scholarly journals Factors Associated with Depression among Elderly People Living In Old Aged Homes of Pokhara, Nepal

2020 ◽  
Vol 10 (1) ◽  
pp. 8-12
Author(s):  
Ananta Raj Dhungana

Introduction: Depression is an important public health challenge in developing countries. Old people have a much higher risk of suicide then the general populations and are suffered from depression. In this context, this study aims to find the factors associated with depression among elderly people living in old aged homes in Pokhara. Methods: Three major elderly homes of Pokhara were selected purposively. Then information was collected from all the elderly people living in these old aged homes. Geriatric Depression Scale was used to find the depression level of the elderly people. Chi-squared test was applied to find the factors associated with degree of depression among these elderly people. Results: Majority of the elderly people were suffered from depression (80.7%). Female were highly suffered from depression with respect to male. Age, sex, marital status, and previous occupation of the respondents have significant association with degree of depression. Further, there was significant association between degree of depression and the activities for entertainment in elderly homes. Conclusions: Age, sex, marital status, previous occupation, and activities for entertainment in elderly homes were the major factors associated with degree of depression. The concerned organization and other authorities should give attention regarding the more entertainment activities for elderly people.

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Rafael da Costa Santos ◽  
Rafaella Queiroga Souto ◽  
Ana Maria de Almeida ◽  
Gleicy Karine Nascimento de Araújo ◽  
Rute Costa Régis de Sousa ◽  
...  

ABSTRACT Objective: To identify, among elderly people victims of violence, factors associated with depressive symptoms and cognitive function. Method: This was a cross-sectional study carried out with 56 elderly people classified in situation of violence. To do so it was used the Brazil Old Age Shedule (BOAS), the Conflict Tactics Scales Form R, the Geriatric Depression Scale (GDS) and the Mini-mental State examination (MMSE). Results: Depressive symptoms were more predominant in elderly men, over 70 years old, without partner, illiterate, with no job, receiving up to 1 minimum wage and who lived alone; and the cognitive deficit prevailed in women, over 70 years old, without partner, illiterate, who did not work, receiving up to 1 minimum wage and who lived alone. Conclusion: Among the elderly population victim of violence, lack of a partner and cognitive impairment were associated to depressive symptoms; and finding themselves living alone, with no partner and being illiterate were associated to cognitive deficit.


2011 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masayoshi Kanoh ◽  
◽  
Yukio Oida ◽  
Yu Nomura ◽  
Atsushi Araki ◽  
...  

We have developed a Robot Assisted Activity (RAA) program for recreational use in health care facilities for elderly people. The RAA program has been evaluated in such a facility to assess its usefulness. The program applies a standard classroom model, starting with homeroom and including lessons in the Japanese language, music, gymnastics, arithmetic, and other subjects. At the end of the program, there is a graduation ceremony. We use a video camera to record each scene. Each behavior and utterance of the participants is then analyzed. In addition, immediately upon completion of the RAA program, specialists conduct a Focus Group Interview (FGI) in which they collect comments, opinions, and requests from the participants. Ten elderly people participate in the program, two men and eight women (81.0±3.7 years old). All are residents at a health care facility in Aichi Prefecture, Japan. TheMMSE (MiniMental State Examination) score indicating the level of dementia is 24.1±3.0 points. Two participants are judged to be in a moderate stage of cognitive decline (21 points or less), six are in a mild stage (22-26 points), and the remaining two are normal. On the Geriatric Depression Scale (GDS), in which a score of 13.3±4.2 points indicates a state of depression, seven participants are judged to be depressive (11 points or more). The results of our study show that all participants have a favorable impression of the robot and nearly all have a positive opinion of the RAA program. This suggests that the program can be used for emotional and recreational therapy at health care facilities for the elderly. However, in spite of the overall success of the RAA program, we seldom observe interaction between participants and the robot.


2016 ◽  
Vol 45 (3) ◽  
pp. 132-138 ◽  
Author(s):  
Gabriela Ádima de Camargo ÁVILA ◽  
Aline Blaya MARTINS ◽  
Otávio Pereira D'AVILA ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
...  

