scholarly journals A COMPARATIVE STUDY TO ASSESS THE LEVEL OF DEPRESSION BETWEEN ELDERLY LIVING AT OLD AGE HOME AND LIVING WITH FAMILIES IN HARYANA

Author(s):  
Sonia Devi ◽  
Suman ◽  
Dr. Santosh Gurjar

Background and aim: Depression has always been a health problem for human beings. Historical documents written by healers, philosophers, writers, throughout the age point to the longstanding existence of depression as a health problem, and the continuous and sometime ingenious struggle people have made to find effective ways to treat this illness. In the study the aim to assess the level of depression between elderly living at old age home and living with families in Haryana. Materials and Methods: A comparative study to assess the depression between elderly living at old age home and living with families in selected Haryana. 100samples were selected by cluster sampling technique in each stratum have 50 samples. Data was collected with the help of Hamilton depression rating scale. Data analyzed by Descriptive (Mean, Median, Mode, Standard Deviation) and inferential technique. Results: Level of depression among elderly living in old age home 2% having normal level of depression, 34% mild depression, 46% moderate depression, 4% severe depression, 14% very severe depression and Level of depression among elderly living with family members 46% having normal depression, 44% having mild depression, 08% having moderate depression, 2% having severe depression. Conclusion: The study shown that assess the level of depression between elderly living at old age home and living with families in Haryana. KEY WORDS: Comparative, Knowledge, Elderly, Depression, Old age Home

2021 ◽  
Vol 34 (1) ◽  
pp. 47-54
Author(s):  
Md Aminul Hasan ◽  
Md Azizul Hoque ◽  
AA Mamun Hossain ◽  
Md Amzad Hossain Sardar ◽  
Md Ruhul Amin ◽  
...  

Background: Depression is one of the most common comorbid psychiatric disorders associated with diabetes mellitus (DM), and it impacts glycemic control. Optimal management of depression may lead to better control of glucose levels in DM. Objectives: The aim of this study was to assess depression in patients with DM and to compare it with healthy control and to determine the association of depression with glycemic control and socio-demographic profile in patients with DM and healthy control. Patients and methods: This cross-sectional comparative study was conducted among 140 patients with DM attending Rajshahi Medical College Hospital and Diabetic Association Hospital, Rajshahi, from July 2014 to June 2016. Subsequently, 140 age-matched healthy controls were included in this study. The DSM-V criteria were used to diagnose depression and the severity of depression was assessed by the Hamilton rating scale for depression. Blood glucose control was assessed by measuring HbA1c and categorized as: good glycemic control <7%, fair glycaemic control 7-8% and > 8% considered as poor glycemic control.  Results: The proportion of depression was significantly higher in the patient (51, 36,4%) than in the control (20,14.3%) (X2= 18.256, df= 2, p <0.001). Among patients 13 (9.28%) had mild depression, 23 (16.42%) had moderate depression and 15 (10.70%) had severe depression. But among control 11 (7.87%) had mild depression, 7 (5%) had moderate depression and 2 (1.43%) had severe depression. Depression was more in patients aged 40-60 years (45,42.1%) than in those aged 18-39 years (6,18.2%) which was statistically significant (t = - 3.947, p < 0.001). Both mild, moderate and severe depression were more common among singles, obese, Type 2 DM & patients who were taking both insulin & OHA. Statistically significant depression were observed in poorly controlled DM (HbA1c>8%) compared to fair control (HbA1c 7-8%) (p <0.001, 95% CI = 2.29 to 3.82) and good control (HbA1c < 7%) (p <0.001, 95% CI = 4.25 to 5.98).The likelihood of depression was not significantly associated with different occupation, level of education, residence and duration of DM. Significant positive correlation was observed between DSM-V score and age (r = 0.295, p<0.001),BMI (r = 0.473, p<0.001), duration of DM and HbA1c (r = 0.734, p<0.001) in patients with DM. Conclusion: Our findings demonstrate that there is a higher proportion of depression in patients with DM, which is almost thrice than healthy control. Since patients with DM are at higher risk of developing depression, assessment of depression should be part of the initial and ongoing evaluation of these patients to improve their quality of life. TAJ 2021; 34: No-1: 47-54


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1808.2-1809
Author(s):  
D. Karatas ◽  
Z. Öztürk ◽  
D. Cekic ◽  
Z. Yuertsever ◽  
Ü. Erkorkmaz ◽  
...  

