Undiagnosed depression among older adults living in a semi urban community in Southern Sri Lanka

Senadheera, Chandanie; Pathirana, K.D.; Jayasekara, K. M. S. A. K.; Silva, M. L. K. De; Dharmappriya, C. K. L.

doi:10.4038/gmj.v22i2.7967

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…The association between gender and depression among older persons was inconsistent. Three studies showed no significant relationship [ 35 – 37 ], whereas Rajapakshe et al[ 38 ] found female gender as the strongest associated factor by multivariable analyses. Another study showed more complex gender-ethnicity interactions with depression, where only males in the ethnic minorities had increased odds of depression compared to males in the majority [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Prevalence and associated factors of depression in Sri Lanka: a systematic review and meta-analysis

Alwis

Baminiwatta

Chandradasa

2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose Epidemiological data on depression are required to inform policies and service planning in mental health in Sri Lanka. This review aimed to synthesise data from existing studies to calculate the pooled prevalence of depression in Sri Lanka, assess its variability across subgroups, and identify associated factors within each subgroup. Methods PubMed, Embase, PsycINFO, Science Direct, Google Scholar and local journals were searched to identify peer-reviewed studies reporting the prevalence of depression among non-clinical adult, young, older, and maternal populations in Sri Lanka. A meta-analysis was performed using a random-effects model to calculate pooled prevalence estimates. Subgroup, sensitivity and moderator analyses were performed. A qualitative synthesis of factors associated with depression was conducted. Results A total of 33 studies representing a total of 52,778 participants were included. Overall, the pooled prevalence of depression was 19.4% [14.44–25.54%]. Among subpopulations, the highest prevalence was reported among young persons (39%); the rates in adults, older persons and maternal populations were 8.7%, 18.4% and 16.9%, respectively. Prevalence estimates were higher when based on screening instruments (21.2%) compared to diagnostic interviews (4.3%). A high degree of heterogeneity (I 2 = 99.2) was observed. A qualitative synthesis of factors associated with depression, including individual attributes and behaviours, socio-economic circumstances and broader environmental factors, is reported for each age group. Conclusion Approximately one-fifth of the population was detected to have depression. Notable variations in prevalence were observed across age groups. The heterogeneity of studies limits the inferences drawn from this review.

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Section: Resultsmentioning

confidence: 99%

Prevalence and associated factors of depression in Sri Lanka: a systematic review and meta-analysis

Alwis

Baminiwatta

Chandradasa

2023

Soc Psychiatry Psychiatr Epidemiol

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“…Association between gender and depression among older persons was inconsistent. Three studies showed no signi cant relationship [31][32][33], whereas Rajapakshe et al [34]found female gender as the strongest associated factor by multivariable analyses. Another study showed more complex gender-ethnicity interactions with depression where only males in the ethnic minorities had increased odds of depression compared to males in the majority [32].…”

Section: Older Personsmentioning

confidence: 90%

Prevalence and associated factors of depression in Sri Lanka: A systematic review and meta-analysis

Alwis

Baminiwatta

Chandradasa

2022

Preprint

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Purpose Epidemiological data on depression are required to inform policies and service planning in mental health in Sri Lanka. This review aimed to synthesise data from existing studies to calculate the pooled prevalence of depression in Sri Lanka, to assess its variability across subgroups, and to identify associated factors within each subgroup. Methods PubMed, Embase, PsycINFO, Science Direct, Google Scholar and local journals were searched to identify peer-reviewed studies reporting the prevalence of depression among non-clinical adult, young, older, and maternal populations in Sri Lanka. A meta-analysis was performed using a random-effects model to calculate pooled prevalence estimates. Subgroup, sensitivity and moderator analyses were performed. A qualitative synthesis of factors associated with depression was conducted. Results A total of 26 studies representing a total of 49217 participants were included. Overall, the pooled prevalence of depression was 20.3% (95% CI: 14.8–27.2%). Among subpopulations, the highest prevalence was reported among young persons (41%); the rates in adults, older persons and maternal populations were 8.7%, 18.4% and 19.7%, respectively. Prevalence estimates were higher when they were based on screening instruments (22.8%) compared to diagnostic interviews (4.3%).A high degree of heterogeneity (I2 = 99.2) was observed. A qualitative synthesis of factors associated with depression, including individual attributes and behaviours, socio-economic circumstances, and broader environmental factors, is reported for each age group. Conclusion Approximately one-fifth of the population was detected to have depression. Notable variations in prevalence were observed across age groups. Heterogeneity of studies limits the inferences drawn from this review.

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Depression among older adults: a systematic review ofSouth Asian countries

Assariparambil

Noronha²,

Kamath³

et al. 2020

Psychogeriatrics

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The world's population has been evolving rapidly; every country in the world is facing this drastic progression in the number and the percentage of the elderly in their net population. As the chronological age advances, physiological and psychosocial decline will be evident among all older adults. The potentially relevant literature was identified using appropriate search terms in electronic databases such as PubMed MEDLINE, Scopus, ProQuest, Web of Science, CINAHL, IndMed, and Google Scholar. Articles published from 2006 to 2019, reported the prevalence and the risk factors for depression among older adults living in the community, old age homes, or hospitals of the South Asian countries. Articles were published in the languages other than English and those reporting the categorised or mean depressive scores were excluded from the review. After quality check for all the retrieved articles from different databases, 120 articles were included for the meta‐analysis. The data were extracted based on a validated data extraction form, and the reviewer contacted the authors for clarification of the missing data whenever required. The estimates were pooled using the random effect model for meta‐analyses. Sub‐group and sensitivity analyses were also performed. The overall pooled estimate (random effect models) of the prevalence of depression among the elderly was 42.0% (95% CI: 0.38–0.46), Chi‐squared P‐value <0.001, and I2 99.14%. The pooled estimate of the prevalence was higher in the community settings than the old age homes (44.0%; 95% CI: 39.0–49.0 vs. 42.0%; 95% CI: 34.0–49.0). Depression is a common problem among the elderly population and the pooled estimate of depression would give directions to the healthcare providers, policymakers, and future researchers to plan some measures (either pharmacological or non‐pharmacological interventions) to effectively tackle the burden of geriatric depression in the future.

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Undiagnosed depression among older adults living in a semi urban community in Southern Sri Lanka

Cited by 3 publications

References 11 publications

Prevalence and associated factors of depression in Sri Lanka: a systematic review and meta-analysis

Prevalence and associated factors of depression in Sri Lanka: a systematic review and meta-analysis

Prevalence and associated factors of depression in Sri Lanka: A systematic review and meta-analysis

Depression among older adults: a systematic review ofSouth Asian countries

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