scholarly journals A Study of the Prevalence of Depression in Geriatric Outpatients and Associated Predisposing Factors

2018 ◽  
Vol 5 (1) ◽  
pp. 3454-3459
Author(s):  
Dr. Bineetha BS ◽  
Dr. Priya Vijayakumar ◽  
Dr. Sunil K. Senan ◽  
Dr. George Paul

Geriatric depression is a major health hazard which may affect upto 15-20% of the geriatric population in the world. This study is being undertaken to estimate the prevalence of depression in the elderly population and to identify the predisposing factors associated with depression. A cross sectional study on patients above 65 years of age attending an outpatient clinic was done. They were screened using the Geriatric Depression Scale (30-point questionnaire).  The association between depression and possible predisposing factors was tested using chi-square test. Out of 250 outpatients at the Geriatrics Outpatient Department, 133 patients were diagnosed to have depression, giving a prevalence of 53.2%. Out of these patients, 102 patients (76.69%) were diagnosed to have mild depression and 31 patients (23.31%) were diagnosed to have severe depression. The commonest symptoms associated with depression were anxiety (57.9% patients), sleep disturbances (55.6% patients), irritability (42.9% patients) and somatic symptoms (37.6% patients). The predisposing factors that were significantly associated with depression were female gender, poor level of education, unemployed or retired life, multiple comorbid illnesses, polypharmacy, adverse life events, fincancial crisis in the family and functional impairment.The prevalence of depression was 53.2% in Geriatric patients, and majority of cases were mild depression. Gender, socioeconomic variables, lifestyle and comorbid medical conditions are important predisposing factors to the development of depression in the geriatric population.

Author(s):  
Nirmala Nagarada Gadde ◽  
Bhagya Rekha Gogolla ◽  
Vineesh Allenki ◽  
Ravi Babu Damu

Background: The geriatric population is increasing with advancements in the health sector all over the world. At the same time, old age tackles physical, mental and social challenges. Mental health of the elderly is least concerned in developing countries, especially depression, which is easy to screen and our study aims to know its burden and associated risk factors.Methods: A cross-sectional study was conducted between October 2021 and November 2021 among the geriatric population of Mansoorabad, an urban area in Hyderabad, using the short form of geriatric depression scale (GDS) to assess their depression status. Study subjects who met our criteria were selected through simple random sampling. Data collected were entered and analyzed with MS excel software 2007 and Epi info 3.5.3.Results: In our study sample of 161, males were 61 (37.9%), females-100(62.1%). Most of the study subjects were in the age group 60-70 years (137, 85.1%), followed by the 70-80 years age group (24, 14.9%). Nearly 59.6% of subjects had no depression, 19.9% suffered from mild depression, 8.1%-moderately depressed, whereas 12.4%-severely depressed. The mean age of subjects was 65.6 (±5.9) years. Chi-square test was used to study the association of various factors with geriatric depression and age group, and socio-economic status showed a statistically significant association.Conclusions: This study points towards the sensitization of healthcare workers and other subsidiary health personnel at the grassroots level to detect geriatric depression in nascent stages. Many longitudinal follow-up studies are needed to address various aspects of depression. 


2012 ◽  
Vol 2 (1) ◽  
pp. 40-45
Author(s):  
Jasmina Mahmutović ◽  
Aida Rudić ◽  
Fatima Jusupović ◽  
Arzija Pašalić ◽  
Refet Gojak