Background:Familial Mediterranean Fever (FMF) is a hereditary autoinflammatory disease characterized by recurrent attacks of fever, peritonitis, pleuritis, arthritis, and skin eruption (1). It is shown by studies that chronic diseases like diabetes mellitus, chronic heart disease, hypertension which other than inflammatory – rheumatologic disease increase depression and anxiety (2). There are a few studies evaluating depression and anxiety in FMF patients, and these results are conflicting (3,4).Objectives:To assess the frequency of depression and anxiety in patients with Familial Mediterranean Fever (FMF)Methods:In this study, 77 FMF patients aged 18 and over who were followed up in Sakarya University Education and Research Hospital, Department of Rheumatology, and 78 healthy volunteers aged 18 and over as thecontrol group. Beck depression scale and Beck anxiety scale were used to depression and anxiety, respectively. Beck’sdepression scale was evaluated as 9 and below normal, 10-16 mild depression, 17-29 moderate depression, 30-63 severe depression. Beck anxiety scale was evaluated as 0-8 normal, 8-15 mild anxiety, 16-25 moderate anxiety, 26 and above severe anxiety.FMF disease severity was determined by Pras scoring.Results:The study group, comprised 77 diagnosed with FMF with a meanage of 37.18 and a control group comprised of 78 healthy controls (C) with a meanage of 35.32 (p=0,058). İn studygroup (P) %63.6, control group (C) %53.8 as female. %36.4 of thestudy group(C), %46.2 of the control group are male. (p=0,216). The prevalence of depression was significantly higher in FMF patients compared to the control group (in order P;C: normal %24,7; %47,4, mild depression: %40.3; %26.9, moderate depression %26; %19.2, severe depression %11.7; %6.4 p<0.015). Similarly in depression results; the prevalence of anxiety was significantly higher in FMF patients compared to the control group (in order P;C normal %23,4; %57.7, mild anxiety %26; %20.5, moderate anxiety %26; %15.4, severe anxiety %24.4; %6.4 p<0,001). Depression status was not correlated with FMF disease severity (p=0.645). A correlation was found between FMF severity and anxiety which it is which was found statistically significant (p=0.005).There was no relationship between erythrocyte sedimentation rate and C-reactive protein with depression and anxiety.Conclusion:Both anxiety and depression frequency are increased in FMF patients compared to healthy controls.References:[1]Livneh A, Langevitz P, Zemer D et al. (1997) Criteria for the diagnosis of familial Mediterranean fever. Arthritis Rheum 40 (10), 1879–85.[2]Alonso J, Ferrer M, Gandek B, Ware JE Jr, Aaronson NK, Mosconi P, Rasmussen NK, Bullinger M, Fukuhara S, Kaasa S, Leplège A, IQOLA Project Group (2004) Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Qual Life Res 13:283–298[3]Makay B, Emiroglu N, Unsal E (2010) Depression andanxiety in children and adolescents with familial Mediterranean fever. Clin Rheumatol 29, 375–9.[4]Giese A, Ornek A, Kilic L, Kurucay M, Sendur S. N., Lainka E, Henning B. F. Anxiety and depression in adult patients with familialMediterranean fever: a study comparing patients living in Germany and Turkey. International Journal of Rheumatic Diseases 2017; 20: 2093–2100Disclosure of Interests:None declared


2021 ◽  
Vol 11 (10) ◽  
pp. 320-324
Author(s):  
A. Babirad

The aim of our study was to investigate the prevalence and severity of depression in patients with the consequences of ischemic strokes and in patients with chronic brain ischemia. Material and Methods. We examined 100 patients with consequences of ischemic strokes and 17 patients with chronic cerebral ischemia. The Hamilton Depression Rating Scale was used to assess the presence and degree of depression. Conclusions. Slightly less than half of the patients with chronic cerebral ischemia (47.1%) had no depression, 42.1% had mild depression, and only 11.8% of the patients had moderate and severe depression. A different situation was observed in the group of patients with the consequences of ischemic strokes. Among them, only 22.0% of patients had no depression, 44.0% had mild depression, and 34.0% of patients had moderate, severe, and extremely severe depression (p < 0.05).


2014 ◽  
Vol 4 (1) ◽  
pp. 18-21 ◽  
Author(s):  
S Zaman ◽  
MA Rahim ◽  
AH Khan ◽  
SH Habib ◽  
MM Rahman ◽  
...  

