Prevalence of geriatric depression in Kavre district, Nepal: Findings from a cross sectional community survey

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence

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Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey

10.21203/rs.2.11685/v2 ◽

2019 ◽

Author(s):

Kedar Manandhar ◽

Ajay Risal ◽

Oshin Shrestha ◽

Nirmala Manandhar ◽

Dipak Kunwar ◽

...

Keyword(s):

Mental Health ◽

Health Care Services ◽

Mental Health Problems ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Well Being ◽

The Elderly ◽

Geriatric Depression ◽

Cross Sectional

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence

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Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey

10.21203/rs.2.11685/v3 ◽

2019 ◽

Author(s):

Kedar Manandhar ◽

Ajay Risal ◽

Oshin Shrestha ◽

Nirmala Manandhar ◽

Dipak Kunwar ◽

...

Keyword(s):

Mental Health ◽

Health Care Services ◽

Mental Health Problems ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Well Being ◽

The Elderly ◽

Geriatric Depression ◽

Cross Sectional

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence

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Migraine and Mental Health in a Population-Based Sample of Adolescents

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2016.402 ◽

2016 ◽

Vol 44 (1) ◽

pp. 44-50 ◽

Cited By ~ 10

Author(s):

Serena L. Orr ◽

Beth K. Potter ◽

Jinhui Ma ◽

Ian Colman

Keyword(s):

Mental Health ◽

Anxiety Disorders ◽

Mood Disorders ◽

Health Survey ◽

Short Form ◽

Large Population ◽

Depression Scale ◽

Population Based ◽

Inverse Association ◽

Cross Sectional

AbstractObjective: To explore the relationship between migraine and anxiety disorders, mood disorders and perceived mental health in a population-based sample of adolescents. Methods: The Canadian Community Health Survey (CCHS) is a cross-sectional health survey sampling a nationally representative group of Canadians. In this observational study, data on all 61,375 participants aged 12-19 years from six survey cycles were analyzed. The relationships between self-reported migraine, perceived mental health, and mood/anxiety disorders were modeled using univariate and multivariate logistic regression. The migraine–depression association was also explored in a subset of participants using the Composite International Diagnostic Interview–Short Form (CIDI–SF) depression scale. Results: The odds of migraine were higher among those with mood disorders, with the strongest association in 2011-2 (adjusted odds ratio [aOR]=4.59; 95% confidence interval [CI95%]=3.44-6.12), and the weakest in 2009-10 (aOR=3.06, CI95%=2.06-4.55). The migraine–mood disorders association was also significant throughout all cycles, other than 2011-2, when the CIDI–SF depression scale was employed. The odds of migraine were higher among those with anxiety disorders, with the strongest association in 2011-2 (aOR=4.21, CI95%=3.31-5.35) and the weakest in 2010 (aOR=1.87, CI95%=1.10-3.37). The inverse association between high perceived mental health and the odds of migraine was observed in all CCHS cycles, with the strongest association in 2011-2 (aOR=0.58, CI95%=0.48-0.69) and the weakest in 2003-4 (aOR=0.75, CI95%=0.62-0.91). Conclusions: This study provides evidence, derived from a large population-based sample of adolescents, for a link between migraine and mood/anxiety disorders.

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Time spent in retirement, health and well-being

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.298 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S339-S340 ◽

Cited By ~ 1

Author(s):

A.R. Lucas ◽

F. Daniel ◽

S. Guadalupe ◽

I. Massano-Cardoso ◽

H. Vicente

Keyword(s):

Mental Health ◽

Satisfaction With Life ◽

Depressive Symptomatology ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Well Being ◽

Cross Sectional Study ◽

Satisfaction With Life Scale ◽

Cross Sectional ◽

Health And Well Being

IntroductionFrom a life-span developmental perspective, retirement can be considered a life event that entails a complex psychological challenge, including leaving one's professional life and organizing/enjoying the newly available free time. The literature about retirement identifies different stages and patterns of transition/adaption associated with time spent in retirement.ObjectivesTo analyze the association between time spent in retirement and subjective measures of mental health, depressive symptomatology, loneliness and satisfaction with life.MethodsQuantitative cross-sectional study with 641 participants (M = 74,86). The instruments included: sociodemographic questionnaire; mental health inventory (MHI-5); geriatric depression scale (GDS); UCLA loneliness scale; satisfaction with life scale (SWLS).ResultsStatistically significant differences in all the health and well-being variables addressed were found between subgroups of time spent in retirement (MHI-5: P = 0.001; GDS: P < 0.001; UCLA: P = 0.038; SWLS: P = 0.022). Mental health and satisfaction with life increases in the first year after retirement, but during the second year, they decrease to the levels found in pre-retirement. Loneliness and depressive symptomatology follow an inverted pattern. With the passing of years, loneliness and depression tend to increase; mental health and satisfaction with life tend to decrease.ConclusionsThe results provide support to the hypotheses of honeymoon and disenchantment phases in the recently retired and to the existence of different patterns of transition/adaptation associated with time spent in retirement. They also highlight the relevance of devising intervention strategies that enable individuals to maintain the satisfaction levels with life and mental health achieved during the first phase of retirement.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Association between Childhood Suicidal Ideation and Geriatric Depression in Japan: A Population-Based Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072257 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2257

