Comparison of Mental Health of the Elderly Living in the Household (with Children) with the Elderly Living in Nursing Homes in the Cities of Tabriz and Urmia (Iran) in 2018

2020 ◽  
pp. 36-43
Author(s):  
Mahoory, Parisa ◽  
Aghdasi, Ali Naghi ◽  
Seyyedvalilou, Mirmahmood
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Health Status ◽  
Nursing Homes ◽  
Social Relations ◽  
The Elderly ◽  
Mental Health Status ◽  
Men And Women ◽  
Elderly Living ◽  
At Home

During the contemporary period, man has undergone transformations in terms of lifestyle, social relations, and economic affairs throughout all human history. These changes, in some cases, have had a reversible effect on human health, due to the lack of coordination with the evolutionary processes that man has acquired over the course of tens of thousands of years of social evolution. One of these dimensions is the mental health of the community; among other things, the mental health of the elderly is of particular importance due to human capital and future generations. In this research, the main goal is to achieve the current state of mental health of the elderly living in the home (in the neighbourhood) and living in the nursing home and compare these two. The concept of mental health in this research is based on various approaches, from the point of view of global health ontologists and role theorists (Conrad Lorenz), self-actualisation and realization (Yong and Allport), humanists (Maslow), the network of sustainable social networks Adler), theories of psychoanalysis (Freud, Ericsson, Kurt Levine, Carl Rogers) and theories with other approaches have been suggested. The concepts and variables used in this research are mental health and ageing and 28-GHQ measurement tools, which are components of depression, anxiety, social functioning and physical condition of the elderly living in the home and the nursing home. The research method is Ali-Comparative and 100 non-Alzheimer's sample of 50 men and women from Tabriz and 50 men and women from Urmia, including 100 people, 50 people living at home and 50 people living in nursing homes. In analysing data, descriptive and inferential statistics and t-test were used. The results of this study revealed that the mental health of men living in nursing homes has a better mental health status than the women living in nursing homes; and, conversely, women living in the home have a higher mental health status than men living at home.

scholarly journals A Comparative Study on Stress, Anxiety and Depression Between Nursing-Home Elderly Residents and Home-dwelling Elderly People

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 176-187 ◽  
Author(s):  
Roya Marsa ◽  
◽  
Seyed Jalal Younesi ◽  
Somaye Barekati ◽  
Maryam Ramshini ◽  
...  
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Nursing Homes ◽  
Comparative Study ◽  
Elderly People ◽  
The Elderly ◽  
Living Environment ◽  
Anxiety And Depression ◽  
Elderly Living ◽  
At Home

Objectives: The increase in the aging population along with a variety of diseases and problems threatening their health and, on the other hand, socio-economic developments and changes in individual and family lifestyles, has increased the number of nursing homes. Considering the importance of the impact of living environment on various aspects of mental health, this study aimed to compare stress, anxiety and depression of the elderly living in nursing homes and those living at home. Methods & Materials: This is a descriptive comparative study with a cross-sectional design conducted in 2017. Using a convenience sampling method, 436 elderly people in Tehran including 218 home dwellers and 218 nursing-home residents were selected. Participants were evaluated through interview by the short-form version of Depression Anxiety Stress Scale (DASS-21). Comparisons between the two groups were made using independent t-test in SPSS v.20 software. Results: Mean and standard deviation of the DASS-21 score in elderly residents of nursing homes (37.75±11.34) was higher than in home dwellers (26.68±5.64). There were statistically significant differences in stress, anxiety and depression between the two groups (P≤0.05). Conclusion: Stress, anxiety and depression in the elderly living in nursing homes are more than in those living at home. Family participation in providing welfare and mental health care, supporting with appropriate insurance coverage, establishing day care centers, and supporting family caregivers can be very helpful to enhance their mental health.