Introduction: Depressive disorder, as a major problem of public health, takes high fourth place in its prevalence in general population, and is considered to be the second most frequent health problem of femalepopulation. Depression is the most frequent mental problem of persons in their third age of life. The aim of this study is to evaluate prevalence of depression and establish the ratio between the current number ofdiagnosed and of unrecognised depression among the residents of Gerontology Centre in Sarajevo.Methods: This is a cross-sectional, descriptive, and analytical study undertaken throughout May and June 2011 on the sample of 150 residents of “The Gerontology Centre“ in Sarajevo that were above 65 years of age. The following instruments were used for the research: the Geriatric Depression Scale (GDS), modified questionnaire consisting of two parts (general data and data related to health state), and the medical records of the residents. For statistic analysis of data was used the SPSS program for Windows.Results: According to GDS, prevalence of depression was 65.3%, out of which mild depression occurred in 46.7% cases and severe depression in 18.7%. The prevalence of verified (diagnosed) depression was 11.3per cents.Conclusions: According to the GD scale, unrecognised depressions seem to be almost six times more frequent (65.3:11%) than is the case with depressions diagnosed in medical records of the protégées of theGerontology Centre in Sarajevo. Timely recognition of depression and its treating in institutions for protection of health of persons in third age of life can substantially improve the quality of life of these patients.


Author(s):  
Ruchi Dhar ◽  
Vidya G. S. ◽  
Ritu Kashyap

Background: Various community-based studies have revealed that the prevalence of depression in geriatric population in India varies between 13% and 25%. In spite of the magnitude of this problem there are very few studies from India investigating geriatric depression and its associated risk factors. This study aims to establish the prevalence, socio- demographic correlates and factors associated with geriatric depression in an urban slum of Davangere city. Objective of the study was to estimate the prevalence of depression and its association with socio- demographic factors among the geriatric population in an urban slum of Davangere city.Methods: A community based cross sectional study was conducted from June to November 2016, among the geriatric people residing in an urban slum (Mustafanagar) of Davangere city. A house to house survey was done and all the geriatric people willing to participate in the study were selected and assessed for depression using the Geriatric Depression Scale.Results: In this study the prevalence of depression was found to be 39% among the elderly, of which 33% had mild depression and 6% had severe depression.Conclusions: In this study it was found that the prevalence of depression was higher among those who were widowed and those who were living alone. It was also more among the people belonging to Class V Socio-economic status (Modified B.G Prasad Classification) and people suffering from a chronic illness.


2021 ◽  
Vol 9 (5) ◽  
pp. 1303-1310
Author(s):  
Sakshi Deshmukh ◽  
◽  
Shrikant Sant ◽  

Question:Has COVID-19 Pandemic affected the psychological health of the elderly patients at PRH, Loni? Design: Descriptive Participants: 300 Intervention: Non Interventional Outcome measures: Geriatric Depression Scale (GDS- 15) Score Results: The average of males having significant depression determined, using Geriatric Depression Scale (GDS-15) was 3.56 whereas for females, it was 3.48. The difference in scoring depression between males and females was 1% percentage wise. Conclusion: On an average 41.8% of geriatric patients at PRH, Loni suffered from depression according to GDS- 15 score grading, during the time span of 3 months i.e. from January 2021 to March, 2021. Both inpatients as well as outpatients visiting PRH, Loni were included in the study with equal number of participation of males and females. This study concluded that males suffered from depression slightly higher than females. From the three categories of depression, mild depression had the highest rating than moderate and severe types of depression which was higher in females than in males. Broadly speaking, mild depression was the highest amongst older adults aged between 60 to 80, out of which females were moreover affected than males with a difference of 2.1%. Moderate depression amongst males was 4.6% and in females was comparatively higher with the percentage of 5.3%. The gender difference in the scoring was 2.1%. The percentage of Severe depression was 0.6% in males and was nil in females despite having a slightly higher rate of depression, in general at PRH, Loni.


