|Year : 2018 | Volume
| Issue : 2 | Page : 42-45
Prevalence of depression among geriatric population
Sindhu Gopal1, Meena Chacko2, Punita A Sharma1, D Mitra2
1 Faculty, College of Nursing, AFMC, Pune, India
2 Faculty, College of Nursing, CH(EC), Kolkata, India
|Date of Web Publication||9-Jul-2019|
Source of Support: None, Conflict of Interest: None
Background:Life expectancy has increased in India, elderly population is currently the second largest in the world and 20% of illness in the elderly is due to mental or a neurological illness and the most common being dementia and depression. Aim of the study was to assess the prevalence of depression among geriatric population attending OPD of selected tertiary hospitals. Methods: A cross sectional descriptive study was conducted on 120 geriatric population attending Out Patient Departments of selected tertiary care hospital selected by stratified simple random sampling method. Tools: The questionnaire included section I, socio demographic data and section II Geriatric Depression Scale Short Form(GDS-SF). Ethical clearance obtained from institutional research ethical committee. Permission was obtained from tertiary hospital and informed consent was taken. Results: Prevalence of depression was 24.2%. Conclusion: with the gradual greying of population expected in India over the coming time, maintaining a good quality of life for the senior citizens is the need of the hour.
Keywords: Cognitive Dysfunction, Depression, Geriatric population
|How to cite this article:|
Gopal S, Chacko M, Sharma PA, Mitra D. Prevalence of depression among geriatric population. Indian J Psy Nsg 2018;15:42-5
|How to cite this URL:|
Gopal S, Chacko M, Sharma PA, Mitra D. Prevalence of depression among geriatric population. Indian J Psy Nsg [serial online] 2018 [cited 2019 Aug 20];15:42-5. Available from: http://www.ijpn.in/text.asp?2018/15/2/42/262450
| Introduction|| |
Life expectancy has increased in India over the last 70 years. In 1951, life expectancy at birth was 36.7 years and as per the recent data of 2012, it is reported to be about 67 years. Resultantly, the proportion of the elderly population in India has risen from 5.6% in 1961 to 8.5% in 2011. According to 2016 report by the ministry for statistics and programme implementation, India has 103.9 million elderly people above age 60,about 8.5 percent population. The Indian aged population is currently the second largest in the world and is projected to rise from 70 million, according to the National Census of 2011, to almost 324 million by the year 2050, with serious social, economic and public health consequences. Elderly will form 19% of the total population.
Geriatric psychiatry is concerned with preventing, diagnosing and treating psychological disorders in older adults. Persons with a healthy mental adaptation to life are likely to live longer than those stressed with emotional problems. Studies have shown that 5% of people seeking help in a tertiary care or general hospital setting happen to be older than 60 years. A recent study using Geriatric Depression Scale reported a prevalence of 45.9%. Similar rates were reported from West Bengal and Uttar Pradesh . A study from a rural community near Vellore in Tamil Nadu9 reported a prevalence of 12.7% for depression.
| Materials And Methods|| |
This was a cross sectional descriptive study that was conducted in the OPDs of selected tertiary hospitals of Pune for a period of 6 weeks. Stratified simple random sampling was used.
- □ Age more than 60 yrs, attending OPD
- □ Willing to participate
- □ Person suffering from Acute Delirium , HIV infection, head injury, Post stroke, SOL/CNS infections
- □ major mental illness, oncological conditions and recent bereavement .
Sample Size : Sample size was 120 (calculated from the previous studies using the formula (n = 117))
- The Section- I data sheet consisted of demograpgic and selected variables such as age, gender, education, marital status, mobility, living arrangements, medic al illness, family income,individual income.
- Section- II is the Geriatric Depression scale which has 15 items and is a standardized scale.
Analysis of data: Fischer’s exact test is used for inferential statistics and SPSS 19 version is used for statistical analysis.
Permission was taken from the head of the institutions where the study was conducted. Ethical clearance from institutional committee was obtained. Written Consent from participants taken.
| Results|| |
|Table 1: Distribution of Socio demographic variables in frequency and percentage n=120|
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|Table 2: Distribution of prevalence of depression in frequency and percentage|
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| Discussion|| |
Description of the Socio demographic variables
In the present study 76.7% were males and 23.3% were females, in contrast with a study by Anita Bhaskar et al (2014)10.There were 43% males and 57% females among the subjects.Males accounted for 63.7% in a study by Bodhare et al(2013)11 which is similar to the present study.
