Elderly Depression in India: An Emerging Public Health Challenge

Pilania, Manju; Bairwa, Mohan; Kumar, Neelam; Khanna, Pardeep; Khurana, Hitesh

doi:10.21767/amj.2013.1583

Cited by 15 publications

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“…Among older people, depression is also the most common disorder . Older people are vulnerable, as they often have multiple coexisting medical and psychological problems . In addition, depression is a common response to negative life events, such as being widowed or divorced, being retired, and loss of social role and network among older people .…”

Section: Introductionmentioning

confidence: 99%

Depression among older people in Sri Lanka: With special reference to ethnicity

Khaltar

Priyadarshani

Delpitiya

et al. 2017

Geriatrics Gerontology Int

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Section: Introductionmentioning

confidence: 99%

Depression among older people in Sri Lanka: With special reference to ethnicity

Khaltar

Priyadarshani

Delpitiya

et al. 2017

Geriatrics Gerontology Int

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“…Pilania et al from India in 2013 reported overall prevalence of geriatric depression as 22%. 10 Rising prevalence of chronic non-communicable diseases, societal modernization and marginalization of elderly population may impose detrimental impact on the psychological health of the elderly leading to higher incidence of depression among them.…”

Section: Discussionmentioning

confidence: 99%

A prospective cohort study to evaluate the correlates of polypharmacy and its association with depression among elderly patients

Srivatsa

Bose

Sushma

et al. 2016

Int J Basic Clin Pharmacol

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INTRODUCTIONDrugs therapy in elderly is challenging, because of pharmacokinetic changes of ageing which often results in drug-drug interactions leading to disproportionately high rate of ADRs. ADRs are responsible for 3%-13% of all the admissions and complicate 5%-20% of hospital stay in patients aged more than 65 years.1 Age-related polypathology often demands multiple medications giving rise to polypharmacy among elderly. Polypharmacy increases the risk of drug-related events such as falls, confusion and functional decline in elderly. Polypharmacy, in-turn increases the risks of negative health outcomes like drug interactions, ADRs, hospital admission leading to economic burden. Previous studies have reported depression, cumulative co-morbidity; inappropriate prescribing practice and selected chronic conditions like diabetes mellitus and congestive heart failure as the Positive correlates of polypharmacy.2 The other factors negatively influence polypharmacy were identified to be smoking, alcohol consumption, cognitive ability, physical status and ADRs before admission. 3Identifying the predictors of polypharmacy in elderly will help to frame interventional strategies to rationalize the prescribing practices.Psychological well-being is considered as one of the important index of successful aging. Elderly population often succumbs to depression because of multiple medical ailments or individual's self-perceived health. 4 The association of depression and polypharmacy appears to be bidirectional. Depression was found to be a main ABSTRACT Background: Polypharmacy is a reliable indicator of irrational prescribing particularly among elderly. Polypharmacy increases the risk of adverse drug reactions (ADRs) exponentially imposing higher economic burden. Addressing and evaluating the prescribing practices in elderly will rationalize the drug utilization leading to improvement in quality of health care. The present study was taken to evaluate the determinants of polypharmacy and its association with depression, defined as a 15 item geriatric depression scale (GDS) >6, in elderly patients. Methods: This prospective cohort study was conducted at department of medicine, Victoria hospital, Bengaluru 100 patients aged 60 and above years was enrolled. Relevant data regarding patients' demographic details, smoking and alcohol consumption, medical diagnosis and drug details were collected. Geriatric Depression Scale was used to diagnose depression. Results: Out of 100 patients screened, 36% were males and 64% were females. Polypharmacy was noted in 73% of the elderly, of which 43% had cumulative co morbidity (≥4 diagnoses). 68% were found to have a GDS score of ≥6, which corresponded to Depression. Patients with depression (GDS score ≥6) had 1.54 (OR-1.54, 95% CI-0.59-4.01) times more risk of encountering polypharmacy (≥4 drugs). Cumulative co-morbidity (OR-1.52, 95% CI-1.08-2.11, p <0.05) was identified as an independent correlate of polypharmacy. Conclusions: Increasing age, males, Cumulative comorbidity of ≥4 diagnoses and ...

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“…Depression among elderly is a significant public health problem. It leads to harmful consequences especially in developing low income countries (Pilania et al, 2017).Depression is considered an important reason of decreasing quality of life and the second main cause of disability (Taheri Tanjanai et al, 2017). It accelerates functional impairment and interferes with rehabilitation therapies (Nicholson, 2011).…”

Section: Introductionmentioning

confidence: 99%

Relation Between Depression and Nutritional Status Among Elderly and Implementation of Geriatric Promotive Services in Primary Health Care

Samy

2020

Egyptian Journal of Nutrition and Health

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There is accelerating growth in elderly population worldwide. Depression and malnutrition are main problems among elderly. They are strongly related.The study aimed firstly, to determine prevalence of depression among elderly. Secondly, find out the relation between depression and malnutrition. Thirdly introduce geriatric promotive, preventative and curative unit in the family health center (FHC).In this experimental study conducted in a FHC included 356 elderly considering the inclusion and exclusion criteria. The data was collected using geriatric depression scale 15 (GDS-15 ) questionnaire , mini nutritional assessment (MNA) and anthropometric measurement took place .Then introduction of geriatric services unit in the FHC .It was shown that 59% had moderate depression, 62% were malnourished and 75.8% had VIT D deficiency.Nutritional status significantly associated with depression (P<0.01).The GDS-15 score significantly correlated with both MNA-15 and VIT D (p<0.01) Elderly individuals suffer from depressive symptoms and malnutrition with high prevalence. Depression is correlated with malnutrition and VIT D status. There is a need for enhancement of geriatric health services.

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Elderly Depression in India: An Emerging Public Health Challenge

Cited by 15 publications

References 0 publications

Depression among older people in Sri Lanka: With special reference to ethnicity

Depression among older people in Sri Lanka: With special reference to ethnicity

A prospective cohort study to evaluate the correlates of polypharmacy and its association with depression among elderly patients

Relation Between Depression and Nutritional Status Among Elderly and Implementation of Geriatric Promotive Services in Primary Health Care

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