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

2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

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

2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

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


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

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


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

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 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 variables. Results Of the total 460 selected elderly participants, 439 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 1.7). Conclusion Geriatric depression is highly prevalent in the Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. [Word count 230]


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.  


2020 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Khrisna Wisnusakti ◽  
Aat Sriati

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


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.


2015 ◽  
Vol 6 (03) ◽  
pp. 442-1446 ◽  
Author(s):  
Sonali Sarkar ◽  
Shivananand Kattimani ◽  
Gautam Roy ◽  
K. C. Premarajan ◽  
Siddharth Sarkar

ABSTRACT Background: Local language screening instruments can be helpful in early assessment of depression in the elderly in the community and primary care population. This study describes the validation of a Tamil version of Geriatric Depression Scale (short form 15 [GDS-15] item) in a rural population. Materials and Methods: A Tamil version of GDS-15 was developed using standardized procedures. The questionnaire was applied in a sample of elderly (aged 60 years and above) from a village in South India. All the participants were also assessed for depression by a clinical interview by a psychiatrist. Results: A total of 242 participants were enrolled, 64.9% of them being females. The mean score on GDS-15 was 7.4 (±3.4), while the point prevalence of depression was 6.2% by clinical interview. The area under the receiver-operator curve was 0.659. The optimal cut-off for the GDS in this sample was found at 7/8 with sensitivity and specificity being 80% and 47.6%, respectively. Conclusion: The Tamil version of GDS-15 can be a useful screening instrument for assessment of depression in the elderly population.


2018 ◽  
Vol 2 (1) ◽  
pp. 17
Author(s):  
Eliyana

ABSTRAKTujuan penelitian: Penelitian ini dilakukan untuk dapat mengetahui hubungan antara tingkat kesepian dan tingkat depresi pada lansia di Dukuh Trayeman, Pleret, Bantul, Yogyakarta. Metode: Desain penelitian deskriptf korelasi dengan menggunakan pendekatan cross sectional digunakan dalam penelitian ini. Pemilihan responden dilakukan menggunakan non-probability sampling dengan teknik purposive sampling sehingga didapatkan 50 responden dengan usia di atas 60 tahun dan tinggal di komunitas. Pengambilan data dilakukan secara langsung sejak tanggal 2-16Agustus 2016 dengan menggunakan kuesioner University California of Los Angeles Loneliness Scale dan Geriatric Depression Scale. Analisis data menggunakan uji korelasi Kendal Tau. Hasil: Penelitian ini menunjukkan ada hubungan yang signifikan antara tingkat kesepian dan tingkat depresi pada lansia di Dukuh Trayeman, Pleret, Bantul, Yogyakarta dengan p=0,001 di mana nilai korelasi mencapai 0,892. Hal ini bermakna terdapat hubungan yang sangat kuat dengan arah positif di antara kedua variabel. Diskusi: Pada masa lanjut usia akan terjadi banyak kemunduran, baik fisik maupun psikologis. Beberapa kemunduran psikologis yang terjadi seperti kesepian dan depresi yang dapat memicu terjadinya penyakit yang kompleks apabila tidak segera diatasi. Kesimpulan: Tingkat kesepian pada lansia merupakan hal yang sangat berkaitan dengan kejadian depresi pada lansia. Maka dari itu, sedini mungkin tingkat kesepian yang terjadi pada lansia harus segera diatasi karena semakin tinggi tingkat kesepian yang dialami oleh lansia, semakin tinggi juga tingkat depresi yang akan terjadi.Kata Kunci: kesepian, depresi, lansia, komunitas.CORRELATION BETWEEN LONELINESS LEVEL AND DEPRESI IN THE ELDERLY ATTRAYEMAN HAMLET, BANTUL, YOGYAKARTAABSTRACTObjective: This research was conducted to identify the correlation between loneliness level and depression level in the elderly at Trayeman Hamlet, Pleret, Bantul, Yogyakarta. Methods: This study is descriptive correlational by using cross sectional approach. Samples were taken using non-probability sampling with purposive sampling technique with a sample size of 50 respondents aged above 60 years and living in the community. Data were collected directly from 2 August 2016 until 16 August 2016 using University California of Los Angeles Loneliness Scale and Geriatric Depression Scale. The data were analyzed using Kendal’s Tau correlation test. Results: This study showed that there was a significant correlation between loneliness level and depression level in the elderly at Trayeman Hamlet, Pleret, Bantul, Yogyakarta with p = <0.001 where the correlation value was 0.892. This means there was a very strong correlation with positive direction between the two variables. Discussion: The elderly will experience significant setbacks, either physical and psychological. The psychological setbacks include loneliness and depression which can lead to complex diseases, unless they are addressed immediately. Conclusion: Loneliness level in the elderly is strongly correlated with depression in elderly. Therefore, the loneliness level in the elderly should be addressed as early as possible because the higher the loneliness level experienced by the elderly, the higher the of depression level will occur. Keywords: loneliness, depression, elderly, community.