Abstract Background Depressive symptoms are highly prevalent among the elderly population (10%). These symptoms frequently appear when there is a loss of quality of life associated with social exclusion and the appearance of severe diseases. Feelings of sadness, discouragement, despondency and deception, and events such as the loss of close friends and family can also be related to these symptoms. The consequences of depressive symptoms include negative oral health outcomes, such as a decrease in the frequency of toothbrushing, greater prevalence of caries and higher probability of the appearance of periodontitis. Aim This study aimed to evaluate the association between the presence of depressive symptoms and problem-oriented oral healthcare behavior, as well as the absence of healthcare-seeking behavior. Material and method 872 elderly people living in two health districts in Porto Alegre were evaluated. They provided information on socioeconomic variables at an interview, and responded to the Geriatric Depression Scale-15 and to a questionnaire assessing dental care-seeking behavior. In addition, an oral examination was performed. When analyzed using Poisson regression with robust variance, the variables of male sex, less schooling, lower income, reduced number of teeth, presence of root remnants and presence of depressive symptoms were found to be independently associated with the outcome. Result There was a significant difference regarding dental care-seeking behavior in relation to elderly people presenting depressive symptoms and those in low socioeconomic strata having poor oral status. Conclusion It was concluded that these factors need to be taken into consideration when evaluating dental care-seeking behavior.


2019 ◽  
Vol 28 ◽  
Author(s):  
Mariana Silva Freitas Guimarães ◽  
Darlene Mara dos Santos Tavares

ABSTRACT Objective: verify the prevalence of abuse and probable alcohol dependence in the elderly; describe sociodemographic and clinical characteristics of the elderly; and verify the factors associated with alcohol abuse and probable dependence in the elderly. Method: cross-sectional study, observational, domiciliary survey type, conducted with 614 elderly people living in the urban area of the city of Uberaba, Brazil. The Mini Mental State Examination, sociodemographic instrument, Older Americans Resources and Services Questionnaire, Geriatric Depression Scale and Michigan Alcoholism Screening Test - Geriatric Version were used. Statistical analysis was performed in the Statiscal Package for Social Sciences. Results: the prevalence of abuse and probable alcohol dependence was 26.5%. Among the elderly with abuse and probable dependence on alcohol, there was predominance of males, 60 |- 70 years old, who lived with a spouse or partner, had 1 |- 5 years of schooling, individual monthly income from 1 -| 3 minimum wages, five or more morbidities and no indication of depressive symptoms. Abuse and probable alcohol dependence were associated with males and the presence of depressive symptoms. Conclusion: the study reinforces the need to identify early abuse and probable alcohol dependence in the elderly and to invest in health action strategies for the purpose of health promotion, disease prevention and rehabilitation of the elderly.


2011 ◽  
Vol 5 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Thalita Bianchi de Oliveira Wachholz ◽  
Mônica Sanches Yassuda

Abstract It is now known that cognitive functions tend to decline with age. Executive functions (EF) are among the first abilities to decline with aging. A subcomponent of the EF is abstract reasoning. The Test of Proverbs is an instrument that can be used to evaluate the capacity of abstract reasoning. Objective: To examine the association of performance in interpretation of proverbs, with education and with episodic memory and EF tasks. Methods: A total of 67 individuals aged between 60 and 75 years were evaluated, and divided into three categories of education: 1-4 years, 5-8 years, and 9 or more years of schooling. The instruments used were a sociodemographic questionnaire (gender, age, marital status, education, income, previous occupation, current occupation and health perception), the Mini Mental State Examination, Brief Cognitive Screening Battery; Geriatric Depression Scale; Forward and Backward Digit Span (WAIS-III), and the Test of Proverbs. Results: A high impact of education was seen on the interpretation of proverbs, with lower performance among the elderly with less education. A significant association between performance on the Test of Proverbs and scores on the MMSE, GDS, and verbal fluency tests was found. There was a modest association with incidental memory. Conclusions: The capacity to interpret proverbs is strongly associated with education and with performance on other EF tasks.


