Prevalence of Depression Among Elderly Population in India - A Systematic Review & Meta-Analysis

Authors

  • Bincy K SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Tamil Nadu, India
  • Pradeep MVM SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Tamil Nadu, India
  • Padmavathy L SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Tamil Nadu, India
  • Ezhilmuthalvan A SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Tamil Nadu, India
  • Prashanth S Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India
  • Logaraj M SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Tamil Nadu, India
  • Nalini V Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India
  • Mahesh Kumar Government Yoga and Naturopathy Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.55489/njcm.151120244461

Keywords:

Elderly, Depression, Quality of life, Mental health, Systematic review

Abstract

Background: Depression among the elderly is a global public health concern, impacting quality of life and overall well-being. However, there is a lack of recent systematic reviews or meta-analyses on its prevalence in India. This study aims to update this information through a systematic review and meta-analysis.

Methods: The study utilized the Geriatric Depression Scale (GDS) as a screening tool for depression among individuals aged 60 and older in India, utilizing electronic databases for community-based cross-sectional studies from inception to date. Pooled prevalence with 95% CI was performed using R statistical software.

Results: 23 community-based cross-sectional studies were included representing 13 Indian states, meeting the inclusion criteria. The combined prevalence of depression among the elderly was estimated to be 47% (95% CI: 0.39; 0.55), with significant heterogeneity observed among studies (I²=98%, p<0.01). The study underscores the considerable depression issue among India's elderly population, emphasizing the urgent need for tailored mental health interventions.

Conclusion: The meta-analysis reveals a high prevalence of depression among India's senior population, highlighting the need for targeted public health initiatives to address this growing crisis and support the mental health needs of the elderly.

References

Bincy K, Logaraj M, Ramraj B. Depression and its associated factors among the older adults in rural, Tamilnadu, India. Clin Epidemiol Glob Health. 2021 Apr; 10:100677(1-2). Doi: https://doi.org/10.1016/j.cegh.2020.100677

Laksham K, Selvaraj R, Kameshvell C. Depression and its determinants among elderly in selected villages of Puducherry - A community-based cross-sectional study. J Fam Med Prim Care. 2019;8(1):141-144. Doi: https://doi.org/10.4103/jfmpc.jfmpc_235_18

Naveen KS, Goel A, Dwivedi S, Hassan M. Adding life to years: Role of gender and social and family engagement in geriatric depression in rural areas of Northern India. J Fam Med Prim Care. 2020;9(2):721-728. Doi: https://doi.org/10.4103/jfmpc.jfmpc_1019_19

Behera P, Sharan P, Mishra AK, Nongkynrih B, Kant S, Gupta SK. Prevalence and determinants of depression among elderly persons in a rural community from northern India. Natl Med J India. 2016;29(3):129-135.

Patel M, Bhardwaj P, Nebhinani N, Goel A, Patel K. Prevalence of psychiatric disorders among older adults in Jodhpur and stakeholders' perspective on responsive health system. J Fam Med Prim Care. 2020;9(2):714-720. Doi: https://doi.org/10.4103/jfmpc.jfmpc_1016_19

Thilak A., K. S, Neloopant S. Prevalence and factors associated with depression among the elderly in rural areas of Kannur, North Kerala, India: a cross-sectional study. Int J Community Med Public Health. 2016;1986-91. Doi: https://doi.org/10.18203/2394-6040.ijcmph20162184

Mandolikar R, Naik P, Akram M, Nirgude A. Depression among the elderly: A cross-sectional study in an urban community. Int J Med Sci Public Health. 2017;6(2):318-322. Doi: https://doi.org/10.5455/ijmsph.2017.01082016609

Sahni B, Bala K, Kumar T, Narangyal A. Prevalence and determinants of geriatric depression in North India: A cross-sectional study. J Fam Med Prim Care. 2020;9(5):2332-2336. Doi: https://doi.org/10.4103/jfmpc.jfmpc_357_20

Pilania M, Yadav V, Bairwa M, Behera P, Gupta SD, Khurana H, et al. Prevalence of depression among the elderly (60 years and above) population in India, 1997-2016: a systematic review and meta-analysis. BMC Public Health. 2019 Dec;19(1):832-849. Doi: https://doi.org/10.1186/s12889-019-7136-z

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. J Clin Epidemiol. 2009 Oct;62(10):1006-12. Doi: https://doi.org/10.1016/j.jclinepi.2009.06.005

Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1982 Jan;17(1):37-49. Doi: https://doi.org/10.1016/0022-3956(82)90033-4

