scholarly journals Relationship of Education, Age, Gender, Marital Status and Long Stay at Nursing Homes with Depression Events in Elderly

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).


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Mekdes Beze Demoze ◽  
Dessie Abebaw Angaw ◽  
Haregwoin Mulat

Background. Orphan adolescents are a special group of people who are generally deprived and prone to develop psychiatric disorder even if reared in a well-run institution. Objective. To assess the prevalence and associated factors of depression among orphan adolescents living in Addis Ababa orphan centers, Addis Ababa, Ethiopia. Method. A cross-sectional study was conducted in 2016 among 453 orphan adolescents in Ethiopia. All orphan adolescents who were living in the selected orphan centers were included in the study. The data was collected by interviewing the orphan adolescents at the orphan center by using a structured questionnaire. Kocher adolescent depression scale and MSPSS scale were used to measure orphan level of depression and their perceived social support. After appropriate coding, the collected data had been entered into EPI info version 7 and it was exported to SPSS version 20 for further analysis. The OR with 95% CI was used to measure association and p value < 0.05 was used as statistically significant value in multivariable binary logistic regressions. Result. The overall prevalence of depression among the orphan adolescents was found to be 36.4%. The majority of the respondents, 302 (66.7%), were within the age range of 15-19 years. Perceived social support (OR 5.86; 95% CI 3.47, 9.91), community discrimination (OR 2.68; 95% CI 1.58, 4.56), length of stay (OR 1.90; 95% CI 1.08, 3.35), age of entrance (OR 2.21; 95% CI 1.32, 3.69), and presence of visitors (OR 3.62; 95% CI 2.06, 6.37) were the main variables associated with depression. Conclusion. The prevalence of depression among orphan adolescents was found to be high. Low level of social support, higher length of stay, community discrimination, the presence of visitors, and younger age of entrance were statistically significant variables to develop depression.



2020 ◽  
Vol 7 (2) ◽  
pp. 99-105
Author(s):  
Wachidah Yuniartika ◽  
Tiara Bima Murti

Decreasing and changing physical conditions, the change in mental status as depression that often ignored, and diseases that often appear like hypertension are commonly found in the elderly, and it is a health problem that requires special attention because it will affect all aspects of life in the elderly. The purpose of this study was to determine the relationship between sex and duration of illness with the level of depression in the elderly with hypertension. The method used is descriptive quantitative with cross sectional approach. The study population was all elderly with hypertension at the Penumping Public Health Center with a sample of 54 people taken by accidental sampling. Data was collected using a research instrument in the form of a Geriatric Depression Scale (GDS) questionnaire and analyzed using a correlative test that is a Kendall tau analysis. Correlative test results between sex and depression level showed a correlation value of 0.294 with p-value (p) = 0.028, which means there is a significant relationship between sex and depression level. Correlative test between the duration of hypertension and the level of depression showed a correlation value of 0.382 with p-value (p) = 0.004, which means there is a significant relationship between the duration of hypertension and the level of depression. Discussion : The occurrence of the degeneration process in the elderly can cause physical changes and changes in the social environment such as a low economy, loss of family members, inability to fill roles in society and risk of disease. Female sex is the highest proportion and high life expectancy compared to men, so hypertension sufferers mostly occur in elderly women. Anxiety in elderly people with hypertension is caused due to the tendency to take a relatively long treatment, the risk of complications and can shorten life. The conclusion is that there is a relationship between sex and duration of illness and the level of depression in the elderly with hypertension.



2021 ◽  
Vol 4 (2) ◽  
pp. 11-18
Author(s):  
Yunita Sari

COVID-19 has caused a pandemic in almost all parts of the world, including Indonesia. This has led to lockdown conditions in various countries. The Indonesian government is trying to break the chain of transmission of Covid-19, one of which is the Large-Scale Social Restriction (PSBB) which limits social and physical activities. One of the people affected by this policy is the elderly. Various studies have stated that physical activity will affect cognitive function and the level of depression in the elderly. The purpose of this study is to determine the relationship between physical activity and the level of depression in the elderly during a pandemic. This research is a descriptive corelative study with a cross sectional approach. Data were collected using A Physical Activity for the Elderly questionnaire to measure the physical activity in the elderly, and Geriatric Depression Scale to measure the level of depression. Bivariate statistical test using chi square. The results showed that there was no relationship between the level of physical activity and depression in the elderly during the pandemic (p value > 0.05).



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.



2015 ◽  
Vol 5 (1) ◽  
pp. 19-24
Author(s):  
Jasmina Mahmutovic ◽  
Aida Rudić ◽  
Arzija Pašalić ◽  
Fatima Jusupović ◽  
Suada Branković ◽  
...  

Introduction: Depression is the most common mental problem in elderly and is often under-recognized or is inadequately treated, thus significantly affecting the quality of life of elderly people. The reasons for the occurrence of depression in the elderly are multiple. The most common are neurobiological and psychosocial risk factors as well as physical illness. The aim of this study is to determine the presence of the most common risk factors related to the degree of depression, determined by the geriatric depression scale.Methods: This is cross-sectional, descriptive and analytical study undertaken on the sample of 150 psychologically and physically capable residents of the "The Gerontology Center" in Sarajevo older than 65 years. The following instruments were used for research: the Geriatric Depression Scale (GDS) and the modified questionnaire on risk factors important in the depression development.Results: Women are more depressed than men (p<0.01). Depression severity increases with age (p=0.008). The marital status of respondents was significant factor affecting the GDS scores (p=0.009). GDS score and education are weakly correlated (p=0.07) and more educated are less depressed. Also, independently mobile elderly are less depressed (p<0.0005). GDS scores and presence of depression in younger age are dependent (p=0.004). Depression and subjective sleep disturbances are dependent (p=0.002).Conclusion: The most common risk factors for depression in elderly are gender, age, marital status, history of depression in younger age and mobility.