Objectives: To describe the prevalence of depression among post-graduate medical students and to evaluate some related risk factors. Methodology: This cross-sectional survey was done in three post-graduate medical teaching institutes in Dhaka, Bangladesh in February 2013. A preformed questionnaire including some demographic, socio-economic and work related variables was used for the purpose and depression was diagnosed and severity assessed by using Hamilton Rating Scale for Depression (HAM-D). Results: A total of 100 post-graduate medical trainees were given a preformed questionnaire. Among them 53 students filled it up properly and sent back in given time (response rate was 53%). Mean age of the respondents was 31.6 years, male and females were almost equally distributed. Depression was present in 21 (39.6%) respondents. Among them 17 (80.9%) had mild depression and 4 (19.1%) had moderate depression. None of the respondents had severe or very severe depression. Increased age, low income, marital status, living away from family, smoking, long working hours and inadequate time for study appeared as important risk factors. Conclusion: Two-fifth of post-graduate medical trainees suffered from mild to moderate depression. This issue should be properly addressed because of its possible impact on training outcome. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18548 Birdem Med J 2014; 4(1): 18-21


Author(s):  
Mir Uzma Ashraf ◽  
Priyanka Chaudhary

Background: Raising a mentally challenged child is a challenging and exhausting task. Families can easily become overwhelmed by the process of finding and funding appropriate services. They are faced with the stress of continually witnessing their loved one's struggles to complete everyday tasks, social interactions and education. They must live with the knowledge that there is no end to these struggles.Methods: The study was descriptive study to assess the degree of depression. 200 parents of mentally challenged children in different special educational institutions of Jammu and Kashmir were chosen by convenient sampling method and data was collected with the help of questionnaire (modified becks depression inventory II).Results: Findings of the study revealed that majority 9 (4.5%) were normal ,63(31.5%) had mild depression, 92 (46%) parents had moderate depression and 36 (18%) of parents had severe depression. Significant association was found between relationship with child (p<0.005), religion (p<0.001), education (p<0.001), occupation (p<0.00), monthly family income (p<0.000) and the degree of depression among parents of mentally challenged children.Conclusions: This study revealed that majority of the parents of mentally challenged children were having moderate depression.


2018 ◽  
Vol 25 (06) ◽  
pp. 892-895
Author(s):  
Naima Luqman ◽  
Niaz Maqsood ◽  
Wajih-Ur- Rehman

INTRODUCTION: Acne vulgaris is a chronic inflammatory disorder of pilo-sebaceous glands,which most commonly affect face and trunk. It is most prevalent in adolescent age group. Ithas been seen that acne can have profound social and psychological effects which are notnecessarily related to its clinical severity. Objectives: To determine the frequency and severity ofdepression among acne patients attending the outpatient dermatology department, of a tertiarycare hospital. Study Design: Descriptive study. Place & Duration of Study: Department ofDermatology, Bahawal Victoria Hospital, Bahawalpur from September, 2013 to November, 2013.Subjects & Methods: Informed written consent was taken from patients for the study, seventypatients of acne, diagnosed by consultant dermatologist were inducted. The severity of acnewas determined by Global Acne Grading System. Both genders were included, the age rangewas from 16 to 40 years. Those patients with concomitant dermatological, psychiatric diseasesand those receiving systemic isotretinoin were excluded. The patients fulfilling inclusioncriteria were assessed for depressive symptoms and Hamilton Depression rating scale wasadministered for severity of depression. Results: 70 patients were included in the study, amongthem 14 (20%) were male and 56 (80%) were females. Most of the acne patients were of the age16-20 years [24 (34.3%)]. Mild depression was seen in 26% patients (18%-were females and8%-males). Severe depression was present in 14% of patients, among which 11% were females& 3% were males. Very severe depression was noted in 18% patients among which 16% werefemale and 2% were males. Conclusions: it can be concluded that Dermatologists should paydue attention to the psychological/ mental state of the patient while clinically evaluating andtreating patients suffering from acne vulgaris


2020 ◽  
Vol 8 (4) ◽  
pp. 421
Author(s):  
Uswatun Hasanah ◽  
Nuri Luthfiatil Fitri ◽  
Supardi Supardi ◽  
Livana PH

Depression among college students is very common. College students are special groups that are in transition from adolescence to adulthood that can create stress in one's life. College students try to fit in, make plans for the future, and being away from home often causes anxiety and results in depression for college students. In addition, during the Covid-19 pandemic, students felt bored at home, did not understand material optimally, were confused with online learning methods, and felt their abilities and grades dropped dramatically. This study aims to determine the level of student depression during the Covid-19 pandemic. The quantitative research with a descriptive analytic approach. The research sample was 147 students, the study was conducted in May 2020 on the students of Akper Dharma Wacana. The research instrument used the BDI II questionnaire. Data were analyzed univariately with a frequency distribution. The results showed that 21.1% of students had mild depression, 17% of students had moderate depression and 3.4% had severe depression.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yuan-Jian Yang ◽  
Chun-Nuan Chen ◽  
Jin-Qiong Zhan ◽  
Qiao-Sheng Liu ◽  
Yun Liu ◽  
...  