Zhang Y, Hoozemans M, Pijnappels M, Bruijn SM. A formula for calculating 30-item Geriatric Depression Scale (GDS-30) scores from the 15-item version (GDS-15). Exp Gerontol. 2023 Feb; 172:112077-80. Doi: https://doi.org/10.1016/j.exger.2022.112077

Borenstein M, Hedges LV, Higgins JPT, Rothstein HR. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods. 2010 Apr;1(2):97-111. Doi: https://doi.org/10.1002/jrsm.12

Tian Q, Nordman DJ, Meeker WQ. Methods to compute prediction intervals: A review and new results. Statistical Science. 2022 Nov;37(4):580-97. Doi: https://doi.org/10.1214/21-STS842

Nyaga VN, Arbyn M, Aerts M. Metaprop: a Stata command to perform meta-analysis of binomial data. Archives of public health. 2014 Dec; 72:1-0. Doi: https://doi.org/10.1186/2049-3258-72-39

Reddy NB, Pallavi M, Reddy NN, Reddy CS, Singh RK, Pirabu RA. Psychological Morbidity Status Among the Rural Geriatric Population of Tamil Nadu, India: A Crosssectional Study. Indian J Psychol Med. 2012 Jul;34(3):227-31. Doi: https://doi.org/10.4103/0253-7176.106016

Buvneshkumar M, John KR, Logaraj M. A study on prevalence of depression and associated risk factors among elderly in a rural block of Tamil Nadu. Indian J of public health. 2018 Apr 1;62(2):89-94. Doi: https://doi.org/10.4103/ijph.IJPH_33_17

Meenakshi JR. Geriatric depression among the retired elders in Madurai, Tamil Nadu, India. Indian J Community Health. 2018 Dec 31;30(4):373-6. Doi: https://doi.org/10.47203/IJCH.2018.v30i04.011

Sherin Susan Paul N, Ramamurthy PH, Paul B, Saravanan M, Santhosh SR, Fernandes D, et al. Depression among geriatric population; the need for community awareness. Clin Epidemiol Glob Health. 2019 Mar;7(1):107-10. Doi: https://doi.org/10.1016/j.cegh.2018.02.006

Dhar R, Vidya GS, Kashyap R. A cross-sectional study on the prevalence and factors associated with geriatric depression in an urban slum of Davangere city. Int J Community Med Public Health. 2018 Mar;5(3):1197-200. Doi: https://doi.org/10.18203/2394-6040.ijcmph20180784

Patil SD, Udayar SE, Shannawaz M. A Study of Depression Level Among Elderly People In The Rural Area Of Bijapur, India. J Evol Med Dent Sci. 2015 Apr 13;4(30):5154-60. Doi: https://doi.org/10.14260/jemds/2015/753

Ahmed MS, Walvekar PR, Chate SS, Mallapur MD. Utility of Geriatric Depression Scale-15 for Assessment of Depression among Elderly: A Cross Sectional Study. Indian J Public Health Res Dev. 2016;7(4):150-154. Doi: https://doi.org/10.5958/0976-5506.2016.00208.4

Kumar A, Raj D, Gupta A, Kumar A. Screening of Depression in Elderly Population Using a Geriatric Depression Scale in the Field Practice Area of Urban Health Training Centre Attached to SMS Medical College, Jaipur. Cureus. 2021;13(6):e15859. Doi: https://doi.org/10.7759/cureus.15859

Dasgupta A, Mukhopadhyay M, Das S, Majumdar S, Das A. Are our elderly really depressed? a cross-sectional study on depression among geriatric population in a slum of Kolkata. Int J Heal Sci Res. 2014;4(6):25-30.

Dhar G. How depressive are our elderly population? - a prevalence study in a slum of west bengal. Int J Pharma Bio Sci. 2013;4(2):1125-8.

Singh A, Kaushal SK, Misra SK, Agrawal R. Depression and religiosity among urban elderly population of western Uttar Pradesh, India. Int J Community Med Public Health. 2018 Apr; 5:1570-4. Doi: https://doi.org/10.18203/2394-6040.ijcmph20181235

Goyal A, Kajal KS. Prevalence of depression in elderly population in the southern part of Punjab. Journal of family medicine and primary care. 2014 Oct 1;3(4):359-61. Doi: https://doi.org/10.4103/2249-4863.148109

Goswami S, Deshmukh PR, Pawar R, Raut AV, Bhagat M, Mehendale AM. Magnitude of depression and its correlates among elderly population in a rural area of Maharashtra: A cross-sectional study. Journal of family medicine and primary care. 2017 Oct 1;6(4):803-12. Doi: https://doi.org/10.4103/jfmpc.jfmpc_97_17

