Mental Illness and Disability among Elders in Developing Countries

Subedi, Sree; Tausig, Mark; Subedi, Janardan; Broughton, C. L.; Williams‐Blangero, Sarah

doi:10.1177/0898264303260446

Cited by 18 publications

(11 citation statements)

References 14 publications

(17 reference statements)

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“…Psychiatric epidemiology in Nepal has been extremely limited; one other study found a prevalence rate of 18.4% of any mental disorder in a rural community (Subedi et al 2004; Tausig et al 2004). This was a Janajati (not caste-Hindu) group on a motorable road in a tourist region with a greater human development index than Jumla.…”

Section: Discussionmentioning

confidence: 99%

Culture in psychiatric epidemiology: Using ethnography and multiple mediator models to assess the relationship of caste with depression and anxiety in Nepal

Kohrt

Speckman

Kunz

et al. 2009

Annals of Human Biology

107

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Background The causes of ethnic and caste-based disparities in mental health are poorly understood. Aim To identify mediators underlying caste-based disparities in mental health in Nepal. Subjects and methods A mixed methods ethnographic and epidemiological study of 307 adults (Dalit/Nepali, n=75; high caste Brahman and Chhetri, n=232) assessed with Nepali versions of Beck Depression (BDI) and Anxiety (BAI) Inventories. Results One third (33.7%) of participants were classified as depressed: Dalit/Nepali 50.0%, high caste 28.4%. One quarter (27.7%) of participants were classified as anxious: Dalit/Nepali 50.7%, high caste 20.3%. Ethnographic research identified four potential mediators: stressful life events, owning few livestock, no household income, and lack of social support. The direct effect of caste was 1.08 (95% CI -1.10—3.27) on depression score and 4.76 (95% CI 2.33—7.19) on anxiety score. All four variables had significant indirect (mediation) effects on anxiety, and all but social support had significant indirect effects on depression. Conclusion Caste-based disparities in mental health in rural Nepal are statistically mediated by poverty, lack of social support, and stressful life events. Interventions should target these areas to alleviate the excess mental health burden born by Dalit/Nepali women and men.

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Section: Discussionmentioning

confidence: 99%

Culture in psychiatric epidemiology: Using ethnography and multiple mediator models to assess the relationship of caste with depression and anxiety in Nepal

Kohrt

Speckman

Kunz

et al. 2009

Annals of Human Biology

107

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“…Some of these studies are Epidemiological field surveys [2][3][4][5] , hospital based outpatient studies [6][7][8][9] as well as inpatient studies [10][11][12] . In the present decade there is resurgence of geropsychiatric study reports from Nepal [13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Pattern of Neuropsychiatric Illnesses in Geriatric Population: An Outpatient Study Report

Aich

Shah²,

Subedi³

2017

J Psychiatr Assoc Nepal

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“…It is within this context that NSSW is working. Research with activists working in the field of ageing in Nepal stress there is an acute need for trained social workers who can work with elders in general and more specifically with abused elders and those with disabilities and mental health issues (Subedi, Tausig, Subedi, Broughton, & Willaims-Blangero, 2004). Also in order to make professional social work services available to the 30 million people of Nepal there is a growing need for institutions that can offer social work education and training programmes throughout Nepal (Nikku, 2009(Nikku, , 2010(Nikku, , 2011.…”

Section: Social Work In Nepal and In The Field Of Active Ageingmentioning

confidence: 98%

Social policy, social work and age care in Nepal: mapping services and missing links

Parker

Nikku

Khatri

2014

European Journal of Social Work

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The emergence of an ageing population is a relatively new phenomenon in Nepal and has only just become an area of interest for researchers, health and social care practitioners and policy-makers. Life expectancy in Nepal has risen by more than 20 years in the past three decades and is currently 68 years of age. Until recently, Nepal was one of the few nations where men, on average, outlived women. As Nepal moves through the health transition this is no longer the case with recent statistics suggesting that an average life expectancy for females is now 69 years, two years greater than males. The ageing process in Nepal provides both challenges and opportunities for professionals, organisations and researchers. This paper provides an overview of the main issues related to an ageing population in Nepal and draws on research conducted under a British Academy Small Grant (BASG) project which ran from April 2011 until April 2012 in collaboration with the Nepal School of Social Work (NSSW), Kathmandu. Central issues emerging from the research suggest the need for more effective policies, better quality of care provision and perhaps more critically the role of advocacy in age-related concerns. Social work will have a key role to play in both advocating for the rights of the older population and ensuring that their needs are met.

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Mental Illness and Disability among Elders in Developing Countries

Abstract: Documenting the extent of psychiatric disorder among elders in developing societies sensitizes health planners to the growing reality of aging in their societies and the need for expanded physical and psychiatric health care services.

Cited by 18 publications

References 14 publications

Culture in psychiatric epidemiology: Using ethnography and multiple mediator models to assess the relationship of caste with depression and anxiety in Nepal

Culture in psychiatric epidemiology: Using ethnography and multiple mediator models to assess the relationship of caste with depression and anxiety in Nepal

Pattern of Neuropsychiatric Illnesses in Geriatric Population: An Outpatient Study Report

Social policy, social work and age care in Nepal: mapping services and missing links

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