Prevalence of Dementia among Elderly Patients attending Psychiatry OPD of Tertiary Care Hospital and its Association with Socio Demographic Variables

Nepal, Suraj; Sapkota, Nidesh

doi:10.3126/jpan.v6i1.21766

Cited by 3 publications

(2 citation statements)

References 9 publications

(9 reference statements)

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“…17 A study conducted in B. P. Koirala Institute of Health Sciences, OPD of Psychiatry also supported the finding of the present study. 18 These similarities in findings may be because both the countries Nepal and India do not consider education to be of prime importance in elderly groups and that can be the reason for not given much emphasis on it.…”

Section: Socio-demographic Profilementioning

confidence: 99%

Prevalence of Mild-Cognitive-Impairment and Depression among Elderly Clients in Selected Wards of Baraha Municipality: A Cross-Sectional Study

Pradhan

Adhikari

Lama

et al. 2020

Jnl. BP Koirala Inst. Health Sci.

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Introduction: Mild-Cognitive-Impairment (MCI) is an intermediate state between normal cognitive ageing and dementia. Identification of MCI is thought to be crucial to early intervention. Objectives: To assess Mild-Cognitive-Impairment and Depression among elderly clients and to find out the associations between Mild-Cognitive-Impairment and Depression and socio-demographic variables. Methods: A descriptive, cross-sectional study design was adopted. A total of 115 elderly clients who fulfilled the selection criteria were enrolled using purposive sampling technique. Montreal Cognitive Assessment (MoCA) and Geriatric Depression Scale were used with Interview technique. Those elderly clients were selected from the 2 wards of Baraha Municipality. Results: Majority of the subjects (68.7%) were from between 60-70 years. More of the elderly clients were females (54.8%). Maximum (81.7%) were illiterate. About 35.7% had the history of medical and psychiatric illness. From the total sample, 39.1% had issues with memory. In case of Montreal Cognitive Assessment (MoCA), 93.0% was screened with Mild-Cognitive-Impairment. And, 60.9%of the elderly clients were screened as Depression. With regard to the associations between mild cognitive impairment and selected demographic variables, significant associations were found with gender, education level, marital status and previous history of medical/ psychiatric history. The correlation between MoCA score and geriatric depression score showed a negative relationship. Conclusion: Many elderly people in a community have Mild-Cognitive-Impairment and Depression. This study added evidence on prevalence of Mild-Cognitive-Impairment and Depression among geriatric clients in a community-dwelling.

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Section: Socio-demographic Profilementioning

confidence: 99%

Prevalence of Mild-Cognitive-Impairment and Depression among Elderly Clients in Selected Wards of Baraha Municipality: A Cross-Sectional Study

Pradhan

Adhikari

Lama

et al. 2020

Jnl. BP Koirala Inst. Health Sci.

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“…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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Neuropsychological Assessment of Older Adults in Nepal for Population-Based Dementia Ascertainment: Needs, Challenges, and Opportunities

Briceño,

Dhakal,

Sharma

et al. 2023

JAD

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The population of Nepal is rapidly aging, as in other low and middle-income countries, and the number of individuals living with Alzheimer’s Disease and related dementias (ADRD) is expected to increase. However, information about the neuropsychological assessment of ADRD in Nepal is lacking. We first aimed to examine the needs, challenges, and opportunities associated with the neuropsychological assessment of older adults in Nepal for population-based ADRD ascertainment. Second, we introduce the Chitwan Valley Family Study-Study of Cognition and Aging in Nepal (CVFS-SCAN), which is poised to address these needs, and its collaboration with the Harmonized Cognitive Assessment Protocol (HCAP) international network. We reviewed the existing literature on the prevalence, risk factors, available neuropsychological assessment instruments, and sociocultural factors that may influence the neuropsychological assessment of older adults for ADRD ascertainment in Nepal. Our review revealed no existing population-based data on the prevalence of ADRD in Nepal. Very few studies have utilized formal cognitive assessment instruments for ADRD assessment, and there have been no comprehensive neuropsychological assessment instruments that have been validated for the assessment of ADRD in Nepal. We describe how the CVFS-SCAN study will address this need through careful adaptation of the HCAP instrument. We conclude that the development of culturally appropriate neuropsychological assessment instruments is urgently needed for the population-based assessment of ADRD in Nepal. The CVFS-SCAN is designed to address this need and will contribute to the growth of global and equitable neuropsychology and to the science of ADRD in low- and middle-income countries.

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Prevalence of Dementia among Elderly Patients attending Psychiatry OPD of Tertiary Care Hospital and its Association with Socio Demographic Variables

Cited by 3 publications

References 9 publications

Prevalence of Mild-Cognitive-Impairment and Depression among Elderly Clients in Selected Wards of Baraha Municipality: A Cross-Sectional Study

Prevalence of Mild-Cognitive-Impairment and Depression among Elderly Clients in Selected Wards of Baraha Municipality: A Cross-Sectional 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

Neuropsychological Assessment of Older Adults in Nepal for Population-Based Dementia Ascertainment: Needs, Challenges, and Opportunities

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