2021 ◽  
Vol 4 (1) ◽  
pp. 6-18
Author(s):  
Sri Hartutik ◽  
Anjar Nurrohmah

Pandemi Covid -19 merupakan bentuk kasus baru di dunia kesehatan yang mempunyai beragam dampak, baik biologis, psikologis, sosial dan spiritual. Kondisi seperti ini harus benar-benar diwaspadai terutama pada usia rentan dan resiko yaitu salah satunya usia lansia. Depresi pada lansia merupakan gangguan psikiatri dan merupakan masalah kesehatan mental yang sering terjadi dikalangan lanjut usia. Prevalensi depresi didunia sekitar 8-15%. Hasil survey dari berbagai negara di dunia diperoleh prevalensi rata- rata depresi pada lansia adalah 13,5 % dengan perbandingan wanita:pria 14,1: 8,6 dimana wanita dua kali lebih banyak daripada pria. Penelitian ini bertujuan untuk Mengetahui gambaran tingkat depresi pada lansia di Masa Pandemic Covid-19. Jenis penelitian ini adalah penelitian desain deskriptif cross sectional dengan teknik consecutive sampling yang bertujuan untuk melihat gambaran tingkat depresi lansia menggunakan instrument penelitian berupa kuesioner Geriatric Depression Scale Short Form (GDS-S). Berdasarkan penelitian didapatkan hasil Umur lansia yang mengalami depresi pada masa Pandemic Covid-19 sebagian besar adalah Usia lanjut (60–74 tahun), jenis kelamin perempuan, status perkawinan lansia sebagian besar  janda, riwayat penyakit lansia sebagian besar  hipertensi, tingkat pendidikan lansia sebagian besar SD. Kesimpulan penelitian gambaran tingkat depresi pada lansia pada masa pandemic covid-19 sebagian besar mengalami depresi ringan. Depression in the elderly is a psychiatric disorder and is a mental health problem that often occurs among the elderly. The prevalence of depression in the world is around 8-15% and survey results from various countries in the world show that the average prevalence of depression in the elderly is 13.5% with the ratio of women: men is 14.1: 8.6 where women are twice as many as men. . This research aimed to determine the level of depression in the elderly during the Covid-19 Pandemic. This type of research used a cross sectional descriptive design with consecutive sampling technique which aims to describe the level of depression in the elderly using a research instrument in the form of a Geriatric Depression Scale Short Form (GDS-S) questionnaire. The result showed Depression during the Covid-19 Pandemic was mostly elderly (60 - 74 years), female sex, most of the elderly marital status was widowed, history of elderly disease was mostly hypertension, education level of the elderly was mostly elementary school. The description of the level of depression in the elderly during the Covid-19 pandemic mostly experienced mild depression.  


2018 ◽  
Vol 7 (2) ◽  
pp. 16-23
Author(s):  
S. Subedi ◽  
P. Shrestha ◽  
D.K. Thapa

Introduction: Ageing is a normal phenomenon. Various studies shows that there is a sharp rise in the elderly population in the last few years. Prevalence of depression in elderly is found to around 13% in the community sample in various countries. There is a dearth of study related to psychiatric illness in elderly in Nepal. This study was aimed to find the prevalence of depression in elderly and see for various factors associated with elderly depression. Material And Method: This was a cross-sectional study conducted at Siddharthnagar Municipality, Bhairahawa, Rupandehi. 316 elderly were selected by using systematic random sampling technique. A Semi- structured interview schedule was developed to collect Socio-demographic data. The Short Form Geriatric Depression Scale (SF-GDS) was used to find out the prevalence of depression among elderly people. Ethical Approval was obtained from the Institutional Review Committee, Chitwan Medical College and permission was obtained from Siddharthnagar Municipality, Bhairahawa, Rupandehi. The collected data was entered in Epidata 3.1 and the data was exported and analyzed in IBM SPSS 20. Results: There were a total of 316 samples in this study. The mean age of respondents was 68.47 years of age. Majority of the respondents (54.1%) were female and living in joint Family (72.2%). Almost 45.9% respondents were from upper caste groups, 90.5% of respondents were Hindus. Among the married (100%) respondents, 54.6% of respondents were living with spouse and 3.2% were divorced and separated from spouse. Depression was present in 49.4% of respondents were depressed. Among depressed respondents, 46.7% of respondents were having mild depression, 39.2% moderate depression and 14.1% severe depression. Conclusion: The finding of this study concluded that depression among elderly people was a substantial problem in Siddharthnagar Municipality, Bhairahawa, Rupandehi.


BioMedica ◽  
2020 ◽  
Vol 36 (4) ◽  
pp. 400-404
Author(s):  
Dr. Sadia Yasir ◽  
Saad Bin Yasir ◽  
Nariman Haider ◽  
Sundas Fatima ◽  
Mahpara Mazhar ◽  
...  