Elderly Abuse in Turkey

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
I. Icelli
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
High Speed ◽  
The Elderly ◽  
Rural Settlements ◽  
The Poor ◽  
Elderly Abuse ◽  
At Home

In Turkey, in the families who moved from rural settlements into city, the young peoples go to work and the grand parents take care of the little children at home. When the grand parents become old, there will be no one who can take care of them. This situation shows two solutions: to move back to their native environment or to be settled in a nursing home. If they have no where to go, these nursing homes are their only chance.The private nursing and caring homes, from the point of quality, are not in the same equality. The low-quality institutions are more familiar to the abuse. The residents of these institutions expect kindness, affection and warmth, but they never receive these expectations.A new kind of elderly abuse in Turkey is the Automatic Transfer Machines thefts. On the paydays the thief comes next to the machine, offers help to the elderly who came to take his retirement salary from the machine; the thief takes the ATM card, put in the hole, ask the password, enter it and take the money and run with a high speed. The poor old person looks after.There are no criminal codes yet which cover the elderly abuse in Turkey. Those kinds of incidents are taken as ordinary police incidents. The administration is now in preparation of a new program and a new regulation.

scholarly journals Improving the Elderly’s Mental Health by Using Public Open Spaces in Disadvantaged Urban Neighborhoods: Tehran, Iran

2021 ◽  
Author(s):  
Azadeh Lak ◽  
Parichehr Rashidghalam
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Social Interactions ◽  
The Elderly ◽  
Urban Neighborhoods ◽  
Mental Health Status ◽  
Open Spaces ◽  
Disadvantaged Neighborhoods ◽  
The Relationship ◽  
Public Open Spaces

Abstract Background: Today, the beneficial impact of public open spaces(POS) on the mental and physical health of the elderly is considered worldwide. However, the knowledge about these effects on the mental health of older adults in disadvantaged urban neighborhoods, especially in developing countries, is still insufficient.Methods: This study investigates the relationship between POS use and the mental health status of elderly residents in the disadvantaged neighborhoods of Tehran, the capital of Iran. The data on the frequency of use of public open spaces and the health status include ten items collected from 420 older adults of disadvantaged neighborhoods in District 10 of Tehran. We used exploratory factor analysis to explore the main factors of the elderly mental health in the disadvantaged neighborhood. Finally, the multivariate multiple regression model was used to determine the relationship between the frequency of POS use and mental health status among older seniors.Results: These ten items identified two fundamental characteristics of mental health status, including “feeling worthless” and “social interaction,” using exploratory factor analysis. “Feeling of worthlessness” was negatively significantly associated with the level of gender, marital, occupation, and education, as well as frequently attending in POS. “Social interaction” was influenced by gender, occupation, and marital status, as well as frequent use of POS. The results showed that the frequency of public open space use has a negative correlation with the feeling of worthlessness and a positive correlation with the older residents’ social interactions and contacts.Conclusion: According to the findings, increasing the more senior residents’ access to public open spaces through planning can improve their mental health as well as their social interactions, especially in disadvantaged neighborhoods.

scholarly journals Mental health and related influencing factors among rural elderly in 14 poverty state counties of Chongqing, Southwest China: a cross-sectional study

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yin Yang ◽  
Hui Deng ◽  
Qingqing Yang ◽  
Xianbin Ding ◽  
Deqiang Mao ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Health Status ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Rural Elderly ◽  
Mental Health Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Rated Health

Abstract Background China has the largest elderly population in the world; little attention has been paid to the mental health of elderly in areas of extreme poverty. This is the first study to investigate the mental health of the rural elderly in poverty state counties in Chongqing and was part of the Chongqing 2018 health literacy promotion project. Methods In 2019, a cross-sectional study was conducted to investigate the mental health status of the rural elderly in fourteen poverty state counties of Chongqing, in which a total of 1400 elderly aged ≥ 65 years were interviewed, where mental health status was measured by the ten-item Kessler10 (K10) scale. Ordered multivariate logistic regression was performed to evaluate the influencing factors related to mental health of the elderly in these areas. Results The average score of K10 in 14 poverty state counties was 17.40 ± 6.31, 47.6% was labeled as good, 30.2% was moderate, 17.0% was poor, and lastly 5.1% was bad, and the mental health status of the elderly in the northeastern wing of Chongqing was better than the one in the southeastern wing of Chongqing. A worse self-rated health was the risk factor for mental health both in the northeastern and southeastern wings of Chongqing (all P < 0.001). Lower education level (OR (95% CI) = 1.45 (1.12–1.87), P = 0.004) was a risk factor in the northeastern wing, whereas older age (OR (95% CI) = 1.33 (1.13–1.56), P = 0.001) was a risk factors in the southeastern wing. Conclusions The results showed that mental health of the elderly in poverty state counties was poor, especially in the southeastern wing of Chongqing. Particular attention needs to be paid to the males who were less educated, older, and single; female with lower annual per capital income; and especially the elderly with poor self-rated health.

