Document Type : Original Article
Authors
- . Soumya S. Sahoo
- . Vazinder Kaur 1
- . Udit K. Panda 2
- . Bhola Nath
- . Pragyan P. Parija 3
- . Dinesh P. Sahu 4
1 District NCD Consultant, Raipur, Chhattisgarh, India
2 Consultant Psychiatrist, VKN ECHO, NIMHANS, Bangaluru, Karnataka, India
3 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
4 Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
Abstract
BACKGROUND: Depression among elderly is an emerging public health concern. Along with other
comorbidities, depression affects the quality of life and functional ability of the geriatric population.
This study aimed to assess the depression and quality of life among elderly and compare these
parameters among the inhabitants of old age home and in the community.
MATERIALS AND METHODS: A cross‑sectional study was conducted among the elderly of the
community and old‑age homes in the urban areas of Raipur, Chhattisgarh between March and
July 2016. Hundred elderly (50 in each group) participated in the study. Geriatric Depression Scale
15 (GDS‑15) and Older People Quality of Life (OPQoL)‑35 scale were used to assess the geriatric
depression and quality of life, respectively. Association between depression and demographic
variables were analyzed by Chi‑square/Fisher’s exact test. Pearson’s correlation coefficient was
calculated between GDS‑15 and OPQoL‑35 scale.
RESULTS: The prevalence of geriatric depression was 59%. Quality of life was better among the
old‑age home elderly participants than that of community elderly when compared for score of life
over all (11.78 vs. 13.56), health (12.8 vs. 14.0), social relationship (10.48 vs. 13.9), control over
life (11.92 vs. 14.08), home and neighborhoods (9.38 vs. 12.36), psychological and emotional
wellbeing (10.96 vs. 13.7), financial circumstances (14.5 vs. 16.7), and leisure and activities (13.86 vs.
15.28). Moderate positive correlation was observed between depression and quality of life.
CONCLUSION: The higher prevalence in our study emphasizes the need to delineate the actual
burden in the elderly population and provide necessary supportive measures. It needs to be addressed
adequately through a coordinated primary care approach and community and social support. Timely
and adequate management of depression can improve the quality‑of‑life outcomes.
Keywords
Commissioner, India. [Accessed on 12 Dec 2019] Available at:
https://censusindia.gov.in/census.website/.
2. Nath A, Ingle G. Geriatric health in India: Concerns and solutions.
Indian J Community Med 2008;33:214‑8.
3. National Mental Health Survey of India, 2015-2016 Prevalence,
Patterns and Outcomes, Supported by Ministry of Health
and Family Welfare, Government of India, and Implemented
by National institute of Mental Health and Neurosciences
(NIMHANS) Bengaluru: In Collaboration with Partner
Institutions; 2015-2016.
4. Rathod S, Pinninti N, Irfan M, Gorczynski P, Rathod P,
Gega L, et al. Mental health service provision in low‑ and
middle‑income countries. Heal Serv Insights 2017;10. doi:
10.1177/1178632917694350.
5. Rehm J, Mathers C, Popova S, Thavorncharoensap M,
Teerawattananon Y, Patra J. Global burden of disease and injury
and economic cost attributable to alcohol use and alcohol‑use
disorders. Lancet 2009;373:2223‑33.
6. Khandelwal S, Regmi SK, Mendis N, Kittirattanapaiboon P.
Conquering Depression World Health Organization Regional
Office for South East Asia New Delhi. 2001.
7. 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. J Fam Med Prim Care 2017;6:803‑12.
8. Kamble S V., Dhumale GB, goyal RC, Phalke DB, Ghodke YD.
Depression among elderly persons in a primary health centre area
in Ahmednagar, Maharastra. Indian J Public Health 2009;53:253‑5.
9. Mojtabai R, Olfson M. Major depression in community‑dwelling
middle‑aged and older adults: Prevalence and 2‑ and 4‑year
follow‑up symptoms. Psychol Med 2004;34:623‑34.
10. Tiwari SC, Pandey NM. Status and requirements of geriatric
mental health services in India: An evidence‑based commentary.
Indian J Psychiatry 2012;54:8‑14.
11. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Ann
Rev Clin Psychol 2009;5:363‑89.
12. Sahoo SS, Panda UK, Bhatia V. Elderly depression: A public
health dilemma; challeges and opportunities. Community Fam
Med 2017;3:12‑5.
13. Pandey N, Tiwari S, Singh I. Mental health problems among
inhabitants of old age homes: A preliminary study. Indian J
Psychiatry 2012;54:144‑8.
14. Barua A, Ghosh M, Kar N, Basilio M. Distribution of depressive
disordrs in the elderly. J Neurosci Rurla Pract 2010;1:67‑73.
15. Alden D, Austin C, Sturgeon R. A correlation between the
geriatric depression scale long and short forms. J Gerontol
1989;44:P124‑5.
16. Thomas AM, Cherian V, Antony A. Translation, validation
and cross‑cultural adaptation of the geriatric depression
scale (GDS‑30) for utilization amongst speakers of Malayalam;
the regional language of the South Indian State of Kerala. J Fam
Med Prim Care 2021;10:1864‑7.
17. Ganguli M, Dube S, Johnston JM, Pandav R, Chandra V,
Dodge HH. Depressive symptoms, cognitive impairment and
functional impairment in a rural elderly population in India:
A Hindi version of the geriatric depression scale (GDS‑H). Int J
Geriatr Psychiatry 1999;14:807‑20.
18. Sarkar S, Kattimani S, Roy G, Premarajan KC, Sarkar S. Validation
of the Tamil version of short form geriatric depression scale‑15.
J Neurosci Rural Pract 2015;6:442‑6.
19. 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;64:109‑15.
20. 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 Public
Health 2015;59:3‑8.
21. Goyal A, Kajal KS. Prevalence of depression in elderly population
in the southern part of Punjab. J Fam Med Prim Care 2014;3:359‑61.
22. Rangaswamy SM. World Health Report: Mental Health: New
Understanding New Hope. Geneva, Switzerland: The World
Health Organization; 2001.
23. Wig NN. World health day, 2001. Indian J Psychiatry 2001;43:1‑4.
24. Nair SS, Hiremath S, Nair SS. Depression among geriatrics:
Prevalence and associated factors. Int J Cur Res Rev 2013;8:110‑2.
25. VishalJ, BansalRK, Swati P, Bimal T. A study of depression among
aged in Surat city. Natl J Community Med 2010;1:47‑9.
26. Sahni B, Bala K, Kumar T, Narangyal A. Prevalence and
determinants of geriatric depression in North India:
A cross‑sectional study. Fam Med Prim Care 2020;9:2332‑6.
27. Naveen KH, Goel AD, Dwivedi S, Hassan MA. Adding life
to years: Role of gender and social and family engagement in
geriatric depression in rural areas of Northern India. Fam Med
Prim Care 2020;9:721‑8.
28. 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;19:832.
29. Mohan U, Gupta A, Singh S, Tiwari S, Singh V. Study of
depression in geriatric population: Old age home and community
in Lucknow India. Int J Epidemiol 2015;44(Suppl_1):i97.
30. Han K, Yang S, Jia W, Wang S, Song Y, Cao W, et al. Health‑related
quality of life and its correlation with depression among Chinese
centenarians. Front Public Health 2020;8:724. doi: 10.3389/fpubh.
2020.580757.
)