Prevalence of dementia and other psychiatric morbidities among geriatric population of Salagame primary health centre in Hassan district, Karnataka, India

Authors

  • Sumana M. Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka
  • C. Y. Sreelatha Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka
  • Anjan Sreeranga Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka
  • B. Arpitha Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka
  • S. P. Akshatha Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka
  • H. D. Anand Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20161404

Keywords:

Barthel index, Geriatric depression, GDS-15, HMSE, Dementia, Hassan

Abstract

Background: Depression and dementia are mental health problems that are encountered in elderly in india. it is imperative for us to recognize these symptoms in elderly and treat them appropriately. Thus we intended to study the prevalence and risk factors of depression and dementia in geriatric population in selected field practice area of Hassan Medical College.

Methods:A community based descriptive study was conducted among 231 individuals in geriatric age group aged 60 and above, over a period of 2 months. The sample size was estimated based on the prevalence of depression as 31% stated in one of the large community based study using similar scale. Geriatric Depression Scale-15 (GDS-15) was used to screen for depressive disorders and Barthel Index to grade their physical activity. Dementia among elderly was screened with a vernacular adaptation of the Hindi Mental State Examination tool (HMSE).

Results: Among 231 individuals, 150 (64.93%) were females and 81 (35.06%) were males. 45.88% of them had no formal education. Among 231 elderly individuals, 13 cases of dementia were identified with a prevalence rate of 5.6%. Total prevalence of depression was found to be 60.17%. Higher prevalence of dementia was found in females (6.6%), age above 80 years (18.7%), unemployed and labourers (7.4%), illiterates (7.4%), low SES (6.5%) and dependents (7.5%).

Conclusions:Depression and dementia are important health problems of the elderly population. Simple tools used in this study can be used at primary health care settings for early identification of dementia and depression in the elderly population.

Metrics

Metrics Loading ...

References

Park K. Textbook of Preventive and Social medicine. 21nd edition. Jabalpur: M/S Banarsidas Bhanot; 2011: 547-549.

Government of India. Census of India 2011. Population composition, chapter 2. 2011.

Shaji S, Bose S, Verghese A. Prevalence of dementia in an urban population in Kerala, India. The British J Psych. 2005;186(2):136-40.

Vas CJ, Pinto C, Panikker D, Noronha S, Deshpande N, Kulkarni L, Sachdeva S.Prevalence of dementia in an urban Indian population. Int Psychogeriatr. 2001;13(4):439-50.

Chandra V, Ganguli M, Pandav R, Johnston J, Belle S, DeKosky ST. Prevalence of Alzheimer's disease and other dementias in rural India: The Indo-US study. Neurology. 1998;51:1000-8.

Shaji KS, Jotheeswaran AT, Girish N, Bharath S, Dias A, Pattabiraman M. Prevalence, impact, costs and services for dementia. A report prepared for the Alzheimer’s and Related Disorders Society of India. The dementia INDIA report 2010.

Chauhan P, Kokiwar PR, Shridevi K, Katkuri S. A study on prevalence and correlates of Depression among elderly population of rural South India. Int J Community Med Public Health. 2016;3:236-9.

Rajkumar AP, Thangadurai P, Senthilkumar P, Gayathri K, Prince M, Jacob KS. Nature, prevalence and factors associated with depression among the elderly in a rural south Indian community. Intern Psychogeriatrics. 2009;21:372-8.

Vishal J, Bansal RK, Swati P, Bimal T. A study of depression among aged in Surat city. National J Comm Med. 2010;1(1):47-9.

Swarnalatha N. The prevalence of depression among the rural elderly in Chittoor District, Andhra Pradesh. J Clinical Diagn Res. 2013;7(7):1356-60.

Udayar SE, Prasad DV. Epidemiological study of socio demographic factors in relation to depression among the elderly people in a rural area of Chittoor district of Andhra Pradesh, India. Int J Community Med Public Health. 2016;3:161-5.

