Depression and its Association with Insomnia among Geriatric Population of Selected Slums of Bankura Municipality, West Bengal

Atanu  Biswas; Gourab Biswas; Sonali Sain; Manisha Sarkar

doi:10.55489/njcm.151020244175

Authors

Atanu Biswas Bankura Sammilani Medical College, Bankura, West Bengal, India https://orcid.org/0009-0009-3274-215X
Gourab Biswas Malda Medical College, Malda, West Bengal, India https://orcid.org/0000-0003-4176-7518
Sonali Sain Bankura Sammilani Medical College, Bankura, West Bengal, India https://orcid.org/0000-0002-7563-8856
Manisha Sarkar Bankura Sammilani Medical College, Bankura, West Bengal, India

DOI:

https://doi.org/10.55489/njcm.151020244175

Keywords:

Elderly, Geriatric, Insomnia, GDS-S, Geriatric depression scale -short, Insomnia severity index, Depression

Abstract

Background: While depression is a major health concern among older people, sleep disorders are also very common among them and often persist simultaneously. The study was conducted to assess the prevalence of depression and insomnia, and any correlation of association between them, in the geriatric people living in study area.

Methodology: A cross-sectional analytical study was conducted among 186 older people living in three selected slums of Bankura Municipality, West Bengal, India. A pre-tested, structured interviewer-administered-questionnaire including Geriatric Depression Scale-Short form and Insomnia Severity Index were used for data collection.

Results: The prevalence of geriatric depression and insomnia in the study setting were 54.3% and 37.6% respectively. While illiteracy, complete financial dependency and taking sedative were associated with geriatric depression, history of smoking was associated with insomnia among participants. Geriatric depression was significantly associated with insomnia. There was statistically significant positive correlation between GDS-S score and ISI score.

Conclusions: A significant proportion of elderly population suffers from depressive disorders and sleep disorders. Early detection and management of these conditions will provide the society with healthy ‘senior citizens.

References

Common Sleep Disorders. Your Guide to Healthy Sleep. US Department of Health and Human Services. National Institute of Health. National Heart, Lung and Blood Institute. Aug 2011; 35. [Internet] Available on: https://www.nhlbi.nih.gov/resources/your-guide-healthy-sleep [Accessed on 1stApril 2024]

Kamel NS, Gammack JK. Insomnia in the Elderly: Cause, Approach and Treatment. The American Journal of Medicine. June 2006; 119 (6): 263-9. Doi: https://doi.org/10.1016/j.amjmed.2005.10.051

Patel D, Steinberg J, Patel P. Insomnia in Elderly: A Review. Journal of Clinical Sleep Medicine. June 2018; 14 (6): 1017-24. Doi: https://doi.org/10.5664/jcsm.7172

Brewster G, Riegel B, Gehrman PR. Insomnia in Older Adult. Sleep Med Clin. Mar 2018; 13 (1): 13-9 DOI: 10.1016/j.jsmc.2017.09.002. Doi: https://doi.org/10.1016/j.jsmc.2017.09.002

What is Depression? American Psychiatric Association. [Internet]. Available on: https://www.psychiatry.org/patients-families/depression/what-is-depression [Accessed on 2ndApril 2024]

Mental Health of Older Adults. WHO Factsheet. December 2017. [Internet] Available on: https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults. [Accessed on 2ndApril 2024]

Sahni B, Bala K, Kumar T, Narangyal A. Prevalence and determinants of geriatric depression in North India: A cross-sectional study. J Family Med Prim Care. 2020 May; 9(5): 2332-6. Doi: https://doi.org/10.4103/jfmpc.jfmpc_357_20

Konda PR, Sharma PK, Gandhi AR, Ganguly E. Geriatric Depression and its Correlates among South Indian Urbans. J Depress Anxiety. 2018; 7(4): 314. Doi: https://doi.org/10.4172/2167-1044.1000314

Depression and older adults. Mental and emotional health. National institute on ageing. Available on: https://www.nia.nih.gov/health/mental-and-emotional-health/depression-and-older-adults. [Accessed on 3rd April 2024]

Raja IA, Sardar JC. Sleep quality and its associated factors among elderly population in a rural area of West Bengal. Int J Community Med Public Health 2022; 9(3): 1360-5. Doi: https://doi.org/10.18203/2394-6040.ijcmph20220696

Collecting Step 2 data: Physical measurements. WHO STEPS Surveillance. [Internet] Available on: https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/steps/part3-section5.pdf?sfvrsn=a46653c7_2. [Accessed on: 12th January 2024]

Geriatric depression scale (short form). [Internet] Available on: https://geriatrictoolkit.missouri.edu/cog/GDS_SHORT_FORM.PDF. [Accessed on: 1st December 2023]

