclusionDepression is prevalent in oncogeriatric environments. This could compromise quality of support and care of these patients. Close collaboration between oncologist and psychiatrist is needed to support and relieve these patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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