In the present study the age group was divided into three class intervals. The majority of the subjects were in the age group 60-70 yrs (61.7%), and minimum were in the age group of >80 (8.3%). Mean age of the population was 65.75 ± 5.78 years, with male having mean age of 66 ± 5.9 years and female 65 ± 5.7 years,in a study by Inderjeet Gambhir (2014)12 which is similar to the present study. Majority had education up to secondary(66%). Postgraduates were 5%. A study by Anita Bhaskar 10 reported primary level of education >50%. Married were 82.5% and 11.7%widow/widower. Widowed (22.54%) were there in a study by Swapnil Yadav(2015)13. Most were 80.8% ambulatory and 18% were ambulatory with support.
23.9% had family income>Rs.20000 and 17.9% had no family income, 28.9% had no individual income whereas 27.2% had individual income >Rs.10000.
Assessing the prevalence of Depression among geriatric population
Out of 120 subjects 03(2.5%) had severe depression, 04 (3,3%) had moderate depression 22(18.3%) had mild depression, and 91(75.8%) had no depression,. The total prevalence of depression was 24%.In a study by Sankar etal(2011)14 41.2% were normal, 37.8% were having mild depression and 21% were severely depressed. Similar prevalence was reported by the study done by Barua A and Kar N(2002)15 as the prevalence of depression in elderly population was determined to be 21.7% (95% CI = 18.4 - 24.9).
Prevalence of depression was found to be 36% in urban poor locality of Bengaluru as per a study by Sanjay TV et al(2012)16, which is higher than the present study.
The overall prevalence of depression in elderly Chinese people was found to be 24.3% (95% CI: 20.8%–28.3%)(Giri M,Chen T 2016)17.
Association of depression with the Socio demographic variables
In the study done by by Naveen Kumar D, Sudhakar TP (2013)18 prevalence of depression was 44.8% (51.0% women, 39.6% men); with relation to age, gender, literacy and economic status, there were significant differences observed.
In terms of socio-demographic variables, female gender, widowed state, unemployed condition, low social class, nuclear family, living alone, physical illness and sensory deficits were significantly associated with depression in old age as per the study by Ramachandran(1982)19.Other studies by Seby K et al, Javed S et al and Kamble SV et al20 showed high level of depression among females as compared to males and this difference was statistically significant in their studies showing sex as a risk factor associated with depression.
In the present study 18% married, 40% unmarried, 57% widows and 50% divorcees had depression. (p value - 0.003(<0.05)). Hance there is significant association exists between depression and marital status. It is found that marital status, increasing age, and cognitive impairment were associated with high risk of late-life depression.(Giri M.2016).17 Similar findings have been reported among the geriatric population in Pakistan..(Taqui AM 2007).21. On the contrary, a study by Prasanth AK et al (2015)22 the major factors influencing depression based on probability were financial fear and income insufficiency. The prevalence was 58.5%.Similarly, Socio-demographic correlates like age, living arrangement, working status, chronic illness were significantly associated with depression(P<0.05) among elderly in the study by Swapnil Yadav(2013).13 Almost 34% respondents were suffering from depression who were living alone as compared to 11.52% found among those who were living with their family.
In the present study the 50% of study subjects were staying alone, 20% with family and 80% stay by other means had depression. (p value - 0.006(<0.05)).So there is significant association exists between depression and living arrangement. In the present study 24% had depression along with hypertension, 29% had mild depression with heart disease,20%had depression along with diabetes,18%had mild-moderate depression in renal illness,33% had depression with orthopaedic problems,67% had mild depression with gynaecological problems. p value - >0.05 .There is no significant association between depression and medical illness.
A study by Swapnil Yadav(2013)13 shows out of total 141 (52.22%) respondents who were suffering from different types of chronic morbidities like diabetes, hypertension, visual impairment, loco motor disabilities etc, 21.28% respondents showed presence of depression.
| Conclusion|| |
All health care professionals who deal with older people should be able to administer a short depression screening test suitable for their workplace, and be aware of its limitations. They should also be aware of the longer tests available and their potential for a more in depth assessment.The present study found a significant proportion of the elderly population having depressive symptoms. Several important risk factors were found to be associated with depression. Identification of these risk factors among the elderly population and their use to identify the individuals at higher risk for them can help the health care providers to plan for better care of the geriatric population and reduce the severity of the occurrence of these diseases among them. Knowing the prevalence rate of depression in elderly, together with the associated factors may inform policy makers and aid in designing better geriatric friendly health services.
| References|| |
Kandpal SD, Kakkar R, Aggarwal P. Mental and social dimensions in geriatric population: Need of the hour. Indian J Community Health 2012;24:71-2.