Kumar S, Rajasekhar P, Reddy NB, Sai TSR, Prabhu GR, Swarnalatha N. Socio-Demographic Determinants of Mental Health Problems among Rural Elderly Population. Indian J Public Health Res Dev. 2013;4(3):33-38. Doi: https://doi.org/10.5958/j.0976-5506.4.3.073

Soni S, Shukla M, Kumar M. Prevalence of depression and associated risk factors among the elderly in rural field practice areas of a tertiary care institution in Katihar, Bihar. International Journal of Advances in Medicine. 2016 Oct;3(4):1016-9. Doi: https://doi.org/10.18203/2349-3933.ijam20163740

Parmar V, Nagar K, Jain V. Assessment of Geriatric Depression among Elderly Peoples Residing at Rural Area of Kheda District, Gujarat. med Rxiv. 2023 Apr 17:2023-04. Doi: https://doi.org/10.1101/2023.04.10.23288346

Antony A, Parida SP, Behera P, Padhy SK. Geriatric depression: prevalence and its associated factors in rural Odisha. Frontiers in public health. 2023 Jun 15;11:1180446. Doi: https://doi.org/10.3389/fpubh.2023.1180446

Pilania M, Bairwa M, Khurana H, Kumar N. Prevalence and predictors of depression in community-dwelling elderly in rural Haryana, India. Indian Journal of Community Medicine. 2017 Jan 1;42(1):13-8. Doi: https://doi.org/10.4103/0970-0218.199792

Naik PR, Nirgude AS. Depression among the elderly: A cross-sectional study in a rural community of south India. National Journal of Community Medicine. 2015 Sep 30;6(03):394-7.

Cai H, Jin Y, Liu R, Zhang Q, Su Z, Ungvari GS, et al. Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological surveys. Asian J Psychiatry. 2023 Feb;80:103417. Doi: https://doi.org/10.1016/j.ajp.2022.103417

Li D, Zhang D jun, Shao J jin, Qi X dong, Tian L. A meta-analysis of the prevalence of depressive symptoms in Chinese older adults. Arch Gerontol Geriatr. 2014 Jan;58(1):1-9. Doi: https://doi.org/10.1016/j.archger.2013.07.016

Tang T, Jiang J, Tang X. Prevalence of depressive symptoms among older adults in mainland China: A systematic review and meta-analysis. J Affect Disord. 2021 Oct;293:379-90. Doi: https://doi.org/10.1016/j.jad.2021.06.050

Chi I, Yip PSF, Chiu HFK, Chou KL, Chan KS, Kwan CW, et al. Prevalence of Depression and Its Correlates in Hong Kong's Chinese Older Adults. Am J Geriatr Psychiatry. 2005 May;13(5):409-16. Doi: https://doi.org/10.1097/00019442-200505000-00010

Pirkis J, Pfaff J, Williamson M, Tyson O, Stocks N, Goldney R, et al. The community prevalence of depression in older Australians. J Affect Disord. 2009 May;115(1-2):54-61. Doi: https://doi.org/10.1016/j.jad.2008.08.014

Disu TR, Anne NJ, Griffiths MD, Mamun MA. Risk factors of geriatric depression among elderly Bangladeshi people: A pilot interview study. Asian J Psychiatry. 2019 Aug; 44:163-9. Doi: https://doi.org/10.1016/j.ajp.2019.07.050

Verma A, Aggarwal S, Garg S, Anand P. Geriatric health care in India: a review. Journal, Indian Academy of Clinical Medicine. 2019 Jul;20(3-4):212-219.

Wang YY, Chang HY, Lin CY. Systematic review of yoga for depression and quality of sleep in the elderly. Hu Li Za Zhi. 2014 Feb;61(1):85-92.

Paul NSS, Asirvatham M. Geriatric health policy in India: The need for scaling-up implementation. J Fam Med Prim Care. 2016;5(2):242-7. Doi: https://doi.org/10.4103/2249-4863.192333

Downloads

Published

2024-11-01

How to Cite

1.
K B, MVM P, Padmavathy L, A E, Prashanth S, M L, Nalini V, Kumar M. Prevalence of Depression Among Elderly Population in India - A Systematic Review & Meta-Analysis. Natl J Community Med [Internet]. 2024 Nov. 1 [cited 2024 Nov. 21];15(11):985-92. Available from: https://njcmindia.com/index.php/file/article/view/4461

Issue

Section

Review Articles