Abstract
Abstract

National Journal of Community Medicine

Original Article

Year: 2019 | Volume: 10 | Issue: 7 | Page No: 435 - 441

Differential Distribution of Geriatric Depression and Its Determinants in Community and Old-Age Homes of Mysore

Author: Bhavani Nivetha M1, Prashantha B2, Mansoor Ahmed3, Mudassir Azeez Khan4, Rajagopal Rajendra5

Affiliation:

1Postgraduate, Department of Community Medicine, Mysore medical college and research institute, Mysore

2Assistant Professor, Department of Community Medicine, Mysore medical college and research institute, Mysore

3Professor, Department of Community Medicine, Mysore medical college and research institute, Mysore

4Professor and Head, Department of Community Medicine, Mysore medical college and research institute, Mysore

5Associate Professor, Department of Psychiatry, Mysore medical college and research institute, Mysore

Abstract:

Background: Mental disorders in the elderly are always overlooked and underdiagnosed. The most common neuropsychiatric disorders in this age group are dementia and depression. The geri-atric depression variation with respect to different environments will help us to understand its epidemiology. Methods: To estimate and compare the prevalence of geriatric de-pression and the associated factors in community and old-age homes, a cross-sectional study was carried out in both these settings between august 2017 and april 2018. A sample of 150 was taken in community and old-age homes each. Cluster random sampling and simple random sampling were employed. Geriatric depression scale -15 (GDS-15) was used to assess the depression and mini-mental state examination (MMSE-30) was used to assess cognitive status. Results: Prevalence of geriatric depression in old-age home was 33.3% and in community was 31.2%, but the difference was not statistically significant (p=0.702). However in a subgroup analysis, prevalence of depression in private old-age home was 21.6% and public old-age home was 46.3% and this difference was statistically significant (p = 0.002). Age, marital status, education, socioeconomic status, economic dependency, source of pension, physical dependency and uncorrected hearing/visual impairment were the important predictors of depres-sion. Conclusion: Prevalence of geriatric depression does not significantly vary in community and Old-age home, but it varies with respect to type of Old-age home. Better facilities and good environment in old-age homes may help to reduce depression.

Keywords: Depression, elderly, Geriatric, GDS, Old-age homes

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