Factors Associated with the Level of Depression among Elderly Women Residing in Old Age home of Devghat, Tanahu

Gauli, Sirisa

doi:10.3126/njs.v1i0.18815

Cited by 2 publications

(2 citation statements)

References 6 publications

(7 reference statements)

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“…Several studies have reported associations between mental health symptoms and adverse life events (Chawla, Gour, Goel, & Rohilla, 2018; Welzel et al, 2019), functional ability (Corna et al, 2007; Gauli & Shrestha, 2017), social participation (Amagasa et al, 2017; Gautam et al, 2007), social support (Jongenelis et al, 2004; Vink et al, 2009), and smoking habit (Strine et al, 2008) consistent with those found in this study. A novel finding of this study is the protective effect of the old age allowance for mental health symptoms.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study

Thapa

Visentin

Kornhaber

et al. 2020

Nursing & Health Sciences

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Despite population aging and the increase in mental health problems, studies on the mental health of older people in developing countries are lacking. This population-based crosssectional study estimated the prevalence and associated factors for depression, anxiety and stress symptoms among older adults in Nepal. Community-dwelling older adults (N = 794) were interviewed using a questionnaire which consisted of the 21-item Depression Anxiety Stress Scales; and a wide range of sociodemographic, health-related, and lifestyle characteristics; functional ability, social support, participation in social activities, and adverse life events. The prevalence of symptoms was 15.4% for depression, 18.1% for anxiety, and 12.1% for stress. Risk factors for symptoms included female gender, working in agriculture, lower household wealth, perceived poor health, smoking, chronic conditions, migration of adult children, and exposure to adverse life events. Receiving an allowance, physical exercise, functional ability, social support, and participation in social activities were found to have protective effects. The findings indicate the need for community-based interventions, including appropriate diagnosis and treatment of mental health conditions, and mental health promotion programs targeting the risk and protective factors.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study

Thapa

Visentin

Kornhaber

et al. 2020

Nursing & Health Sciences

View full text Add to dashboard Cite

show abstract

“…The WHO Study on Global AGEing and Adult Health (SAGE) identi ed depression in LMICs to be 4.7% [9]. However, in Nepal, from 17.3-89.1% of elders in elder care homes [10,11], 25.5%-60.6% of elders living in the community [12][13][14][15][16][17][18][19], and 53.2-57.1% of elders in hospitals [20][21][22][23] suffer from depression [24]. Manandhar et al found an adjusted prevalence of depression among elders of 53.1% in the Kavre District, a largely rural area and the site of our study [19].…”

Section: Introductionmentioning

confidence: 99%

Geriatric Depression in the Emergency Department of a Teaching Hospital in Nepal: Prevalence, Contributing Factors, and Metric Properties of 5 item Geriatric Depression Scale in this Population

Shrestha

et al. 2020

Preprint

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Abstract Background Depression is prevalent but poorly recognized in the Emergency Department (ED). We aimed to determine the prevalence of geriatric depression and its possible determinants in the ED using the 15-item geriatric depression scale (GDS). We also aimed to explore the performance of the shorter, five-item GDS as compared to the 15-item GDS. Methods This was a cross-sectional study with convenience sampling of the ED patients ≥ 60 years. The previously validated Nepali version of GDS-15 screened the sample into “no”, “mild-moderate” and “severe" depression using cutoff values of 4/5, and 8/9 respectively. Demographic and socioeconomic factors, comorbidities and health seeking behaviour were studied and the relation was assessed with binary (Chi-square and Kruskal-Wallis test) and multinomial regression analysis. The performance of GDS-5 was compared with the GDS-15 as standard. Cronbach’s alpha was calculated to investigate reliability. Validity was assessed by calculating sensitivity, specificity, positive predictive value, negative predictive value, Spearman’s correlation, receiver operating characteristic curve, and kappa coefficient. Results 280 patients were enrolled with an overall prevalence of depression of 45.7% [104 (81.3%) mild-moderate depression, and 24 (18.8%) severe depression]. The mean age of the sample was 71.36 with female predominance (61%), and 82.5% were illiterate. In the binary analysis, those who had more pain, visited the ED more often, had musculoskeletal diseases and sleep problems, mobility problems, visited local healers previously, and who reported self-perceived “heart and mind” disease showed statistically significant differences among the three categories. In multinomial regression analysis, visits to local healers, sleep problems and frequency of pain were significantly related to depression. The sensitivity, specificity, area under curve and Spearman’s correlation of GDS-5 were 75.8%, 96%, 0.919, and 0.827 respectively. Cronbach's alpha for GDS-5 was low (0.416), therefore a new version was proposed which improved the sensitivity to 90.6% and Cronbach’s alpha to 0.623. Conclusions Geriatric depression was highly prevalent which urges the need for ED-based interventions for screening and referral. The proposed brief GDS-5 correlated well with the GDS-15 with better validity and internal reliability and offers a more expeditious form of screening for geriatric depression in emergency settings in Nepal.

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Factors Associated with the Level of Depression among Elderly Women Residing in Old Age home of Devghat, Tanahu

Abstract: Background: There has been considerable increase in elderly population all over the world and this

Cited by 2 publications

References 6 publications

Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study

Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study

Geriatric Depression in the Emergency Department of a Teaching Hospital in Nepal: Prevalence, Contributing Factors, and Metric Properties of 5 item Geriatric Depression Scale in this Population

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