scholarly journals Mental disorders elderly in rural areas during COVID-19 pandemic in Bali Indonesia

2022 ◽  
Vol 6 ◽  
Author(s):  
Ni Ketut Sri Diniari

Detection of mental disorders in the elderly are using the Abbreviated Mental Test (AMT) screening/questionnaire, Depression Anxiety Stress Scale (DASS), Geriatric Depression Scale (GDS), Pittsburgh Sleep Quality Index (PSQI) and Visual Analog Scale (VAS) and/or or based on structured interviews. The elderly who had complete screening and interview data were included in the study sample, i.e., 85 people. From 85 elderly as a participant, 65 people (76.4%) had a good cognitive, 10 (11.7%) moderate cognitive, and 5 severe cognitive (5.8%), but their daily activities were still good. The results of the screening GDS showed 70 people with mild depression (82.4%), moderate depression in 13 people (15.3%) and 2 people with severe depression (2.3%). The results of the screening with DASS show 15 elderly people with depression (17.5%), 55 people with anxiety (65%) and 15 people experiencing stress (17.5%). Screening for elderly sleep quality with the PSQI for elderly showed 60 people with disrupted sleep quality (70.5%) and 15 people with good sleep quality (17.6%). A 68 people elderly (80%) complained of mild pain and 17 people (20%) with moderate pain by screening using the VAS, where the location of the pain varied in the body and leg areas.

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


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.


Author(s):  
Dewi Wulandari ◽  
Estiningtyas

The elderly are very susceptible to health problems, including depression caused by stress in the face of life changes such as retirement, illness or physical disability, placement in nursing homes, partner deaths, and the need to care for couples whose health is declining. The purpose of this study was to determine the description of the incidence of depression in elderly at Dharma Bhakti Surakarta nursing homes. This research was descriptive research. The study was conducted in May - July 2019. The population of this research was the elderly who are in Dharma Bhakti Surakarta nursing homes. Sampling used total sampling and obtained a sample of 73 respondents. Data collection techniques were carried out through filling the Geriatric Depression Scale-30 questionnaire. The results showed that most of the elderly (65.8%) did not experience depression. As many as 30.1% of respondents experienced mild depression and 4.1% experienced severe depression. Most respondents who were depressed were aged 60-74 years (15 elderly), female (18 elderly), had a history of working as a laborer (9 elderly), not graduating from elementary school (13 elderly), being widowed (12 elderly), and has independent functional abilities (20 elderly). Conclusion: The incidence of depression in Surakarta Wedha Dharma Bhakti Orphanage reached 34% (as many as 25 elderly from 73 respondents).


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 20 ◽  
pp. 160940692199686
Author(s):  
Borja Rivero Jiménez ◽  
David Conde-Caballero ◽  
Lorenzo Mariano Juárez

Loneliness among the elderly has become a pressing issue in Western societies. In the Spanish context, the problem of the so-called “empty” Spain disproportionately affects this population group—elderly individuals living in rural areas with low population density, and therefore at higher risk of social exclusion and isolation. We introduce here a mixed-method, quantitative-qualitative research protocol, triangulated with technological tools, designed to improve both data acquisition and subsequent data analysis and interpretation. This study will take place in a rural locality in the Extremadura region (Spain), chosen according to a particular socio-demographic profile. The De Jong Gierveld Loneliness Scale will be used on a cohort of 80 people over 65 years old. Within this cohort, a smaller sample of 20–30 individuals will be selected for semi-structured interviews about their beliefs and experiences of loneliness. Finally, data gathered from technological tools (smartbands, Bluetooth sensors) will allow us to monitor social interactions and to map daily loneliness/interaction patterns. Data will be triangulated by analyzing and comparing the empirical material gathered through these different methods and tools. Strict adherence to ethical standards for data protection and handling will be essential through data collection and analysis. As well as providing insights into the phenomenon of loneliness in old age, the use of different methods and tools for data collection will provide the basis for an epistemological reflection on the scope and limits of each one of these methods.