Background and Objective: With the increasing life expectancy of the populations and rising prevalence of depressive and neurocognitive disorders, there is a need to address the association between the two in terms of magnitude of the neurocognitive disorders and the severity of depression. The current study addresses this issue and aims to observe the association between the two. Methods: This cross-sectional descriptive study was conducted from September 2014 to March 2015 at the Institute of Psychiatry at Benazir Bhutto Hospital, Rawalpindi, Pakistan where consecutive patients aged ≥ 65 years were screened for depression using Geriatric Depression Scale (GDS). Neurocognitive impairment was assessed using Mini Mental State Examination (MMSE). -square test was used to compute the association between depression severity and neurocognitive deficit. Results: There was approximately equal gender distribution with a mean age of 63.6 ± 9.68 years. Eighty six percent of the study population was found to be suffering from clinical depression while seventy percent had neurocognitive deficit. The severity of depression came out to be directly proportional to the magnitude of the neurocognitive disorder (P = 0.000) with 68.8% of the patients with severe depression having moderate to severe neurocognitive deficit. Conclusions: Depression is associated with significant neurocognitive impairment in elderly in the local population; higher the severity of depression more the magnitude of cognitive impairment.


2011 ◽  
Vol 26 (S2) ◽  
pp. 620-620
Author(s):  
R. Danciulescu Miulescu ◽  
M.E. Calarasu ◽  
R.I. Rosca ◽  
S. Danoiu

Background and aimsCushing's patients demonstrate major depression more than any other medical condition. Major depression is a common, complication of Cushing’s syndrome, with no significant differences between pituitary -dependent and -independent forms. The aims of the study is to estimate the prevalence of depression in patients with Cushing’s syndrome.Materials and methods23 patients with Cushing’s syndrome (14 with pituitary-dependent and 9 with pititary-independent forms) were recruited for this study. The subjects were between 52 and 67 years. Patients were screened initially with a questionnaire detailing their age, medical history, concomitant medications. The Zung self-rating depression scale was used to assess depressive symptomatology. It contains 20 items: index scores below 50 reflect no depression, 50–59 reflect mild depression, 60–69 reflect marked to moderate depression and scores of ≥ 70 reflect severe to extreme depression. Results were compared with measurements in 21 subjects without Cushing’s syndrome.ResultsThe prevalence of depression in patients with Cushing’s syndrome was 52.17% (12 patients). 2 patients (2 women) present mild depression and 10 patients (9 women and 1 men) present moderate or severe depression. Moderate or severe depression was significantly associated with older age, female sex, relatively more severe clinical condition. The prevalence of depression in 21 subjects without Cushing’s syndrome was 4.76% (1 women with mild depression).ConclusionThis study showed that patients with Cushing’s syndrome have a greater a risk of depression than people without Cushing’s syndrome. Patients with Cushing’s syndrome should be routinely screened and adequately treated for depression.


2019 ◽  
Vol 9 (2) ◽  
pp. 73-78
Author(s):  
Cucu Rokayah ◽  
Kuslan Kusnandar ◽  
Monica Hendrayanti Putri