scholarly journals Mental Health Status of the Elderly Chinese Population During COVID-19: An Online Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhou ◽  
Hao Chen ◽  
Lin Zhu ◽  
Ying Chen ◽  
Boyan Chen ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Chinese Population ◽  
The Elderly ◽  
Mental Health Status ◽  
Psychological Status ◽  
Risk Level ◽  
Elderly Chinese

Background: COVID-19 not only threatened the public's physical health but also brought unbearable psychological pressure, especially for those vulnerable groups like the elderly. However, studies on the psychological status of older adults during this public health emergency remained scant. This study aims to investigate the mental health status among the elderly Chinese population during COVID-19 pandemic and determine the influencing factors of psychological symptoms.Methods: From February 19 to March 19, 2020, an online survey was administered to Chinese older adults using a convenience sampling method. Information on demographic data, health status and other epidemic related factors were collected. Specifically, the study defined the psychological status as five primary disorder–depression, neurasthenia, fear, anxiety, and hypochondria–which were assessed by the Psychological Questionnaire for Emergent Event of Public Health (PQEEPH). Standard descriptive statistics and multiple logistic regression analyses were conducted to analyze the data.Results: Of 1,501 participants recruited from 31 provinces in China, 1,278 were valid for further analysis. Participants' scores on each sub-scale were described in median and interquartile [M(Q)]: depression [0.00 (0.33)], neurasthenia [0.00 (0.40)], fear [1.00 (0.83)], anxiety [0.00 (0.17)], hypochondria [0.00 (0.50)]. Chronic diseases (depression p = 0.001; neurasthenia p &lt; 0.001; fear p = 0.023; anxiety p &lt; 0.001; hypochondria p = 0.001) and the BMI index (depression p = 0.015; neurasthenia p = 0.046; fear p = 0.016; anxiety p = 0.015; hypochondria p = 0.013) had significant impacts on all of the five sub-scales. Specifically, the rural dwellers had a higher level of neurasthenia, fear, and hypochondria. Besides, education level (p = 0.035) and outbreak risk level (p = 0.004) had significant impacts on the depression. Higher household monthly income per capita (p = 0.031), and the community-level entry/exit control (p = 0.011) are factors against anxiety.Conclusions: Most elderly residents reported mild negative emotions during COVID-19 and more attention should be paid to the recognition and alleviation of fear. Our findings also identified factors associated with the mental health status of the elderly, which is of practical significance in the design and implementation of psychological interventions for this vulnerable population during COVID-19 and future emerging diseases.

Mental Health Status and Influencing Factors of the Elderly in Ya’an Area After 5 years’ Lushan Earthquake

2021 ◽  
pp. 105413732110340
Author(s):  
Ru Gao ◽  
Liuxiu Xu ◽  
Rong Yu ◽  
Jing-Zhen Bai ◽  
Zaijing Zheng ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Chronic Diseases ◽  
Influencing Factors ◽  
Low Income ◽  
Protective Factor ◽  
The Elderly ◽  
Mental Health Status ◽  
Lushan Earthquake ◽  
Disaster Area

Objective: To understand the mental health status and its influencing factors of the elderly in the disaster area 5 years after the Lushan earthquake. Methods: A total of 2,579 cases of Ya’an residents aged 60 years or above were selected by using cluster sampling method. From January to May 2019, self-compiled questionnaire for basic information of affected residents and 12 General Health Questionnaire were used to assess the mental health status of the elderly. Results: 2,561 (99.3%) valid samples were collected. The positive rate of mental health was 220 (8.6%) cases. The binary logistic regression analysis showed that in the city, no chronic diseases, no body pain, and self-rated health status good in last one month was the protective factor for mental health of the elderly. Age group 60 years and above was the risk factor. Conclusions: Five years after the Lushan earthquake, there is a certain degree of mental health problems in the elderly in the disaster area, and corresponding intervention measures should be formulated. In particular, the researchers should pay more attention to the mental health of the rural elderly who were with low income, young age, and chronic diseases (or pain).

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