Depression and Cognitive Impairment among the Elderly in Rural and Urban Areas of Shimoga

Authors

  • Nandini C Subbaiah Institute Of Medical Sciences, Shimoga
  • Sridevi NH Bangalore Medical College and Research Institute (BMCRI), Bangalore

Keywords:

elderly, depression, cognitive impairment, MMSE

Abstract

Background: Elderly people suffer from communicable and non-communicable diseases. This is compounded by impairment of sensory functions like vision, hearing, and stability management leading to cognitive impairment. Elder mistreatment, financial exploitation, psychological abuse and abandonment may have serious medical and social consequences like depression

Objective: The study was conducted to assess the burden of depression and cognitive impairment among the elderly persons in a rural and urban field practice areas of Shimoga Institute of Medical sciences, Shimoga.

Methods: A cross sectional study was conducted among elderly in rural and urban field practice areas of Shimoga Institute of Medical Sciences, Shivamogga. Data was collected by doing house-to-house visits after informed consent with semi-structured, pre-designed and pre-tested questionnaire. Analysis was done by using SPSS version 21 software. Proportions and frequencies were calculated, the Chi Square statistical test was used to analyze the association between variables.

Conclusion: The study concluded that the prevalence of depression in rural elderly was established to be 60/210(28.6%) while in urban elderly it was 85/210(40.5%). Based on MMSE for assessing cognitive impairment showed 20% (42), 2.9% (6) had mild and moderate impairment respectively in rural areas where as in urban 38.1%(80), 14.3%(30) had mild and moderate impairment respectively.

References

Park K. Concepts of health and disease. In: Textbook of preventive and social medicine. 24th ed. India: Banarsidas Bhanot publications; 2017

Suryakantha AH. Textbook of community medicine with recent advances. 4thedition; India: Jaypeebrother’s medical publication; 2017

Census India.gov.in. Census of India website: Office of the registrar general & census commissioner, India (internet). (Cited 25th Mar 2018). Available from : http//www. censusindia.gov.in

Elderly in India - Ministry of Statistics and Programme Implementation (internet). (Cited 13th Mar 2018). Available from: mospi.nic.in/sites/default/files/publication_reports /ElderlyinIndia_2016.pdf

Prefeasibility report for setting up a district geriatric care centre (internet).(Cited 25th Mar 2018).Available from: http//www.idd.kar.nic.in>docs>64.gcc.

Halter J, Ouslander J, Studenski S, High K, Asthana S, Supiano M et al. Hazzard's geriatric medicine and gerontology. 7th ed. McGraw-Hill Education; 2017.

The 4 item Geriatric Depression Scale. NHS foundation trust.US Federal Support; 2011 Available from: www. gpcog.com.au

Mini Mental Status Examination (MMSE) - Dementia To-day. (Internet). (Cited 2nd Apr 2018). Available from: www. dementiatoday.com>2012/06>MMSE

Verma V, Prakash S, Parveen K, Shaikh S, Mishra N. A comparative study of morbidity pattern in elderly of rural and urban areas of Allahabad district, Uttar Pradesh, India. Int J Community Med Public Health 2016;3:1152-6.

Banerjee A, Nikumb V, Thakur R. Health Problems among the Elderly: A Cross-Sectional Study. Annals of Medical and Health Sciences Research [Internet]. 2013 [cited 12th may 2018];3(1):19. Available from: http://www.ncbi.nlm.nih. gov/pmc/articles/PMC3634218/

Sharma D, Mazta S, Parashar A. Morbidity pattern and health-seeking behavior of aged population residing in Shimla hills of north India: A cross-sectional study. Journal of Family Medicine and Primary Care [Internet]. 2013 [cited 13 June 2018];2(2):188. Available from: https://www.ncbi .nlm.nih.gov/pmc/articles/PMC3894043/#!po= 35.1064

P.J S, S M. A Study on Morbidity Profile among Elderly Population in Visakhapatnam District, Andhra Pradesh. IOSR J Dental Med Sci. 2014;13(9):21-25.

Barua A, Ghosh MK, Kar N, Basilio MA. Prevalence of depressive disorders in the elderly. Ann Saudi Med. 2011;31(6):620–624. doi:10.4103/0256-4947.87100

Nandi DN, Ajmany S, Ganguli H, Banerjee G, Boral GC, Ghosh A. The Incidence of mental disorders in one year in a rural community in West Bengal. Indian J Psychiatry. 1976;18:79–87. [Google Scholar]

Ramachandran V, Menon Sarada M, Arunagiri S. Socio-cultural factors in late onset Depression. Indian J Psychiatry. 1982;24:268–73. [PMC free article] [PubMed] [Google Scholar]

Patel RM, Singh US. Prevalence study of cognitive impairment and its associated sociodemographic variables using mini-mental status examination among elderly population residing in field practice areas of a medical college. Indian J Community Med 2018;43:113-6

Downloads

Published

2019-11-30

How to Cite

1.
Nandini C, Sridevi NH. Depression and Cognitive Impairment among the Elderly in Rural and Urban Areas of Shimoga. Natl J Community Med [Internet]. 2019 Nov. 30 [cited 2024 Nov. 21];10(11):624-8. Available from: https://njcmindia.com/index.php/file/article/view/582

Issue

Section

Original Research Articles