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Psychiatric Morbidity among Elderly People Living in Old Age Homes and in the Community: A Comparative Study

Nagaraj, AKM and Mathew, J and Nanjegowda, RB and Majgi, SM and Purushothama, SM (2012) Psychiatric Morbidity among Elderly People Living in Old Age Homes and in the Community: A Comparative Study. [Journal (On-line/Unpaginated)]

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Abstract

Background: Disorders such as depression, anxiety, cognitive and psychotic disorders have a high prevalence among elderly. There is some preliminary evidence that life in old age homes is perceived by inmates as more supportive, though the issue is not well studied. Aim: This project is directed towards studying and comparing the psychiatric morbidity and quality of life of elderly people residing in two unique settings: community and old age homes. Method: It is a cross-sectional study where the elderly subjects, 50 each in both the groups, were selected by simple random sampling technique and assessed on Mini Mental Status Examination (MMSE), Informant Questionnaire on Cognitive Decline in Elderly (IQCODE), Brief Psychiatric Rating Scale (BPRS) and Quality of life visual analogue scale. Result: On comparison using suitable statistical analysis, there was no significant difference in the total scores on MMSE, IQCODE and quality of life scale across the groups. Depression was present in 22% of people in the community and 36% of old age home inmates. Psychosis was present in 26% of people in the community and 20% of old age home inmates. Conclusion: The psychiatric morbidity is high in elderly irrespective of the setting in which they live.

Item Type:Journal (On-line/Unpaginated)
Keywords:Elderly people; Old age homes; Psychiatric morbidity; Cognitive disturbances; Quality of life
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:8855
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:04 May 2013 23:03
Last Modified:04 May 2013 23:03

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Ingle GK, Nath A. Geriatric Health in India: Concerns and Solutions. Indian Journal of Community Medicine. 2008;33(4):214-218.

2. Dening T, Bains J. Mental health services for residents of care homes. Age and Ageing. 2004;33:1–2.

3. World Health Organization. Burden of mental and behavioural disorders. The World Health Report 2001; Mental Health: new understanding, new hope. Geneva, Switzerland, 2001. pp 3-4, 19–45, Box 3.7.

4. Dube KC. A Study of prevalence and biosocial variation in mental illness in a rural and urban community in Uttar Pradesh, India. Acta Psychiatr Scand. 1970;48:18.

5. Nandi DN, Ajmani S, Ganguli A, Banerjee G, Boral GC, Ghosh A, Sankar S. Psychiatric disorders in a village community in West Bengal. Indian J Psychiatry. 1975;17:87.

6. Ramchandran, Menon SM, Ramamurthy B. Psychiatric disorders in subjects over fifty. Indian J Psychiatry. 1979;22:193-198.

7. Tiwari SC. Geriatric psychiatric morbidity in rural northern India: Implications for the future. Int Psychogeriatr. 2000;12: 35-48.

8. Sood A, Singh P, Gargi PD. Psychiatric morbidity in non-psychiatric geriatric inpatients. Indian J Psychiatry. 2006;48:56-61.

9. Irudaya Rajan S. Population Ageing and Health in India. Centre for Enquiry into Health and Allied Themes (CEHAT), 2006, Survey No. 2804 & 2805. PP 1-22.

10. ICMR. Mental Health and Ageing. ICMR Bulletin. 1991;21:49-54.

11. Folstein MF, Folstein SE, McHugh PR. Mini-Mental State: A practical method for grading the state of patients for the clinician. J Psychiatric Res. 1975;12:189-198.

12. Jorm AF. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): A review. International Psychogeriatrics. 2004;16(3):1-19.

13. Overall JE, Gorham DR. Brief Psychiatric Rating Scale. Psychol Rep. 1962;10:799-812.

14. Heinrichs DW, Hanlon TE, Carpenter WT Jr. Quality of Life Scale: an Instrument for rating the Schizophrenia Deficit Syndrome. Schizophrenia Bull. 1984;10(3):338-398.

15. Nandi PS, Banerjee G, Mukherjee SP, et al. A study of psychiatric morbidity of elderly population of a rural community in West Bengal. Indian J Psychiatry. 1997;39:122-129.

