scholarly journals Prevalence of Depression among elderly living in old age homes of Kathmandu Valley and its association with Sociodemographic variants

2017 ◽  
Vol 4 (1) ◽  
pp. 43-47 ◽  
Author(s):  
B. Kafle ◽  
V.D. Sharma ◽  
S.P. Ojha ◽  
M Chapagain ◽  
P. Tulachan ◽  
...  

Introduction: There has been a considerable increase in the numbers of older people in the world population of both developed and developing countries. The increasing elderly populations are prone to depression. Studies regarding depression among elderly, especially in old age homes is lesser in the developing countries.Objectives: To estimate prevalence of depression among elderly living in old age homes in Kathmandu valley and its association with the socio-demographic variables, individual factors and environmental factors.Method: It is a cross sectional study where 203 elderly people residing in old age homes of Kathmandu Valley, Nepal were selected randomly. Interview was carried out using socio-demographic tool, Geriatric Depression Scale (GDS), ICD-10 DCR, Duke social support scale, UCLA loneliness scale, and Barthel index was used.Results: This study showed that, 47.3% of population had depression. Among them, 34.0% had mild depression and 13.3% had severe depression. There was significant association between the prevalence of depression, health problems, satisfaction with old age home, loneliness, social support and functional disability.Conclusion: Depressive disorder is highly prevalent among the elderly population residing in old age homes in Kathmandu Valley. This results in lowering their productivity and places burden to family and society. For this reason, concerned authorities should timely address depression in elderly people.  

2014 ◽  
Vol 11 (3) ◽  
pp. 213-218 ◽  
Author(s):  
S Ranjan ◽  
A Bhattarai ◽  
M Dutta

Background: There has been a considerable increase in the numbers of older people in the world population of both developed and developing countries. These populations are thought to be at greater risk for depression. Many researches are conducted on physical wellbeing of elderly but studies regarding depression among elderly, especially in old age home is lesser in the developing countries. Objectives: To assess depression among elderly residing in an old age home in Kathmandu and its association with some of the socio-demographic variables. Methods: One hundred fifty elderly people residing in social welfare centre elderly home, Pashupatinath, Gaushala, Kathmandu, Nepal were selected randomly. Geriatric depression scale (GDS) was applied in all the individuals to assess the prevalence and degree of depression. Results: This study showed that, 47.33% of population had depression. Among the depressed population, 70.42% had mild depression and 29.58% had severe depression. There was significant association between the prevalence of depression and history of physical illness. Conclusion: Depressive disorder is highly prevalent among the elderly population residing in the old age home in Kathmandu with history of physical illness. DOI: http://dx.doi.org/10.3126/hren.v11i3.9634 Health Renaissance 2013;11(3):213-218


2019 ◽  
Vol 8 (1) ◽  
pp. 39-44
Author(s):  
N Sapkota ◽  
B Khadka ◽  
A Tiwari ◽  
A Poudel

Introduction: Geriatric depression is emerging mental disorder with old age. The present study was carried out to estimate the prevalence of depression among residents of elderly homes in Eastern Nepal and to measure the severity of the symptoms of depressive disorders. Material And Method: This study involved residents of old age homes in four different districts of Eastern Nepal, the participants were heterogeneous with diverse cultural background and ethnicity. All elderly people of age 60 years and above living in the old age homes were at first informed about the rationale of our study, we took the informed verbal(as most of the subjects were illiterate) or written consent before going through our questionnaire which was translated into Nepali language by a panel of translators using repeated “forward backward procedure.” General Health questionnaire was applied to all subjects. Geriatric Depression scale (GDS) was then applied to those subjects whose score on GHQ-12 was ≥6 and the categorization of the subjects as normal, mild depressives or severe depressives was done. Results: A total of 62 elderly people of 60 years and above from aforementioned old age homes were enrolled in our study, out of which, 48.38% of the respondents belong to age group of 60-69 years , 27.4% belong to the age group 70-79 and 24.2 % were 80 years and above. Out of total respondents, 56.46% showed normal mental status on our GHQ scale while 43.54% were screened to have some sorts of psychological problems. The GDS detected them with mild and severe depressive symptoms. Out of which, 81.48% had mild depressive symptoms while 18.52% were severe depressive symptoms. Prevalence of depression was found to be significantly related to family history of mental illness. Conclusion: Most of the people living in the old age home in Eastern Nepal are found to have depressive symptoms among which majority have mild depressive symptoms and few have severe depressive symptoms. It depicts the miserable mental health of the elderly people in old age home.