Lahiri A, Chakraborty A. Psychometric validation of geriatric depression scale - Short form among bengali-speaking elderly from a rural area of West Bengal: Application of item response theory. Indian J Public Health. 2020; 64(2) :109-15. Doi: https://doi.org/10.4103/ijph.IJPH_162_19

Shahid, A., Wilkinson, K., Marcu, S., Shapiro, C.M. (2011). Insomnia Severity Index (ISI). STOP, THAT and One Hundred Other Sleep Scales. Springer, New York, NY. Doi: https://doi.org/10.1007/978-1-4419-9893-4_43

Mahantshetti S, Singh J, Dhandapani S. Updated modified BG Prasad classification for October 2023. National Journal of Community Medicine. 2024 Jan; 15(1): 89-90. Doi: https://doi.org/10.55489/njcm.150120243429

Obesity in adult Asian-Indians - the ideal BMI cut-off. Indian Heart Journal. 2018; 70 (1): 195. Doi: https://doi.org/10.1016/j.ihj.2017.11.020

Saha R, Mullick TH. Depression and its predictors among geriatric population in the urban slum of Bankura town of Eastern India. Int J Community Med Public Health 2019 ;6(4) :1774-9. Doi: https://doi.org/10.18203/2394-6040.ijcmph20191420

Banerjee A, Goswami P, Mandal S, Taraphdar P. Depression among elderly and their perceived social support in a community development block of PurbaBardhaman district, West Bengal: a cross sectional study. Int J Community Med Public Health 2023; 10(4): 1391-8. Doi: https://doi.org/10.18203/2394-6040.ijcmph20230695

Muhammad T, Gharge S, Meher T. The association of BMI, chronic conditions and lifestyle factors with insomnia symptoms among older adults in India. PLoS ONE. 2022; 17(9): e0274684. Doi: https://doi.org/10.1371/journal.pone.0274684

Roy SK, Bhattacharjee AK, Chakraborti C, Singh R. Prevalence of insomnia in urban population of West Bengal: A community-based cross-sectional study. Int J Med Public Health 2015; 5(4): 293-6. Doi: https://doi.org/10.4103/2230-8598.165953

Dahale AB, Jaisoorya TS, Manoj L, Kumar GS, Gokul GR, Radhkrishnan R et al. Insomnia among elderly primary care patients in India. Primary Care Companion CNS Disorder. 2020; 22(3): 19m02581. Doi: https://doi.org/10.4088/PCC.19m02581

Sanjay TV, Thejaswini P, Vinay J, Nandini RC, Kavya U, Aparna A. prevalence of insomnia and its associated factors among aged population in an urban locality of Bengaluru, Karnataka, India - a cross-sectional study. Journal of Clinical and Diagnostic Research. 2023; 17(3): LC06-LC10. Doi: https://doi.org/10.7860/JCDR/2023/58991.17639

Das S, Roy RN, Das DK, Chakraborty A, Mondal R. Sleep quality and its various correlates: a community-based study among geriatric population in a community development block of PurbaBardhaman district, West Bengal. Journal of Family Medicine and Primary Care. 2020; 9(3): 1510-6. Doi: https://doi.org/10.4103/jfmpc.jfmpc_1021_19

Maulik S, Dasgupta A. Depression and its determinants among rural elderly of West Bengal - a cross-sectional study. International Journal of Biological & Medical Research. 2012; 3(1): 1299-1302.

Nunez A, Rhee JU, Haynes P, Chakravorty S, Patterson F, Killgore WDS et al. Smoke at night and sleep worse? The associations between cigarette smoking with insomnia severity and sleep duration. Sleep Health. 2021; 7(2): 177-82. Doi: https://doi.org/10.1016/j.sleh.2020.10.006

Pigeon WR, Hegel M, Unützer J, Fan MY, Sateia MJ, Lyness JM, Phillips C, Perlis ML. Is insomnia a perpetuating factor for late-life depression in the IMPACT cohort? Sleep. 2008 Apr; 31(4): 481-8. Doi: https://doi.org/10.1093/sleep/31.4.481

Perlis ML, Smith LJ, Lyness JM, Matteson SR, Pigeon WR, Jungquist CR, Tu X. Insomnia as a risk factor for onset of depression in the elderly. Behavioral Sleep Med. 2006; 4(2): 104-13. Doi: https://doi.org/10.1207/s15402010bsm0402_3

Brouwer A, van de Ven PM, Kok A, Snoek FJ, Beekman ATF, Bremmer MA. Symptoms of depression and insomnia in older age: A within-individual analysis over 20 years. Journal of American Geriatric Society. 2022; 70(7): 2051-9. Doi: https://doi.org/10.1111/jgs.17765