Author(s):

Ayako Morita ◽

Takeo Fujiwara

Keyword(s):

Mental Health ◽

Suicidal Ideation ◽

Depression Scale ◽

Prevalence Ratio ◽

Population Based ◽

Poor Mental Health ◽

Community Dwelling ◽

Geriatric Depression ◽

Cross Sectional Survey ◽

Cross Sectional

Adverse childhood experiences (ACEs) are assumed to increase the risk of depression in late life via development of poor mental health conditions; however, the association between mental distress in childhood and geriatric depression has not been directly examined. This study examined the association between childhood suicidal ideation and geriatric depression, using population-based, cross-sectional survey data from 1140 community-dwelling, functionally independent older adults in Wakuya City, Japan. We assessed childhood suicidal ideation by asking the participants whether they had seriously considered attempting suicide before the age of 18, together with geriatric depression, using the Japanese version of the 15-item Geriatric Depression Scale. Poisson regression was applied to adjust for potential confounders and mediators. In total, 6.1% of the participants reported childhood suicidal ideation. After adjustment for sex, age, personality attributes and ACEs, childhood suicidal ideation was positively associated with geriatric depression prevalence ratio [PR]: 1.40, 95% Confidence Interval (95%CI): 1.04–1.88). The increased PR of geriatric depression remained significant, even after further adjustment for adulthood socio-economic status, recent life stressors and current health status (PR: 1.38, 95%CI: 1.02–1.88). Further prospective studies are warranted, but efforts to deliver mental health services to children with suicidal ideation potentially diminish the highly prevalent geriatric depression.

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GAMBARAN TINGKAT DEPRESI PADA LANSIA DI MASA PANDEMIC COVID-19

Jurnal Ilmu Keperawatan Komunitas ◽

10.32584/jikk.v4i1.911 ◽

2021 ◽

Vol 4 (1) ◽

pp. 6-18

Author(s):

Sri Hartutik ◽

Anjar Nurrohmah

Keyword(s):

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Geriatric Depression ◽

Mild Depression ◽

Cross Sectional ◽

Consecutive Sampling ◽

Prevalence Of Depression ◽

The World

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.

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Depression among the Geriatric Population is a Matter of Concern: A Community Based Study in a Rural Area of West Bengal

Nepal Journal of Epidemiology ◽

10.3126/nje.v3i4.9515 ◽

2013 ◽

Vol 3 (4) ◽

pp. 282-287 ◽

Cited By ~ 1

Author(s):

A Dasgupta ◽

D Ray ◽

S Roy ◽

T Sarkar ◽

A Ghosal ◽

...

Keyword(s):

Rural Population ◽

West Bengal ◽

Nuclear Family ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Population Based ◽

Cross Sectional Study ◽

Geriatric Population ◽

Cross Sectional

Background Depression is commonest psychiatric disorder in elderly; it is often misdiagnosed and undertreated. People with depression suffer from impairment of all major areas of functioning ranging from personal care to social capability, which in turn decreases individuals’ quality of life and increases dependency on others Elderly patients with depression are more prone in developing chronic diseases like ischemic heart disease, diabetes mellitus, hypertension. This problem may be more severe in rural population. Objective of this study is to find out the magnitude of depression and its correlates among a rural geriatric population. Materials and Methods Population based cross sectional study was done in Singur, West Bengal with a sample size of 85 with the help of a pretested semi structured schedule and a geriatric depression scale (short form). Results Majority 61.2(%) of the study population were in the age group of 60 to 69 years and most belonged to joint Hindu family. Cardiovascular disease (67.05%) especially hypertension followed by musculoskeletal problems (42.35%) were the two major health related conditions suffered by this population and they usually made avail of government health facilities during illness. About 58.8% of the population suffered from depression and this was associated with nuclear family AOR(95%CI)=8.625(1.697-43.831), with poor income AOR(95%CI)=7.628(1.862-31.847), financial dependence AOR(95%CI)=4.948 (1.044-23.554)and living without spouse AOR(95%CI)=7.422 (1.513-36.418) and also presence of disease OR =5.423 (1.348-21.81). Conclusion Alarmingly, the prevalence of depression was observed to be quite high in this rural population and so was prevalence of different morbidities. All these will hasten the isolation of this vulnerable population from general community and increase burden on younger generation. DOI: http://dx.doi.org/10.3126/nje.v3i4.9515 Keywords:

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Hubungan Aspek Eksistensial dengan Derajat Depresi pada Lansia DI BPSTW PROVINSI JAWA BARAT

Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) ◽

10.32419/jppni.v4i1.173 ◽

2020 ◽

Vol 4 (1) ◽

pp. 17

Author(s):

Khrisna Wisnusakti ◽

Aat Sriati

Keyword(s):