Permasalahan depresi pada lansia agar tidak berkembang menjadi masalah yang semakin berat dan serius, membutuhkan dukungan yang menyeluruh dari berbagai pihak untuk membantu lansia menuntaskan tugas-tugas perkembangan dengan berhasil.Terapi Reminiscence baik secara individu maupun kelompok belum pernah diberikan pada lansia di Panti Sosial Tresna Werda Budi Pertiwi, oleh karena itu peneliti berminat untuk melakukan penelitian yang berkaitan dengan pengaruh Terapi kelompok Reminiscence pada lansia yang mengalami depresi.Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi reminiscence terhadap penurunan tingkat depresi pada lansia.Jenis penelitian ini menggunakan quasi experiment.Populasi dalam penelitian ini adalah 29 responden. Teknik sampling dalam penelitian ini diambil dengan menggunakan total sampling. Kusioner menggunakan Geriatrik/Geriatric Depression Scale.Analisis data univariat dan bivariate. Hasil penelitian diperoleh tingkat depresi pada lansia sebelum dilakukan terapi reminiscence dari responden mengalami depresi berat sebanyak 15 responden (51,7%), tingkat depresi pada lansia sesudah dilakukan terapi reminiscence dari responden mengalami depresi ringan sebanyak 14 responden (48,3%), ada pengaruh yang signifikan terapi reminiscence terhadap penurunan tingkat depresi pada lansia, dengan p value 0,000. Berdasarkan hasil penelitian ini disarankan kepada panti wedha dapat melaksanakan terapi kelompok reminiscence yang ada dalam modul secara terjadwal untuk mengurangi atau mencegah depresi pada lansia.   Kata kunci : Depresi, lansia, terapi reminiscence   THE EFFECT OF REMINISCENCE THERAPY ON DECREASING THE LEVEL OF DEPRESSION IN THE ELDERLY   ABSTRACT Depression problems in the elderly so as not to develop into increasingly serious and serious problems, require comprehensive support from various parties to help the elderly to complete developmental tasks successfully. Reminiscence therapy both individually and in groups has never been given to the elderly at the Tresna Werda Budi Pertiwi Social Institution, therefore researchers are interested in conducting research related to the effect of Reminiscence group therapy on elderly who experience depression. The purpose of this study was to determine the effect of reminiscence therapy on decreasing the level of depression in the elderly. This type of research uses a quasi experiment. The population in this study were 29 respondents. The sampling technique in this study was taken using total sampling. The questionnaire uses the Geriatric / Geriatric Depression Scale. Univariate and bivariate data analysis. The results obtained the level of depression in the elderly before reminiscence therapy from respondents experienced severe depression as many as 15 respondents (51.7%), the level of depression in the elderly after reminiscence therapy from respondents experienced mild depression as many as 14 respondents (48.3%) Significant effect of reminiscence therapy on decreasing levels of depression in the elderly, with a p value of 0,000. Based on the results of this study, it is suggested that the Wedha institution can carry out reminiscence group therapy in the module scheduled to reduce or prevent depression in the elderly.  Keywords: Depression, elderly, reminiscence therapy


2014 ◽  
Vol 48 (3) ◽  
pp. 368-377 ◽  
Author(s):  
Eduardo Lopes Nogueira ◽  
Leonardo Librelotto Rubin ◽  
Sara de Souza Giacobbo ◽  
Irenio Gomes ◽  
Alfredo Cataldo Neto

OBJECTIVE To analyze the prevalence of depression in older adults and associated factors. METHODS Cross-sectional study using a stratified random sample of 621 individuals aged ≥ 60 from 27 family health teams in Porto Alegre, RS, Southern Brazil, between 2010 and 2012. Community health agents measured depression using the 15-item Geriatric Depression Scale. Scores of ≥ 6 were considered as depression and between 11 and 15 as severe depression. Poisson regression was used to search for independent associations of sociodemographic and self-perceived health with both depression and its severity. RESULTS The prevalence of depression was 30.6% and was significantly higher in women (35.9% women versus 20.9% men, p < 0.001). The variables independently associated with depression were: female gender (PR = 1.4, 95%CI 1.1;1.8); low education, especially illiteracy (PR = 1.8, 95%CI 1.2;2 6); regular self-rated health (OR = 2.2, 95%CI 1.6;3.0); and poor/very poor self-rated health (PR = 4.0, 95%CI 2.9;5.5). Except for education, the strength of association of these factors increases significantly in severe depression. CONCLUSIONS A high prevalence of depression was observed in the evaluations conducted by community health agents, professionals who are not highly specialized. The findings identified using the 15-item Geriatric Depression Scale in this way are similar to those in the literature, with depression more associated with low education, female gender and worse self-rated health. From a primary health care strategic point of view, the findings become still more relevant, indicating that community health agents could play an important role in identifying depression in older adults.


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