2016 ◽  
Vol 19 (2) ◽  
pp. 307-316 ◽  
Author(s):  
Rosangela Galli ◽  
Emílio Hideyuki Moriguchi ◽  
Neide Maria Bruscato ◽  
Rogerio Lessa Horta ◽  
Marcos Pascoal Pattussi

ABSTRACT: Introduction: Active aging is the process of optimizing opportunities for health, participation and security, aiming to improve quality of life as people age. A series of studies had demonstrated that a lower prevalence of depression is found among more active elderly. Objective: To evaluate the association between indicators of active aging and depressive symptoms among the elderly (aged 60 years or more). Method: A population-based cross-sectional study was conducted with 1,006 elderly people (aged 60 years or over) from a small-sized Brazilian municipality. Depressive symptoms were assessed using the Geriatric Depression Scale - 15, with cutoff point ≥ 6 symptoms. Active aging was evaluated using indicators such as: active occupational situation, manual work, reading and physical activities. Data analyses used modified Poisson regression to obtain crude and adjusted prevalence ratios (PR). Results: Most of the elderly people were: white, women and aged between 60 and 74 years. All the indicators of active aging were associated with the outcome. After controlling for socioeconomic, demographic and health variables, elderly people who worked, participated in groups, did manual work and maintained interests such as reading and talking to friends had lower prevalence of depressive symptoms compared to those not doing these activities. Conclusions: Active aging approaches may serve as a valuable mental health promotion strategy aimed at the elderly.


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.


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).


2020 ◽  
pp. 61-68
Author(s):  
Prabati Dhungana

Self-determination of one’s own treatment process is one of the major decision makings of an individual’s life. It is even more crucial among elderly population as old age brings multiple physical and mental challenges to overall well-being of an individual. This paper aims to find the factors associated with decision making in treatment of health problems of the elderly people. The study was conducted in Dhital Village of Kaski District. Out of 198 elderly people with aged 60 years and above, 131 respondents (at 5% margin of error and 5% level of significance) were randomly selected using simple random sampling techniques. The information was collected by using semi-structured questionnaires through interview techniques. Chi-squared test was used to find the factors associated with the decision making in treatment. The decisions of more than two-third (69.5%) of the respondents were taken by their family members whereas almost one-third (30.5%) of the decisions were self-made. The proportion of the females who made their decision for treatment themselves is less than that of males. The results of the study showed that gender, literacy level, family type, money expensed for treatment, and walking distance to health centers were the major factors associated with decision making in treatment of health problems. It is believed that the findings of this study can help facilitate the better use of health facilities and add a significant contribution in the formulation of aging-friendly policies.


2009 ◽  
Vol 22 (2) ◽  
pp. 227-236 ◽  
Author(s):  
Rahul Malhotra ◽  
Angelique Chan ◽  
Truls Østbye

ABSTRACTBackground: Elderly Sri Lankans (11.2% of the nation's population) have witnessed many years of ethnic conflict, a destructive tsunami and increasing emigration of young adults. However, very little is known about the prevalence and correlates of depression among them. The present study utilizes data from a national aging survey to document the prevalence and correlates of clinically significant depressive symptoms among community-dwelling elderly Sri Lankans (aged ≥60 years).Methods: The 15-item Geriatric Depression Scale (GDS-15) was administered to 1181 elderly Sri Lankans; the presence of clinically significant depressive symptoms was defined as a GDS-15 score of ≥6. Sociodemographic and health correlates of depressive symptoms were assessed using logistic regression analysis. Interactions between gender and other correlates were also assessed.Results: The prevalence of depressive symptoms was observed to be 27.8% overall: 24.0% for men, and 30.8% for women. Certain subgroups of the elderly, i.e. those with disabilities, functional limitations, perceived income inadequacy, minorities, and elderly living alone, were significantly more likely to report depressive symptoms. There was a significant interaction between gender and ethnicity.Conclusion: The prevalence of depressive symptoms among Sri Lankan elderly people is higher than that reported for most Asian countries. Clinicians and caregivers need to be aware of the potential presence of depressive symptoms among the elderly, especially among those with lower educational levels, functional limitations, hearing difficulty, physical disability, perceived income inadequacy, and among those who live alone, and ethnic minority males.


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