2021 ◽  
Vol 22 (4) ◽  
pp. 352-375

Elméleti háttér: A szelekció–optimalizáció–kompenzáció modell rugalmas alkalmazkodási folyamatokat feltételez, amelyekkel az idősek képesek pozitív egyensúlyt elérni életkoruk nyereségei és veszteségei között. Ezen stratégiák mérésére alkották meg a Szelekció– Optimalizáció–Kompenzáció Kérdőívet, majd annak rövid változatát (SOC-12). Cél: Kutatásunk egyik célja a SOC-12 kérdőív magyar nyelvre történő adaptálása és pszichometriai jellemzőinek vizsgálata volt. Módszerek: Keresztmetszeti kérdőíves kutatásunkat 155 fős, 60 éves és afeletti, kognitív zavarban nem szenvedő mintán végeztük el (átlagéletkor: 74,6 év, SD = 7,9 év, terjedelem: 60–98 év; nemi megoszlás: 125 [81%] nő és 30 [19%] férfi). Mérőeszközök: SOC-12 kérdőív, Connor–Davidson Reziliencia Skála, Rövid Geriátriai Depresszió Skála. Eredmények: A teljes SOC-12 kérdőív illeszkedési mutatói a megerősítő faktorelemzésben messze elmaradnak az elfogadhatótól. Feltáró faktorelemzéssel kétfaktoros szerkezet rajzolódott ki. A SOC-12 skála egészét reprezentáló (mind a négy alskála tételeiből tartalmazó) 1. faktor tételei jó megbízhatóságú skálát képeznek (McDonald-ω [95% CI]: 0,83 [0,79–0,87]. A 2. faktoron töltődő tételekből létrehozott alskála esetén az ω [95% CI]: 0,57 [0,43–0,69], így megbízhatósága elmarad a kívánatostól. Az általunk módosított, 7-tételes SOC-kérdőív konvergens és diszkriminatív validitása egyaránt optimális, alátámasztja a skála által mért erőforrás-felhasználási stratégiák érvényességét. Következtetések: Kutatásunk alapján a módosított SOC-12 kérdőív a magyar idős populációban jó pszichometriai mutatókkal rendelkezik. Eredményeink alátámasztják, hogy segítségével az időskori alkalmazkodási folyamatok összességében jól mérhetők. A szelekciós stratégiák önálló mérése azonban az alacsony megbízhatóságú tételek miatt nem lehetséges. A kérdőív használhatóságát elősegíti, hogy a kitöltés és az értékelés egyaránt rövid időt vesz igénybe.Background: The selection-optimization-compensation model assumes flexible adaptation processes by which the elderly are able to achieve a positive balance between gains and losses of their lives. The Selection-Optimization-Compensation (SOC-12) questionnaire was developed to measure these strategies. Aim: The aim of our research was to adapt the SOC-12 questionnaire to Hungarian language and to establish its psychometric properties. Methods: Our cross-sectional research was conducted on a sample of 155 people aged 60 and over (mean age: 74.6 years, SD = 7.9 years, range: 60–98 years; gender distribution: 125 (81%) women and 30 (19%) male). Measures: SOC-12 Questionnaire, Connor-Davidson Resilience Scale, Geriatric Depression Scale Short Form. Results: Based on our results, the fit of the original 4 factor structure of the SOC-12 questionnaire very weak. Exploratory factor analysis revealed a two-factor structure. The items of factor 1, which represent the whole of the SOC-12 scale (containing items from all subscales), form a scale with good reliability (McDonald’s ω [95% CI]: 0,83 [0,79–0,87]. In the case of the subscale created from the items loading on the factor 2, the ω-value [95% CI] is 0.56 [0.43–0.69], so its reliability is less than acceptable. Both convergent and divergent validity of the modified SOC questionnaire is optimal, supporting the validity of the resource use strategies measured by the scale. Conclusions: Based on the current study, the original SOC-12 questionnaire had to be modified. Our results support that the modified questionnaire makes measurable adaptation processes in old age. Independent measurement of selection strategies is not possible due to low reliability items. The scale provides a short, easy response to measure these strategies, and both completion and evaluation take a short time.


Author(s):  
María Erazo ◽  
Martha Fors ◽  
Sofía Mullo ◽  
Paloma González ◽  
Carmen Viada

The present study aimed to assess the validity of a Spanish version of the Geriatric Depression-15 Scale (GDS-15) in Ecuadorian adults. Cross-sectional study to validate GDS-15 in its short version (GDS-15). Internal consistency and factor structure were assessed through Kuder Richardson 20 and Confirmatory Factor Analysis. A total of 211 subjects 65 years of age and older participated in the validation process. Internal consistency was adequate, the Kuder Richardson 20 coefficient for the total scale was 0.73. Three factor structure was found for the scale. This study highlights the importance of having a validated scale for screening depression in the elderly. This study provides an evidence for the use of GDS-15 in Ecuadorian elderly population to screen for depression.


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