16. Buntinx, Kester A, Bergers J, Knottnerus JA. Is Depression in Elderly People followed by Dementia? A Retrospective Cohort Study based in General Practice. Age and Ageing, 1996;25:231-233.

17. Berkman LF. The association between educational attainment and mental status examinations: of etiologic significance for senile dementias or not? J Chronic Dis. 1986;39:171-174.

18. Cooper B, Holmes C. Previous psychiatric history as a risk factor for late-life dementia: a population-based case-control study. Age and Ageing. 1998;27:181-188.

19. Ramachandran V, Sarada Menon M, Arunagiri S. Socio-cultural factors in late onset depression. Indian J Psychiatry. 1982;24:268-273.

20. Harris T, Cook DG, Victor C, Rink E, Mann AH, Shah S, Dewilde S, Beighton C. Predictors of depressive symptoms in older people – a survey of two general practice populations. Age and Ageing. 2003;32(5):510–518.

21. Bogner HR, Cary MS, Bruce ML, et al. The role of medical comorbidity in outcome of major depression in primary care: the PROSPECT study. Am J Geriatr Psychiatry. 2005;13:861–868.

22. Rothera I, Jones R, Harwood R, Avery A, Waite J. Health status and assessed need for a cohort of older people admitted to nursing and residential homes. Age and Ageing. 2003;32:303–309

23. Tiple P, Sharma SN, Srivastava AS. Psychiatric morbidity in geriatric people. Indian J Psychiatry. 2006;48:88-94.

24. Matthews FE, Dening T. Prevalence of dementia in institutional care. Lancet. 2002;360:225–226.

25. Macdonald AJD, Carpenter GI, Box O, Roberts A, Sahu S. Dementia and use of psychotropic medication in non-‘elderly mentally infirm’ nursing homes in South East England. Age Ageing. 2002;31:58–64.

26. Yaffe K, Fiocco AJ, Lindquist K et al. Predictors of maintaining cognitive function in older adults: The Health ABC Study. Neurology. 2009;72:2029–2035.

27. Tierney MC, Szalai JP, Dunn E, Geslani D, McDowell I. Prediction of probable Alzheimer disease in patients with symptoms suggestive of memory impairment. Arch Fam Med. 2000;9(6):527-532.

28. Fratiglioni L, Jorm AF, Grut M, et al. Predicting dementia from the Mini-Mental State Examination in an elderly population: the role of education. J Clin Epidemiol. 1993;46:281-287.

29. Tiwari SC, Srivastava S. Geropsychiatric Morbidity in rural Uttar Pradesh. Indian J Psychiatry. 1998;40:266-273.

30. Uwakewe R. Psychiatric morbidity in elderly patients admitted to non-psychiatric wards in a general/teaching hospital in Nigeria. Int J Geriatr Psychiatry. 2000;15:346-354.

31. Pereira YD, Estibeiro A, Dhume R, Fernandes J. Geriatric Patients attending tertiary care Psychiatric Hospital. Indian J Psychiatry. 2002;44(4):326-331.

32. Mann AH, Graham N, Ashby D. Psychiatric illness in residential homes for the elderly: a survey in one London borough. Age Ageing. 1984;13:257–265.

33. Mann AH, Schneider J, Mozley CG et al. Depression and the response of residential homes to physical health needs. Int J Geriatric Psychiatry. 2000;15:1105–1012.

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

35. Lichtenberg PA, Ross T, Millis SR, Manning CA. The relationship between depression and cognition in older adults: a cross-validation study. J Gerontol B Psychol Sci Soc Sci. 1995;50:P25-P32.

36. Desai A, Grossberg G. Differential Diagnosis of Psychotic Disorders in the Elderly: In Cohen CI (Ed). Schizophrenia into later life: Treatment, Research and Policy. Washington, DC. American Psychiatric Publishing, INC.2003. pp 55-78.

37. Zayas E, Grossberg T. The treatment of psychosis in late life. J Clin Psychiatry. 1998;59(Suppl 1):5-12

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