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.


2018 ◽  
Vol 3 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Bishnu Bhattarai ◽  
S Poudyal

Introduction: Depression is the most common mental disorder in elderly people. The rapidly increasing growth of elderly population in developing countries including Nepal is at risk of increased population with depression.The objective of this study is to assess the prevalence and level of depression among elderly people attending day care center at Sidhi Saligram Senoir Citizen Home.Methodology: A descriptive cross-sectional study design was carried out among the elderly people attending day care center at Siddhi Shaligram Senior Citizens Home, Bhaktapur. Non-probability convenience time frame sampling technique was used to collect the data. The total sample was112 respondents. Face-to-face interview was carried out using Geriatric Depression Scale Long Form. Data analysis was done with SPSS 16 version and simple descriptive statistics and chi-square were applied for data interpretationResults: The study findings show that the prevalence of depression, i.e. 56.2% had depression. Among the depressed respondents, 77.8% had mild depression and 22.2% had severe depression. Depression among elderly people was found to be significantly associated with the sex (p=0.05) and the presence of chronic illness (p=0.000). However association was not seen among the age, educational level, and marital status, type of family, Income and disability.Conclusion: Prevalence of depression was found high among elderly people. Counseling and group discussion in day care center with psycho social support focused to female suffering from chronic illness is recommended.Journal of Manmohan Memorial Institute of Health SciencesVol. 3, No. 1, 2017, page: 36-44


Author(s):  
Deepthi Karini ◽  
Siva Kumar Lotheti ◽  
Devi Madhavi Bhimarasetty

Background: Depression in old age is an emerging public health problem leading to morbidity and disabling effect on the quality of life. Depression in elderly is not yet perceived as a public health problem and is grossly underdiagnosed and undertreated. The physical and social environment plays an important role on the mental health of the elderly. Hence the present study was undertaken to assess and compare the depression among elderly residing in old age homes (OAHs) and community. The objective of the study was to assess and compare depression among elderly residing in OAHs and those living in community.Methods: A cross sectional study was done from October to December, 2016 among 100 elderly, of which 50 were inmates of old age homes and 50 were living in community selected by house to house survey. A pre tested, externally validated short form geriatric depression scale (GDS-15) in the local language is used after taking informed consent.Results: Prevalence of depression was high among inmates of old age homes (80%) compared to those of community (52%), this difference was statistically significant (p=0.003). On analyzing the association between sociodemographic factors and depression among the elderly residing in the community, it was found that marital status and presence of chronic disease were significantly associated with depression (p<0.05). Whereas among the elderly residing in old age homes, no significant asociation was found between depression and the sociodemographic factors.Conclusions: High prevalence of depression observed among the studied population indicates the need of screening for depression among elderly.


Author(s):  
Sandhya Mishra ◽  
Amit Nandan Mishra

Background: Senior citizen elderly or old age consists of ages close to or exceeding the average life span of human beings. The limit of old age cannot be defined precisely because it does not have the same meaning in all societies by the middle of this century, there could be 100 million elderly people living in the India according to United Nations World population prospects report. Depression is the common psychiatric disorder among elderly. The aim of the study was to estimate the prevalence of Depression among elderly in a rural population. Design of the study was a cross sectional study conducted among 450 elderly populations in rural community of Lucknow, Uttar Pradesh.Methods: A validated geriatric depression scale (Geriatric depression scale (GDS) 30) was used to assess their depression status and the various demographic details, socio economic status and living arrangements were analyzed to see for any association with depression. Statistical analysis was chi square test and odds ratio.Results: Among the 450 elderly subjects studied. The prevalence of depression among elderly males was found to be 48% and among females 56% and the difference in the prevalence of depression among males and females was found to be statistically significance (p=0.03).Conclusions: The results confirmed that there is a high prevalence of depression among the elderly population. There is a need to improve geriatrics health care services combined with proper monitoring and evaluation.