Tiwari S. C. Psychiatric morbidity in rural Northern India: Implications for future. Int Psychogeriatrics 2000;12:35-48.
Jain RK, Aras R. Depression in geriatric population in urban slums of Mumbai. Indian J Public Health. 2007;51:112-3. [PubMed: 18240472]
Nandi PS, Banerjee G, Mukherjee SP, Nandi S, Nandi DN. A study of psychiatric morbidity of the elderly population of a rural community in west Bengal. Indian J Psychiatry. 1997;39:122-9. [PMCID: PMC2967096] [PubMed: 21584058]
Tiwari SC, Srivastava S. Geropsychiatric Morbidity in rural Uttar Pradesh. Indian J Psychiatry. 1998;40:266-273.
Rajkumar AP, Thangadurai P, Senthilkumar P, Gayathri K, Prince M, Jacob KS. Nature, prevalence and factors associated with depression among the elderly in a rural south Indian community. Int Psychogeriatr. 2009;21:372-8. [PMCID: PMC3100909] [PubMed: 19243657]
Anitha Bhaskar, Manjula V. D, Jose Joseph. Study on Morbidities and Functional Disabilities of Elderly in Rural Area of Kottayam. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 37, August 21; Page: 9601 -9609, DOI: 10.14260/jemds/2014/3243
Bodhare TN, Kaushal V, Venkatesh K, Anil Kumar M. Prevalence and risk factors of depression among elderly population in a rural area. Perspectives in medical research 2013; 1: 11-15.
Indarjeet Singh Gambhir et al.A clinico-epidemiological study of cognitive function status of community-dwelling elderly .Indian J Psychiatry. 2014 Oct-Dec; 56(4): 365-370.
Swapnil P Yadav et al.Assessment of socio demographic correlates of depression among the elderly in an urban area in Maharashtra.Journal of Evolution of Medical and Dental Sciences.2013;Vol 2,Issue 51,December 23;Page:9895-9900.
Shankar Radhakrishnan, Abdul Nayeem.Prevalence of depression among geriatric population ina rural area in Tamilnadu.International Journal of Nutrition, Pharmacology, Neurological Diseases | July-September 2013 | Vol 3| Issue 3
Barua A, Kar N.Screening for depression in elderly Indian population.Indian J Psychiatry. 2010 Apr;52(2):150-3. doi: 10.4103/0019-5545.64595
TV Sanjay, R Jahnavi.Prevalence and factors influencing depression among elderly living in the urban poor locality of Bengaluru city.International Journal of Health & Allied Sciences · Vol. 3 · Issue 2 · Apr-Jun 2014
Giri M, Chen T, Yu W, Lü Y .Prevalence and correlates of cognitive impairment and depression among elderly people in the world’s fastest growing city, Chongqing, People’s Republic of China. Clinical Interventions in Aging.12 August 2016 Volume 2016:11 Pages 1091—1098 .DOI.https://doi.org/10.2147/CIA.S113668
Naveen Kumar D,Sudhakar TP.Prevalence of cognitive impairment and depression among elderly patients attending the medicine outpatient of a tertiary care hospital in South India. Int J Res Med Sci. 2013 Nov;1(4):359-364 . . pISSN 2320-6071 | eISSN 2320-6012
Ramachandran V, Sarada Menon M, Arunagiri S. Socio-cultural factors in late onset depression. Indian J Psychiatry. 1982;24:268- 273.
Kamble SV, Dhumale GB, Goyal RC, Phalke DB, Ghodke YD. Depression among elderly persons in a primary health centre area in Ahmednagar, Maharashtra. Indian J Public Health. 2009;53(4):253-255.
Taqui AM, Itrat A, Qidwai W, Qadri Z. Depression in the elderly: does family system play a role? A cross-sectional study.BMC Psychiatry. 2007;7:57.
Prashanth A K et al. Prevalence of depression and factors influencing it among geriatric population attending the outpatient department of a tertiary care hospital. Advanced medical sciences: an international journal (ams), vol 2, no.2/3, august 2015
[Table 1], [Table 2]