Geriatric Depression Scale ◽

Depression Scale ◽

Well Being ◽

The Elderly ◽

Spiritual Needs ◽

Geriatric Depression ◽

Mild Depression ◽

Cross Sectional ◽

Correlation Test ◽

Spiritual Well Being

ABSTRAKTujuan: Penelitian ini bertujuan mengetahui hubungan antara Aspek eksistensial dengan depresi pada lansia. Metode: Penelitian ini merupakan penelitian kuantitatif dengan menggunakan pendekatan korelasional dilakukan secara potong lintang. Populasi pada penelitian ini adalah lansia di Balai Perlindungan Sosial Tresna Werdha (BPTSW) Ciparay Teknik pengambilan sampel dengan total sampling. Jumlah sampel pada penelitian ini 129 responden. Kuesioner untuk mengukur aspek eksistensial menggunakan spiritual well being scale (SWBS), dan untuk mengukur depresi menggunakan Geriatric Depression Scale15 (GDS-15). Uji Korelasi menggunakan Uji Spearman. Hasil: dari 129 responden yang diteliti, tidak depresi 40,3%, depresi ringan 42,6%, depresi sedang 16,3%, dan depresi berat 0,8%. Sedangkan aspek eksistensial 59,7% tinggi, 31,0% sedang, dan 9,3% rendah. Dari hasil uji korelasi terdapat hubungan yang signifikan antara aspek religius dengan derajat depresi pada lansia (p<0,001) dengan korelasi sedang (-0,533). Kesimpulan: semakin tinggi kesejahteraan spiritual lansia maka semakin rendah tingkat depresi lansia tersebut. Diharapkan pihak panti mampu mempertahankan dan lebih meningkatkan kegiatan keagamaan bagi para lansia untuk memenuhi kebutuhan spiritualnya. Lansia harus sering diberi bimbingan dan pengetahuan terutama dalam hal keagamaan. Sehingga lansia diharapkan mampu untuk mengatasi masalah yang dihadapi serta terhindar dari depresi.Kata kunci: Eksistensial, depresi, lansiaThe Relationship Between Spiritual Welfare and Depression in Elderly Citizens in Bptsw East Java ProvinceABSTRACTObjective: The research investigates the relationship between spiritual welfare and depression in elderly citizens. Methods: The study applied the quantitative method by focusing on correlational approaches applied in cross-sectional manner. A total of 129 respondents from the BPTSW Ciparay senior residents took part in this study with the total sampling process. Questionnaires to measure welfare levels using a spiritual well being scale (SWBS) and for measuring depression using Geriatric Depression Scale 15 (GDS-15). Data was analysed with Spearman correlation test. Results: Results showed that from 129 respondents 40,3% respondents were not experiencing depression 42,6% respondents were experiencing mild depression, 16,3% respondents were experiencing medium depression, and 0,8% respondent was with a heavy depression. Regarding their spiritual levels, 59,7% respondents indicated that they were at high level, 31,0% respondents at medium level, and 9,3% respondents at low level. The correlation test showed a relationship between the spiritual level and the level of depression in elderly residents (p<0.001) with a moderate correlation (-0.533). Conclusion: It can be concluded that the spiritual level reciprocates depression levels in elderly citizens. Thus, the results should be a consideration in increasing spiritual activities to fulfill their spiritual needs. So the elderly are expected to overcome the problems encountered and avoid depression.Keywords: eksisitencia, depression, elderly residents

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Child maltreatment, cognitive functions and the mediating role of mental health problems among maltreated children and adolescents in Uganda

Child and Adolescent Psychiatry and Mental Health ◽

10.1186/s13034-021-00373-7 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Herbert E. Ainamani ◽

Godfrey Z. Rukundo ◽

Timothy Nduhukire ◽

Eunice Ndyareba ◽

Tobias Hecker

Keyword(s):

Mental Health ◽

Working Memory ◽

Child Maltreatment ◽

Executive Functions ◽

Cognitive Functioning ◽

Children And Adolescents ◽

Mental Health Problems ◽

Depression Scale ◽

Well Being ◽

Health Problems

Abstract Background Child maltreatment poses high risks to the mental health and cognitive functioning of children not only in childhood but also in later life. However, it remains unclear whether child maltreatment is directly associated with impaired cognitive functioning or whether this link is mediated by mental health problems. Our study aimed at examining this research question among children and adolescents in Uganda. Methods A sample of 232 school-going children and adolescents with a mean age of 14.03 (SD = 3.25) was assessed on multiple forms of maltreatment using the Maltreatment and Abuse Chronology Exposure—Pediatric Version (pediMACE). Executive functions were assessed by the Tower of London task and working memory by the Corsi Block Tapping task, while mental health problems were assessed using the Child PTSD Symptom Scale for PTSD and the Center for Epidemiological Studies Depression Scale for Children (CES-DC). Results In total, 232 (100%) of the participant reported to have experienced at least one type of maltreatment in their lifetime including emotional, physical, and sexual violence as well as neglect. We found a negative association between child maltreatment and executive functions (β = − 0.487, p < 0.001) and working memory (β = − 0.242, p = 0.001). Mental health problems did not mediate this relationship. Conclusions Child maltreatment seems to be related to lower working memory and executive functioning of affected children and adolescents even after controlling for potential cofounders. Our study indicates that child maltreatment the affects children’s cognitive functionality beyond health and well-being.

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