Shaji KS, Jithu VP, Jyothi KS. Indian research on aging and dementia. Indian J Psychiatry. 2010;52(Suppl 1):S148-52.

Sundru MB, Goru KB. Epidemiological study of depression among population above 60 years in Visakhapatnam, India. Int J Med Sci Public Health. 2013;2:695-702.

Ganguli M, Ratcliff G, Chandra V, Sharma S, Gilby J, Pandav R, Belle S, Ryan C, Baker C, Seaberg E, Dekosky S. A hindi version of the MMSE: The development of a cognitive screening instrument for a largely illiterate rural elderly population in India. Int J Geriat Psychiatry. 1995;10:367-7.

Geriatric depression scale: short version Available at http://www.mhsfopcls.com/downloads/ger_dep_scl.pdf. Accessed on 26 March 2016.

Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disability Study.1988;10:61-3.

Marc LG, Raue PJ, Bruce ML. Screening performance of the geriatric depression scale (GDS-15) in a diverse elderly home care population. Am J Geriatr Psychiatry. 2008;16(11):914-21.

Pandav R, Fillenbaum G, Ratcliff G, Dodge H, Ganguli M. Sensitivity and specificity of cognitive and functional screening instruments for dementia: The Indo-U.S. Dementia epidemiology study. J Am Geriatr Soc. 2002;50(3):554-61.

Rajkumar S, Kumar S. Prevalence of dementia in the community-a rural-urban comparison from Madras, India. Aus J Ageing. 1996;15:9-13.

Shaji S, Promodu K, Abraham T, Roy KJ, Verghese A. An epidemiological study of dementia in a rural community in Kerala. British J Psych. 1996;168:745-649.

Nandi PS, Banerjee G, Mukherjee SP, Nandi S, Nandi DN. A study of psychiatric morbidity of the elderly population of a rural community in west Bengal. Indian J Psychiatry. 1997;39:122-9.

Jain RK, Aras R. Depression in geriatric population in urban slums of Mumbai. Indian J Pub Health. 2007;51:112-3.

Tiwari SC, Srivastava S. Geropsychiatric morbidity in rural Uttar Pradesh. Indian J Psychiatry. 1998;40:266-73.

Rao AV, Virudhagirinathan BS, Malathi R. Mental illness in patients aged fifty and over. Indian J Psychiatry. 1972;14:319-32.

Sengupta P, Benjamin AI. Prevalence of depression and associated risk factors among the elderly in urban and rural field practice areas of a tertiary care institution in Ludhiana. Indian J of Pub Health. 2015;59(1):3-8.

Barua A, Acharya D. Depression in elderly: A cross-sectional study in rural south India. JIMSA. 2007;20(4):259-61.

Taqui AM, Itrat A, Qidwai W, Qadri Z. Depression in the elderly: Does family system play a role? A cross-sectional study. BMC Psychiatry. 2007;7:57.

Steffens DC, Otey E, Alexopoulos GA, Butters MA, Cuthbert B, Ganguli M, et al. Perspectives on depression, mild cognitive impairment and cognitive decline. Arch Gen Psychiatry. 2006;63:130-8.

Ganguli M. Depression, cognitive impairment and dementia: Why should clinicians care about the web of causation? Indian J Psychiatry. 2009;51(Suppl 1):S29-34.

Ganguli M, Dodge HH, Mulsant BH. Rates and predictors of mortality in an aging, rural, community-based cohort: The role of depression. Arch Gen Psychiatry. 2002;59:1046-52.

Downloads

Published

2017-02-03

How to Cite

M., S., Sreelatha, C. Y., Sreeranga, A., Arpitha, B., Akshatha, S. P., & Anand, H. D. (2017). Prevalence of dementia and other psychiatric morbidities among geriatric population of Salagame primary health centre in Hassan district, Karnataka, India. International Journal Of Community Medicine And Public Health, 3(5), 1315–1317. https://doi.org/10.18203/2394-6040.ijcmph20161404

Issue

Section

Original Research Articles