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.



2018 ◽  
Vol 10 (02) ◽  
pp. 116
Author(s):  
Merlien Nofus ◽  
Sutanta .

Merlien Nofus1)  , Sutanta2)1) Program Studi S1 Keperawatan STikes Yogyakarta2)Program Studi Ners STikes Estu UtomoE-mail: [email protected]. [email protected] Belakang : Semakin meningkatnya jumlah lanjut usia di Indonesia setiap tahun, semakin meningkatnya pula resiko penyakit yang terjadi pada lanjut usia. Salah satunya adanya gangguan mental seperti depresi. Depresi dapat menyebabkan terjadinya insomnia pada lanjut usia. Kejadian insomnia dapat menyebabkan seseorang menjadi sedih dan susah tidur. Tujuan : Mengetahui hubungan tingkat  depresi dengan insomnia pada lanjut usia lebih dari 60 tahun. Metode : Penelitian ini termasuk survey analitik dengan pendekatan cross sectional. Populasi penelitian sebanyak 52 orang, sampel sebanyak 30 orang yang diambil dengan metode purposive sampling.  Instrument penelitian berupa kuisioner tertutup dan kuesioner yang digunakan adalah Geriatric Depression Scale dan Kuesioner Kelompok Studi Psikiatrik Biologik Jakarta (KSPBJ-IRS). Metode analisa data menggunakan korelasi Rank Spearman. Hasil : Sebagian besar lanjut usia lebih dari 60 tahun mengalami depresi ringan, sebanyak 22 orang (73,3 %) dan mengalami insomnia sementara sebanyak 21 orang (70 %).  Ada hubungan antara tingkat depresi dengan insomnia pada lansia yang ditunjukkan dari nilai korelasi Spearman Rank (ρ)  sebesar 0,384 sebesar = 0,384 dengan p value 0,036. Kesimpulan :  Ada hubungan yang signifikan tingkat depresi dengan insomnia pada lanjut usia lebih dari 60 tahun.Kata Kunci :  Depresi, Insomnia, Lansia  THE RELATIONSHIP OF BODY MASS INDEX WITH OF DYSMENORRHEA IN ADOLESCENT RELATIONSHIP OF DEPRESSION LEVELS WITH INSOMNIA IN THE AGE OF MORE THAN 60 YEARSABSTRACTBackground: The increasing number of elderly people in Indonesia each year, the higher the risk of diseases occurring in the elderly. One of them is a mental disorder such as depression. Depression can cause insomnia in the elderly. The incidence of insomnia can cause a person to become sad and have trouble sleeping. Objective: To find out the relationship between depression levels and insomnia in the elderly more than 60 years in. Method: This study included an analytical survey with a cross sectional approach. The study population was 52 people, a sample of 30 people were taken by purposive sampling method. The research instrument was a closed questionnaire and the questionnaire used was the Geriatric Depression Scale and the Jakarta Biological Psychiatric Study Group Questionnaire (KSPBJ-IRS). Data analysis method uses Rank Spearman correlation. Results: Most of the elderly over 60 years experienced mild depression, as many as 22 people (73.3%) and experienced temporary insomnia as many as 21 people (70%). There is a relationship between the level of depression and insomnia in the elderly  which is shown from the Spearman Rank correlation value (ρ) of 0.384 of = 0.384 with p value 0.036. Conclusions: There was a significant association of depression levels with insomnia in the elderly over 60 years.Keywords: Depression, Insomnia, Elderly



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.  



2017 ◽  
Vol 41 (S1) ◽  
pp. S651-S651 ◽  
Author(s):  
L. Ghanm ◽  
S. Sghaier ◽  
R. Toumi ◽  
K. Zitoun ◽  
L. Zouari ◽  
...  

BackgroundThere is a bi-directional relationship between depression and chronic medical disorders.AimsThe objectives of our study were to measure the prevalence of depression in the elderly with chronic medical illness in primary care and to determine the socio-demographic and clinical factors related to depression.MethodsWe conducted a descriptive and analytical cross-sectional study of patients aged over 65, followed at the outpatient chronic diseases in Oudhref's district hospital (south of Tunisia) during the month of September 2014. We used two instruments: the activity of daily living (ADL) to determine the degree of autonomy and the geriatric depression scale (GDS) validated in Tunisia.ResultsAt the end of our investigation, 100 chronic disease patients met inclusion criteria. The average age of our population was 75 years. Prevalence of depression was 48%. The most frequent chronic pathology was hypertension (79%), followed by diabetes (70%). In analytical study, we noted no correlation between depression and socio-demographic variables such as age, sex and marital status. Regarding clinical variables, depression was significantly more frequent in patients with sensory impairments (82% vs 18%, P = 0.017), dependent (80% vs 20%, P = 0.002). Regarding chronic disease, depression was significantly more frequent in patients with respiratory disease (80% vs 20%, P = 0.033), a higher number of comorbidities (P = 0.005), who were hospitalised at least once (P = 0.015).ConclusionDepression is common in elderly with a chronic disease. Using screening instruments for major depression by primary care clinicians will help to detect depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.



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.



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