Accumulating evidence has suggested a dysfunction of synaptic plasticity in the pathophysiology of depression. Hydrogen sulfide (H2S), an endogenous gasotransmitter that regulates synaptic plasticity, has been demonstrated to contribute to depressive-like behaviors in rodents. The current study investigated the relationship between plasma H2S levels and the depressive symptoms in patients with depression. Forty-seven depressed patients and 51 healthy individuals were recruited in this study. The 17-item Hamilton Depression Rating Scale (HAMD-17) was used to evaluate depressive symptoms for all subjects and the reversed-phase high-performance liquid chromatography (RP-HPLC) was used to measure plasmaH2S levels. We found that plasma H2S levels were significantly lower in patients with depression relative to healthy individuals (P &lt; 0.001). Compared with healthy controls (1.02 ± 0.34 μmol/L), the plasma H2S level significantly decreased in patients with mild depression (0.84 ± 0.28 μmol/L), with moderate depression (0.62 ± 0.21μmol/L), and with severe depression (0.38 ± 0.18 μmol/L). Correlation analysis revealed that plasma H2S levels were significantly negatively correlated with the HAMD-17 scores in patients (r = −0.484, P = 0.001). Multivariate linear regression analysis showed that plasma H2S was an independent contributor to the HAMD-17 score in patients (B = −0.360, t = −2.550, P = 0.015). Collectively, these results suggest that decreased H2S is involved in the pathophysiology of depression, and plasma H2S might be a potential indicator for depression severity.


Author(s):  
Latefa A. Dardas ◽  
Susan Silva ◽  
Devon Noonan ◽  
Leigh Ann Simmons

Abstract The Arab region has the largest proportion of young people in the world and many of the factors that contribute to the onset of depression. Yet, very little is known about the current situation of depression and its associated stigma in this region. The purpose of this pilot study was to obtain preliminary data examining clinically significant depressive symptoms, depression stigma, and attitudes towards seeking professional help for depression among a sample of Arab adolescents from Jordan. Cross-sectional data were collected from 88 adolescents attending public schools in Jordan using self-report questionnaires that were available in, or translated into, Arabic. Among the 88 adolescents, 22% reported scores suggesting mild depression and 19% reported scores suggesting moderate depression, while 24% reported scores suggesting severe depression. The most frequently reported depressive symptoms were changes in sleep patterns (76%), changes in appetite (63%), agitation (62%), and crying (61%). The majority (73%) had moderate depression stigma, and 43% had negative attitudes towards seeking professional help. Yet, 67% believed they would find relief in psychotherapy if they ever had a serious emotional crisis. Findings suggest that the prevalence of depressive symptoms may be high among Jordanian adolescents. Further, many of these adolescents may experience depression-related stigma that affects their attitudes and willingness to seek professional help. To determine the true scope of these issues, including the prevalence of depression among Jordanian adolescents, future research should obtain data from a nationally representative sample.


Author(s):  
Mrinalini Reddy ◽  
◽  
Pallavi Abhilasha ◽  
Thirunavukarasu Manikam ◽  
Rajkumar Ramanathan ◽  
...  

Introduction: Treatment adherence and illness may not be related only by the severity of the illness but by so many other factors which impact on seeking and continuing treatment; yet severity of the illness will be one of the major factors influencing treatment adherence. Methods: Female patients attending the psychiatric OPD, diagnosed with depression as per ICD-10 guidelines and provided informed consent participated in this questionnaire-based study. A total of 135 patients who attended the OPD in 9 months were assessed for the severity of depression and medication adherence by administering scales to assess the severity of depression and medication adherence was assessed by questioning about the drug taking and hospital attending behaviour. Out of this, thirty-one were attending for the first episode and hence were excluded from the analysis. Results: Out of the 104 female patients diagnosed with depression of more than one episode, 44 (42.3%) had mild depression, 52 (50%) had moderate depression and 8 (7.7%) had severe depression. Twenty-nine women (27.9%) were on medications and 75 (72.1%) women were not taking their medications. While greater proportion of women with mild depression were adherent to medication (51.7%), more women with moderate depression didn’t adhere to medication (54.7%), even though such difference was statistically not significant. Older age, having a paid work and married status were significantly associated with medication (antidepressants) adherence. Conclusions: Our results indicate that medication adherence is associated with factors other than severity of depression. Work and marital status played a significant role in determining the adherence to antidepressant medications among women.


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