Aging and well-being in Goa, India: a qualitative study

Cohen, Alex; Dias, Amit; Azariah, Fredric; Krishna, Revathi N.; Sequeira, Miriam; Abraham, Sherin Billy; Cuijpers, Pim; Morse, Jennifer Q.; Reynolds, Charles F.; Patel, Vikram

doi:10.1080/13607863.2016.1236239

Cited by 16 publications

(10 citation statements)

References 29 publications

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“…Finally, guided by formative work, the LCs provided case management to facilitate access to medical clinics and programs dealing with social challenges that face older adults in Goa. 5,11,14 Provision, Content, Frequency, Duration, and Quality Control of the DIL Intervention The 4 LCs (2 women and 2 men) for the DIL intervention were members of the local community, older than 30 years, and graduates of any non-health-related field (including counseling). The LCs were trained in workshops conducted by 2 of us (M.S.…”

Section: Key Pointsmentioning

confidence: 99%

“…The DIL intervention's design was based on input from key stakeholders gathered during a year of formative research and from an open-case series of 21 participants addressing the feasibility, acceptability, and symptom-lowering effects of the DIL intervention. 5 The goals of PST-PC are to inculcate a positive problem orientation and to teach active problem-solving skills in place of avoidant coping. 12,13 The PST-PC treats or prevents depression in older adults with a variety of medical and neurologic problems.…”

Section: Dil Interventionmentioning

confidence: 99%

Section: Key Pointsmentioning

confidence: 99%

“…The social changes facing older adults, such as India's elderly population, further underscore the importance of concern about mental health. 5 Finally, prevention of depression in older adults may lower the risk of Alzheimer disease and vascular dementia. 6,7 The Evaluating the Benefits and Affordability of a Program to Improve the Care of Common Mental Disorders in Primary Care (MANAS) trial 8 and the Dementia Home Care project in India 9 demonstrated the effectiveness of using lay counselors (LCs) to address common mental disorders and dementia, respectively, in primary care and community settings.…”

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confidence: 99%

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Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries

et al. 2019

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Preventing depression in older adults living in low-and middle-income countries is important because of the scarcity of treatment resources and the risk of disability, suicide, and dementia. OBJECTIVE To assess whether an intervention for depression prevention provided by lay counselors is effective in older adults from low-and middle-income countries. DESIGN, SETTING, AND PARTICIPANTS This parallel-group randomized clinical trial with masked outcome assessment was performed in 181 older adults (Ն60 years) with subsyndromal depressive symptoms at rural and urban primary care clinics in Goa, India. The first participant entered the trial on March 31, 2015, and the last exited on June 2, 2017. Data analysis used the intention-to-treat approach. INTERVENTIONS Lay counselors provided problem-solving therapy, brief behavioral treatment for insomnia, education in self-care of common medical disorders such as diabetes, and assistance in accessing medical and social programs. MAIN OUTCOMES AND MEASURES The main outcome was incidence of major depressive episodes. The study also assessed symptom change during 12 months (12-item General Health Questionnaire [GHQ-12]; score range of 0 to 12, with higher scores indicating greater symptoms of depression and anxiety), functional status (World Health Organization Disability Assessment Schedule 2.0; score range of 12 to 60, with higher scores indicating greater disability), cognition (Hindi Mini-Mental State Examination; score range of 0 to 30, with higher scores indicating better cognitive functioning), blood pressure, and body mass index to provide further clinical context. RESULTS The study enrolled 181 participants (mean [SD] age, 69.6 [7.2] years; 114 [63.0%] female): 91 to the intervention arm (depression in later life [DIL] intervention) and 90 to care as usual (CAU). IncidentepisodesofmajordepressionwerelowerintheDILinterventionthanintheCAUgroup(4.40% vs 14.44%; log-rank P = .04; number needed to treat, 9.95; 95% CI, 5.12-182.43). The 12-month Kaplan-Meier estimates of percentage of depression-free participants were 95.1% (95% CI, 90.5%-99.9%) in the DIL group vs 87.4% (95% CI, 80.4%-95.1%) in the CAU group. The incidence of depressivesymptoms(GHQ-12)wasalsoless(12-monthmeandifference,−1.18;95%CI,−2.03to−0.31; group × time interaction P < .001). There were no changes in measures of disability or cognition. The DIL intervention was associated with a significantly greater lowering of systolic blood pressure (12-month mean difference, −6.98; 95% CI, −11.96 to −2.01; group × time interaction P < .001) and change in body mass index (12-month mean difference, 0.23; 95% CI, −0.97 to 1.43; P = .04). CONCLUSIONS AND RELEVANCE The DIL intervention is effective for preventing episodes of major depression in older persons with subsyndromal symptoms. If replicated, the DIL intervention may be effective in older adults living in low-and middle-income countries.

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Section: Key Pointsmentioning

confidence: 99%

Section: Dil Interventionmentioning

confidence: 99%

Section: Key Pointsmentioning

confidence: 99%

mentioning

confidence: 99%

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Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries

et al. 2019

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“…Physical problems in limbs and difficulties in walking can contribute to the depression. There is evidence that depression is frequent in the elderly population ( 24 – 26 ). In our findings, median age of the subjects were 42.50 years and older patients with hemophilia were 80 years.…”

Section: Discussionmentioning

confidence: 99%

Impact of Depression on Patients With Hemophilia: A Retrospective Case-Control Research

Jiménez-Cebrián

Palomo‐López

Becerro-de-Bengoa-Vallejo

et al. 2022

Front. Psychiatry

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BackgroundHemophilia is an inherited recessive hemorrhagic disorder of the X-linked type, suffered by the male sex. Adults with hemophilia are coping with numerous diagnostics, associated comorbidities, pain, and difficult gait by arthropathy in ankles and feet. Physical pains contribute to depression in patients with hemophilia.PurposeThe study aimed to assess the impact of depression in adult patient with hemophilia and to compare it with healthy matched-paired controls. Methods: The sample consisted of 100 participants (median age 42.50 ± 30). Patients with hemophilia were recruited from Spanish Hemophiliac Associations (n = 50) and healthy subjects (n = 50) from a Clinic Podiatry Practices (University of Malaga, Spain).ResultsResults and categories of the Spanish-translated version of the Beck Depression Inventory (BDI) were gathered. A clear statistically significant difference (p < 0.001) was presented in the variation of the BDI scores between both groups. Patients with hemophilia presented worse results with a BDI = 7.50 ± 11.25 points compared to healthy subjects with BDI = 2.50 ± 5 points. In the BDI categories, statistically significant differences (p = 0.004) were found in greater BDI categories in the Hemophilia group compared with healthy subjects. Moderate and severe depression categories were only shown in patients with hemophilia.ConclusionsGreater depression scores and range status were observed in patients with hemophilia compared to non-patients with hemophilia. Patients with hemophilia are at increased risk of depressiveness.

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The Changing Nature of Home-Based Care for Older Adults in Goa’s Emigrant Households: Implications for Policy and Practice

Ugargol,

Bailey,

Hutter

et al. 2023

Handbook of Aging, Health and Public Policy

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Aging and well-being in Goa, India: a qualitative study

Abstract: Our findings are in general agreement with those of previous research, and with our experiences of working with older adults in Pittsburgh and the Netherlands. This research will inform the development of an intervention to prevent depression in older adults in Goa.

Cited by 16 publications

References 29 publications

Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries

Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries

Impact of Depression on Patients With Hemophilia: A Retrospective Case-Control Research

The Changing Nature of Home-Based Care for Older Adults in Goa’s Emigrant Households: Implications for Policy and Practice

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