Prevalence of psychiatric disorders among older adults in Jodhpur and stakeholders perspective on responsive health system

Patel, Mamta; Bhardwaj, Pankaj; Nebhinani, Naresh; Goel, Akhil Dhanesh; Patel, Kamlesh

doi:10.4103/jfmpc.jfmpc_1016_19

Cited by 18 publications

(26 citation statements)

References 18 publications

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“…observed a higher prevalence of depression i.e., 54% and 56% in old age people respectively and even higher prevalence 62% was observed by Grover et al . [ 13 14 15 ] Comparatively lower prevalence of depression was reported by Konda PR et al . although in a different study setting.…”

Section: Discussionmentioning

confidence: 95%

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Prevalence of depression amongst the Elderly population in old age homes of Mangalore city

Kumar

Joseph

Abraham

2021

J Family Med Prim Care

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Context: Depression is a silent killer. The people living in the old age homes (OAHs) appear to be overtly neglected by the community and depression is easily overlooked in such individuals especially in elderly people with comorbidities. Its early detection and treatment are imperative to improve quality of life. Aim: To find the prevalence of depression and the socio-demographic factors associated with depression among the elderly of OAHs. Materials and Methods: A Cross-sectional study in geriatric population of OAHs around Mangalore city was conducted over a duration of 5 months. About 142 elderly above the age of 60 years participated in the study. The study tools used were Geriatric Depression Scale-15 (GDS-15), Activities of Daily Living Scale (Katz index) and socio-demographic questionnaire. Statistical Analysis Used: The results were expressed in percentages and proportions. Univariate logistic regression analysis was done to find out the associated sociodemographic factors. Means and standard deviation of the GDS-15 and KATZ index scores were calculated and correlation was assessed between both the scores. Results: The overall prevalence of depression was 47.8% by using the GDS. The GDS score and Katz score were found to have a significant negative correlation. (r = -0.245 P = 0.003). Less social interaction amongst the peers was found to be associated with depression. Conclusions: The prevalence of depression in this study population was moderately high. Spending time with other residents was protective and functionally able people were less likely to have depression.

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Section: Discussionmentioning

confidence: 95%

“…also found other determinants of depression in the elderly like low income, tobacco consumption, stressful events in the past one-year, multiple chronic diseases and lacking positive approach. [ 13 14 17 18 ]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depression amongst the Elderly population in old age homes of Mangalore city

Kumar

Joseph

Abraham

2021

J Family Med Prim Care

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“…HMSE has been used as screening tool for dementia in Indian community population aged 60 years or more. [ 20 ]…”

Section: Methodsmentioning

confidence: 99%

Comparison of two screening instruments to detect dementia in Indian elderly subjects in a clinical setting

Tak

Rohilla

Jhanwar

2021

J Family Med Prim Care

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Objective: Cognitive screening in elderly patients receiving treatment for chronic medical conditions in a busy outpatient clinical setting is crucial to detect dementia at an earlier stage. Although Hindi Mini-Mental State Examination (HMSE) is an established screening tool for the geriatric population in India, but cannot be administered with the informant. Our study aims to compare two screening instruments, Informant based - Eight-item Interview to Differentiate Aging and Dementia (AD8) and HMSE among elderly patients attending medical outpatient service (OPD) in a tertiary care hospital. Method: A total of 776 subjects aged ≥65 years and receiving treatment from medicine OPD in a tertiary care hospital were screened for dementia using AD8 and HMSE. The clinical diagnosis was established after detailed clinical assessment using ICD-10 criterion. Sensitivity and specificity were calculated for both screening tools and ROC curves were plotted considering ICD-10 diagnosis as the gold standard. Results: Comparison of receiver operating characteristic (ROC) curves showed that HMSE (AUC = 0.77) were better than AD8 (AUC = 0.61) in detecting dementia. Although increasing the cut-off value of AD8 from a recommended score of ≥2 to ≥3 improved sensitivity from 35% to 48.9%, high false-positive rate limited its utility as a cognitive screening tool. Conclusion: Although AD8 is easy to use and quickly administered with either patient or informant, it does not seem to be a suitable cognitive screening test for Indian elderly with chronic medical disorders. HMSE at a cut-off score of ≤23 is able to find out dementia among geriatric patients in a busy medical setting.

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“…2 Also, about 50%, 10%, and 17% of older people suffer from cognitive disorders, anxiety, and depression, respectively. 3,4 The appropriate use of medications consisting of antidepressants, anti-anxiety, stimulants, antipsychotics, and mood-stabilisers have been recognised to have a crucial role in the treatment of long-term mental health disorders. 5,6 About 70% of older people are prescribed at least one psychotropic medication, but the increased prescription of psychotropic medications and benzodiazepines has been associated with a reduced quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…2 Also, about 50%, 10%, and 17% of older people suffer from cognitive disorders, anxiety, and depression, respectively. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

Vaismoradi¹,

Jamshed²,

Lorenzl³

et al. 2021

RMHP

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Older people with long-term mental health conditions who receive care in their own home are vulnerable to the inappropriate use of medications and polypharmacy given their underlying health conditions and comorbidities. Inappropriate use of pro re nata (PRN) medications in these older people can enhance their suffering and have negative consequences for their quality of life and well-being, leading to readmission to healthcare settings and the increased cost of health care. This narrative review on published international literature aims at improving our understanding of medicines management in home care and how to improve PRN medication use among older people with long-term health conditions in their own home. Accordingly, the improvement of PRN medicines management for these older people requires the development of an individualised care plan considering 'reduction of older people's dependence on PRN medications', 'empowerment of family caregivers', and 'support by healthcare professionals.' PRN medication use should be reduced through deprescription and discontinuation strategies. Also, older people and their family caregivers should be encouraged to prioritize the use of non-pharmacologic methods to relieve physical and psychological problems. Besides the empowerment of family caregivers through role development, education and training about PRN medications, and involvement in decision-making, they need support by the multidisciplinary network in terms of supervision, monitoring, and home visits.

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Prevalence of psychiatric disorders among older adults in Jodhpur and stakeholders perspective on responsive health system

Cited by 18 publications

References 18 publications

Prevalence of depression amongst the Elderly population in old age homes of Mangalore city

Prevalence of depression amongst the Elderly population in old age homes of Mangalore city

Comparison of two screening instruments to detect dementia in Indian elderly subjects in a clinical setting

PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

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