2015 ◽  
Vol 5 (1) ◽  
pp. 28-32 ◽  
Author(s):  
R Subba ◽  
H K Subba

Aging means so many things to so many individuals; it can be viewed as incorporating aspects of the biologic, social, psychologic, functional and spiritual domains. Throughout a person’s life, various traumatic experiences, either physical or emotional, may actually weaken the individual ability to repair or maintain himself/herself. Role changes, major life events and co morbidity contribute to an increased rate of depression in the geriatric population. A descriptive study was conducted to evaluate the level of depression among the elderly people. For this study, Purposive sampling was applied & 50 subjects were interviewed in selected old age homes by using a Modified Geriatric Depression Scale (GDS -15). The collected data were analyzed by descriptive and inferential statistics. The study findings showed that the overall mean for the depression among elderly was 6.42 with the SD of 3.21 and 38% of the elderly were suffering from mild depression where as 10% with severe depression. There was a significant association between the levels of depression and selected demographic variables such as gender, marital status, education level, family type, reasons to join old age homes & duration of stay except for age and religion. Helping older adults adjust to limitations, while accentuating positive attributes, may aid older people in remaining independent and may perpetuate a high quality of life during later years. Therefore, there is need to develop and plan the individualistic intervention to decrease depression level among elderly.DOI: http://dx.doi.org/10.3126/jcmc.v5i1.12568


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Maginsh Dahal ◽  
Smriti Dhakal ◽  
Sudip Khanal ◽  
Kushalata Baral ◽  
Saroj Mahaseth

Background. To identify the association between elderly abuse and depression among elderly living in old age homes of Kathmandu Valley, Nepal. Materials and Methods. A cross-sectional study was carried out in 5 old age homes of Kathmandu Valley, Nepal. The Geriatric Mistreatment Scale and the Geriatric Depression Scale were used to collect information from 220 elderly aged 65 or above, and face-to-face interviews were conducted. Bivariate and multivariate logistic regression analyses were carried out to identify the association between elderly abuse and geriatric depression. Results. Among the different types of abuse analyzed, the multivariate analysis showed that neglect ( AOR = 2.995 ; CI: 1.249-7.181) and economical abuse ( AOR = 4.728 , CI: 1.836-12.173) were significantly associated with increased risk of geriatric depression. Furthermore, the study identified that future saving and absence of chronic disease significantly reduced the risk of psychological abuse, neglect, and geriatric depression. Conclusions. Neglect and economical abuse are a predictor of geriatric depression. Efforts should be directed to increase awareness about the different forms of abuse among the primary caregivers of the elderly. Counseling services and support programs should be introduced in old age homes to address the high burden of geriatric depression.


Author(s):  
Persis S. Bathala ◽  
Cynthia S. Sayolu

Background: Aging is a normal process, which is associated with physical, social and psychological changes. Depression among elderly is an important public health problem responsible for considerable morbidity and disability. Hence this study was undertaken to estimate the prevalence of depression among inmates of old age homes. The main was to know the prevalence and level of depression and to assess socio demographic factors associated with depression among inmates of old age homes.Methods: A cross sectional study was done from August 2019 to October 2019 in old age homes of Kurnool city with a sample size of 60 by simple random sampling. Depression was assessed using geriatric depression scale. Data entered in MS Excel version 7 and analysed by SPSS version 21. Chi-square test was applied to test the significance and p value less than 0.05 was considered as statistically significant.Results: The overall prevalence of depression was found to be 66.7% among inmates and is positively associated with female sex, increasing age, illiteracy, low socio economic status economical dependency and dependency for daily activities.Conclusions: As the prevalence of depression is more among inmates there is a need to provide emotional support and facilities to engage them in various social activities of the community especially the elder females to prevent them from being depressed.


2017 ◽  
Vol 3 (3) ◽  
pp. 344-349
Author(s):  
Gangadhar Rao Kalapala ◽  
B Ravi Zechariah ◽  
PK Babu ◽  
. Thufail ◽  
. Sailu ◽  
...  

Background: Aging is a worldwide issue in our society, Elderly people living in old age homes may suffer from sadness, pain, and isolation. Many of them may experience seasonal affective disorder (SAD). SAD is a common condition where individuals present with depressed mood, loss of interest or pleasure, feelings of guilt, disturbed sleep and/or appetite, low energy and poor concentration. Music has been used more and more frequently and consciously as a mean of care to reduce or stabilize symptoms and/or complications arising therefrom. Method: The study employs the pre-test and post-test for assessing the level of depression among the elderly persons in the old age homes, and with respect to the demographic variables which are used for assessing the levels of depression among both males and females from the study. Results: Findings clearly showed that there was mild level of depression among elderly people before the intervention and the level of depression was decrease after the intervention (music therapy. The study finding show that, the mean post – level of depression scores (1.53) was lower than the mean pre-test score (2.03). Overall 63.3% of samples 38 have mild depression and 20% of the samples 12 have severe depression and remaining are normal in pre-test. Conclusion: The study findings were supported by a pre-experimental study, conducted to investigate the effective of music therapy on depression among elderly people staying in the old age home.


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