2020 ◽  
Vol 1 (2) ◽  
pp. 27-31
Author(s):  
Rilla Fiftina Hadi ◽  
Titis Hadiati ◽  
Natalia Dewi Wardani

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide


2015 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Nabilah Qonitah ◽  
Muhammad Atoillah Isfandiari

The increasing of life expectancy led to a growing number of elderly. There are many thing that occurs caused by aging process, one of them is decreases of body function. Decreasing body function can cause variety of health problems. The problem that may occurs are malnutrition, chronic disease, and lack of independence in performing daily activities. All of them are risk factor of mental emotional disorder. This study was conducted to determined the relationship between mental emotional disorders in the Elderly Care Unit Jombang in Kediri. This research was analytical study and used cross sectional. Dependent variable was mental emotional disorders. Independent variables were BMI, physical independence and characteristic. Interview was conducted to obtain information about variables in this study. Data analyzed by chi square and pearson correlation. The prevalence of mental disorders found in this study was 23,4%. Respondents who didn’t have physical independence were 4,3%. Respondents who had body mass index that wasn’t normal is 26,2%. The variables showed correlation only variable physical independence and mental emotional disorders (p = 0,008). While the body mass index and characteristic were not showed correlation with mental emotional disorders. The conclusion of this study was the elderly at risk for emotional suffering mental disorders. Physical independence associated with mental disorders in elderly emotional. So the need for more attention especially from the psychological to the elderly who do not have physical independence.Keywords: risk factors, BMI, physical independence, mental emotional disorder, elderly


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jun Zhang ◽  
Yingying Zhang ◽  
Zhenggang Luan ◽  
Xiujie Zhang ◽  
Haoran Jiang ◽  
...  

Abstract Background China owns he largest aged population in the world, and the elderly adults who live in pension institutions are more likely to suffer from mental disorders than other elderly adults. The purpose of this study is to discover the risky factors of depression among nursing home residents with various sleeping quality. Methods We conducted a cross-sectional study in Northeastern China from May to September in 2017 using multistage sampling method and 507 elderly people without cognitive impairment in six pension institutions were interviewed. The Pittsburgh Sleep Quality Index (PSQI) and Geriatric Depression Scale (GDS) were adopted to collect the information of sleep quality and depression. We used logistic regression to analyze the factors influencing depression among the elderly adults with poor or good sleep quality. Results The overall depression rate among elderly adults was 21.7%. The logistic regression analysis revealed that marital status, chronic disease, regular exercise, physical ache, filial piety and chewing ability had significant effects on the depression of the elderly with good sleep quality. Loneliness, self-caring ability, chewing ability and chronic diseases had significant effects on depression of the elderly with poor sleep quality. Conclusion The prevalence of depressive symptoms in the elderly is not high. However, sleeping quality distinguishes root causes on elderly adults depression. Therefore, the risk factors of depression among elderly adults should be analyzed separately.


2006 ◽  
Vol 40 (11-12) ◽  
pp. 1025-1030 ◽  
Author(s):  
Geoff Schrader ◽  
Frida Cheok ◽  
Ann-Louise Hordacre ◽  
Julie Marker

Objective: To determine characteristics which predict depression at 12 months after cardiac hospitalization, and track the natural history of depression. Method: Depressive symptoms were monitored at baseline, 3 and 12 months in a cohort of 785 patients, using the self-report Center for Epidemiological Studies Depression Scale. Multinomial regression analyses of baseline clinical and demographic variables identified characteristics associated with depression at 12 months. Results: Three baseline variables predicted moderate to severe depression at 12 months: depression during index admission, past history of emotional health problems and current smoking. For those who were depressed during cardiac hospitalization, 51% remained depressed at both 3 and 12 months. Persistence was more evident in patients who had moderate to severe depressive symptoms when hospitalized. Mild depression was as likely to persist as to remit. Conclusions: Three clinically accessible characteristics at the time of cardiac hospitalization can assist in predicting depression at 12 months and may aid treatment decisions. Depressive symptoms persist in a substantial proportion of cardiac patients up to 12 months after hospitalization.


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