Prevalence of Depression in the Elderly Population of Manisa and Related Risk Factors

Abstract

Introduction:The present study aimed to determine the prevalence of depressive symptoms in elderly people living in Manisa and to reveal the possible risk factors.Materials and Method: The population of this cross-sectional study included 17760 elderly people living in the Manisa Celal Bayar University Health Education and Research District in 2017. The sample size of the study was calculated as 546 using Epi Info 7.0 software. Sample selection was performed by a simple random sampling method of the records of Manisa Provincial Public Health Directorate. The data were collected by authors, and the participation ratio was 97.8% (n=534). The Katz Index of Independence in Activities of Daily Living and Geriatric Depression Scale were used as data collection tools, in addition to a sociodemographic form. The data were analyzed by using descriptive statistics, univariate and multivariate Odds ratios (with logistic regression analysis).Results: The mean age of the participants was 72.70±6.35 years. Of note, 56.3% of the elderly participants were women, 44.3% were primary school graduates and 19.6% were living alone. Moreover, 78.6% of them had at least one chronic disease requiring continuous medication. The prevalence of depressive symptoms was 32.8%.Conclusion: Multivariate analyses indicated that the prevalence of depressive symptoms is more likely higher in individuals living alone and in those who are dependent on others for daily life activities. Additionally, negative expenditure income balance, perceived annual change in health status, history of previous psychiatric disease and history of abuse significantly increase the prevalence of depressive symptoms. Giriş: Bu çalışmada Manisa'da yaşayan yaşlılarda depresif belirti sıklığını saptamak ve olası risk faktörlerini ortaya çıkarmak amaçlanmıştır. Gereç ve Yöntem: Kesitsel tipteki çalışmanın evreni Mart-Nisan 2017'de Manisa Celal Bayar Üniversitesi Sağlık Eğitim Araştırma Bölgesi Toplum Sağlığı Merkezi bölgesinde yaşayan 17760 yaşlıdan oluşmuştur. Araştırmanın örneklem büyüklüğü Epi info 7.0 programı kullanılarak hesaplanmış ve 546 yaşlı olarak belirlenmiştir. Çalışmaya alınacak yaşlılar Manisa İl Halk Sağlığı Müdürlüğü kayıtlarından basit rastgele örnekleme yöntemi ile seçilmiştir. Veriler yüz yüze görüşülerek toplanmıştır. Katılım oranı %97.8 (n=534) olarak gerçekleşmiştir. Katılımcılara sosyodemografik veri formu, Katz Günlük Yaşam Aktiviteleri Ölçeği ve Geriatrik Depresyon Ölçeği (GDS-30) veri toplama aracı olarak uygulanmıştır. Elde edilen veriler betimleyici istatistikler, tek değişkenli ve çok değişkenli (lojistik regresyon analizleri ile) Odds Oranları hesaplanarak değerlendirilmiştir. Bulgular: Araştırmaya katılanların yaş ortalaması 72.70±6.35'dir. Araştırmaya katılan yaşlıların %56.3'ü kadın, %44.3'ü ilkokul mezunu ve %19.6'sı yalnız yaşamaktadır. %78.6'sında sürekli ilaç kullanmayı gerektiren en az bir kronik hastalık vardır. Depresif belirti sıklığı ise %32.8'dir.Sonuç: Çok değişkenli analizlerde, yalnız yaşayan, günlük yaşam aktivitelerinde başkası...

Evaluation of frailty, abuse and depression among community‐dwelling older adults in a nortwest city of Turkey

“…Depression is one of the most common mental disorders in old age and is examined among the disorders that cause functional impairment and disability all over the world. In addition to affecting the standard of living and productivity in elderly people, depression can also lead to an increase in dependence and fragility when left untreated, and therefore to an increase in abuse 14,30 . According to the results of the Geriatric Depression Scale used in the study, the frequency of depressive symptoms in the elderly was determined as 24.0%.…”

“…In addition to affecting the standard of living and productivity in elderly people, depression can also lead to an increase in dependence and fragility when left untreated, and therefore to an increase in abuse. 14,30 According to the results of the Geriatric Depression Scale used in the study, the frequency of depressive symptoms in the elderly was determined as 24.0%. In epidemiological studies on elderly depression, it has been reported that the frequency of depressive symptoms in elderly individuals varies between 8-35%.…”

“…Disability, decrease in productivity, loss of role, and the risk of abuse that may occur in old age, when the elderly should have the most social support, can also negatively affect the mental health of the elderly 13 . The most common mental problem in the geriatric group is geriatric depression 14 . Depression is a mood disorder which makes people feel unhappy, depressed mood, sad, and lonely.…”

“…13 The most common mental problem in the geriatric group is geriatric depression. 14 Depression is a mood disorder which makes people feel unhappy, depressed mood, sad, and lonely. Depression is also an important health problem, which is frequently encountered by individuals aged 65 and over, who now constitute an important part of society.…”