Factors Related to Depression Among the Elderly: A Case Study in Lampang Province, Thailand (original) (raw)
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Prevalence and Factors Affecting Depression of the Elderly: A Cross-Sectional Study in Thailand
This research was designed as a cross-sectional analysis to investigate the prevalence of depression among the elderly population in the Isan subdistrict, Mueang district, Buriram province. The objective of the study was to evaluate the impact of fundamental factors (gender, average age, chronic diseases, basic daily activity abilities, and body mass index) on the incidence of depression among the elderly in the region. The sample size was calculated from EPI INFO, determined via a stratified random sampling method, and consisted of 144 elderly individuals. The data collection process took place from December 2021 to April 2022, and involved the use of a general information questionnaire and a depression assessment form specifically designed for the elderly. The data were analyzed using descriptive statistics, univariate analysis, and multivariate analysis. The results showed that 1) the overall prevalence of depression was 16.67%, with males having a higher incidence (21.43%) compared to females (14%), and 2) one factor that was found to have a st atistically significant association with depression was body mass index. Specifically, depression was found to be more prevalent among elderly individuals with normal weight, at 4.29 times the rate compared to obese individuals (OR = 4.29, 95% CI = 1.07-17.26). However, no statistically significant relationship was found between depression and other factors when analyzed using multivariate analysis. These findings can be used to develop programs for the education, monitoring, and prevention of depression and its complications among the elderly in the community.
Journal of Clinical Gerontology and Geriatrics
Background: Depression in elderly usually goes unnoticed in the general population. The aim of this research is to study on the prevalence, and associated factors of elderly depression within Songkhla province. This being a major city with a population of one and a half million, situated in the south of Thailand. Methods: This is a two-stage cluster sampling study. We collected data from members of the elderly population (65-99 years of age) in Songkhla Province from 1st of September-30th of November 2015. The sample size was calculated by R-program. We used the 15-item Thai Geriatric Depression Scale (TGDS-15) questionnaire to find the prevalence and its association of factors. The associated factors were analyzed by multiple logistic regression using a backward-stepwise method. Results: By using TGDS-15, the prevalence of depression in the elderly population in Songkhla province was 12.0 percent. The association of depression as well as potential, associated factors in this study; sex, age, and residential area, were not found to be significant. We found more prevalence among Muslims, those being alone, and having a lower educational level within this area (p-value < 0.05). Conclusions: The prevalence of depression was quite high among the elderly population of Songkhla province. Many statically, both significant and insignificant, correlations were found. We need an in-depth research, concerning both biological and spiritual aspects to explain the etiology of depression. Then, some policies need to be implemented to intervene those factors, so as to promote better health and quality of life in elderly people.
BJPsych Open
Background There are no longitudinal studies investigating determinants of incident and persistent depressive symptoms in Southeast Asia. Aims To estimate the proportion and correlates of incident and persistent depressive symptoms in a prospective cohort study among middle-aged and older adults (≥45 years) in Thailand. Method We analysed longitudinal data from the Health, Aging, and Retirement in Thailand (HART) surveys in 2015 and 2017. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. Logistic regression was used to calculate predictors of incident and persistent depressive symptoms. Results In total, 290 of 4528 participants without depressive symptoms in 2015 had incident depressive symptoms in 2017 (9.8%) and 76 of 640 adults had persistent depressive symptoms (in both 2015 and 2017) (18.3%). In adjusted logistic regression analysis, having diabetes (adjusted odds ratio AOR = 1.48, 95% CI 1.07–2.05), musculoskeletal conditions (AOR ...
2012
Background: Depression is the most common mental health disorder, a disease that that involves the body, mood and thoughts. It is often under diagnosed, especially among elderly people in the nursing home setting. The objective of this study is to determine the prevalence of depression among the elderly people in the nursing home setting, Bangkok, Thailand and identify factors associated with depression. Methods: Cross-sectional study was conducted among 237 participants above the age of 60 at Ban Bangkhae nursing homes; Bangkok Thailand, The measurement tools consisted of Thai Geriatric Depression Scale, UCLA Loneliness Scale (ULS) and other related questionnaires. Multivariable linear regression was used to find association between depressive symptoms and factors with statistical significant of each analysis against the p-value 0.05. Results: The prevalence of major depression was 7.2% and the prevalence of minor depression was 32.1%. The adjusted R Square is 0.413, and F value is 33.873 (p value <0.001) and the Durbin-Watson is 1.746. Loneliness (β = 0.54, P < 0.001), Insomnia (β = 1.85, P < 0.002), Social Activity (β =-0.39, P < 0.001), Inadequate of Vitamin D (β =-1.45, P < 0.014), and Physical Activity (β =-1.46, P < 0.021) associated with depression where (β) is the regression coefficient. Insomnia, loneliness, Physical Activity, Inadequate Vitamin D and Social Activity were found to be the prominent factors with depressive symptoms among Ban Bangkhae nursing homes setting. Limitation: Unforeseen flooding natural disaster from October and December 2011 may have overestimate of the prevalence of depression. Conclusion: The prevalence of depressive symptoms 39.1% was high in comparing to the findings in Thai community dwelling elderly. Insomnia, loneliness, Lack of social Activity, Physical Activity and Inadequate Vitamin D were identified as important factors to emphasize when assessing for depression in the nursing home setting. The findings of this study will assist in developing adequate prevention and treatment strategies among the elderly in the nursing home population.
Archives of Gerontology and Geriatrics, 2005
Health is vital for sustainable development, and obviously, there is no health without mental health. The purpose of this study was to examine the prevalence of screening-based depression and the association of depression with activities of daily living (ADL) and quality of life (QOL) of community-dwelling elderly in the developing and developed countries. A total of 2529 community-dwelling elderly subjects aged 60 years or older living in five rural Asian towns (Myanmar 213, Indonesia: 411, Japan: 1905) participated in this cross-sectional study. Depressive symptoms were assessed using a 15-item geriatric depression scale (GDS-15). ADL, higher daily activities, and medical and social history were assessed by interviews or self-report questionnaires. For the assessment of subjective QOL, a 100 mm visual analogue scale was used. Using a cut-point of 5/6 for the GDS-15, 764 participants (30.2%) appeared to have depression (Myanmar 22.2% Indonesia: 33.8%, Japan: 30.3%). Subjects with depression had significantly lower scores for both ADL and QOL than those without depression in all the three countries. In all the three countries, 22.2-33.8% of community-dwelling elderly subjects had screening-based depression, which was commonly associated with both lower quantitative ADL and lower QOL.
Epidemiology and health, 2018
This study aimed to indentify the prevalence of poor sleep quality and its associated factors among community-dwelling elderly in northern Thailand. A cross-sectional study was conducted among 266 randomly selected elderly from a sub-district in rural Chiang Rai Province, northern Thailand. The elderly people were interviewed using the Thai version of the Pittsburgh Sleep Quality Index (T-PSQI). About 44.0% of the participants had poor sleep quality (PSQI score >5), 9.4% used sleep medication, 27.1% had poor family relationships and 12.0% had mild depression. Multiple logistic regression analyses indicated that being female (OR=1.74, 95%CI 1.10-3.02), higher education level (OR=3.03 95%CI 1.34-6.86 for primary school vs no school; OR=2.48 95%CI 1.31-5.44 for >primary school vs no school), mild depression (OR=2.65, 95%CI 1.11-6.36), and poor family relationships (OR=3.65, 95%CI 1.98-6.75) were significantly associated with poor sleep quality. The prevalence of poor sleep qualit...
Gender Differences in Depression and Risk Factors among Thai Older Adults
2019
Introduction: Depression is a significant public health issue across all sociodemographic groups including the elderly. The aims of this study were to determine the prevalence of depression and gender differences in risk factors of depression among Thai older adults. Materials and Methods: A total of 1,604 community-dwelling older aged 60 years and over in the northeastern region in Thailand were enrolled in this study. This cross-sectional survey was conducted to collect information on demographic characteristics, social support, community participation, and gender roles in a family. Depressive symptoms were assessed using 30-item Geriatric Depression Scale. Odds ratios and 95% confidence intervals were estimated using multiple logistic regression with Forward Stepwise method.
Prevalence and related factors of depression among the elderly in Indonesia
2019
Depression was the leading cause of disability in the world in 2015 according to the World Health organization (WHO). In 2015, the WHO estimated that 7% of elderly people suffered from depression. Demographic factors, such as being female, having a lower educational status, and having a low socioeconomic status were associated with a higher likelihood of having depressive symptoms. Other health-related factors, such as low self-rated health, and a greater number of chronic conditions were also associated with depression. In terms of social factors, elderly people with lower community support, fewer social or religious activities were more likely to suffer from depression. Poor sleep quality was also found to be associated with depression and other mental disorders. 8 Indonesia, the 4 most populated country in the world, had 22 million elderly in 2015, an increase of 52.7% from year 2000. As the population ages, the government has placed more resources on elderly care, such as in imp...
International Journal of Mental Health Systems
Background Depression is globally recognized as a major mental health problem in all age categories, particularly among those living in poor economic conditions and with low levels of education, including the hill tribe people in northern Thailand. Methods This cross-sectional study aimed to estimate the prevalence of depression and determine the factors associated with depression in the hill tribe population aged 40 and over in northern Thailand. Hill tribe people who lived in the selected villages and met the inclusion criteria were invited to participate in the study. A validated questionnaire and the Patient Health Questionnaire-9 (PHQ-9) were used for data collection. An interview was conducted in a private and confidential room in the selected villages between January and April 2019. Logistic regression was used to determine the factors associated with depression at a significance level of α = 0.05. Results A total of 601 participants were recruited into the study. More than h...
Geriatrics, 2021
The proportion of geriatric depression recorded in Vietnam was 66.9%. Depression in older people is a risk factor for problems related to dementia, poor quality of life, and suicide. To have a good Vietnamese questionnaire for assessing geriatric depression, we conducted the study to translate and cross-culturally adapt the Geriatric Depression Scale—long-form with 30 items (GDS-30). The study has two steps. Step 1 is a translation of the GDS-30 scale. We followed the guideline by Beaton et al., (2000 & 2007). Firstly, two translators (informed and uninformed) translated the questionnaires. Secondly, the translations were synthesized. Thirdly, back translation was performed by two translators fluent in both Vietnamese and English but completely unknown of the original version of the scale and did not have medical expertise. Finally, seven experts reached a consensus on the pre-final Vietnamese version (GDS-30). Step 2 is a field test of the questionnaires on people 60 years or older...