Last modified: 2019-06-16
Abstract
Background: Psychiatric disorders such as depression are widespread, often undiagnosed, and usually untreated. The identification of predisposing and precipitating factors with the help of depression screening tools can help to devise the patient care plan. Objective: Therefore, this study aimed to determine the prevalence of depression among the elderly staying in geriatric home care, to explore any association and differences of depression across various socio-demographic variables and to study the predictors of depression among study subjects. Method: A cross-sectional study was conducted with a convenience sample of 141 elderly (>65 years old) by using pre-validated tool. The study questionnaire consisted of two parts: Part A (Socio-demographic data); Part B (Geriatric Depression Scale-15). The extracted data from the completed questionnaires were analyzed by SPSS® using descriptive and inferential statistics. Results: From all the enrolled respondents, the majority (44.7%) were in the age group of 65-75 years, male (57.4%), Chinese (42.6%), and widowed (41.1%). Among the enrolled subjects 43.3% had a hypertension, followed by diabetes mellitus (39%) and heart disease (8.5%) while 99.3% reported no history of depression. The study showed that 52.5% of the respondents had depression. There was significant difference was observed between the prevalence of depression with marital status (p=0.021) and history of heart disease (p= 0.002). On multivariate analysis heart disease was found to be statistically significant. Conclusion: Depression is highly prevalent among the elderly population residing in geriatric home care in Klang. Regular assessment and screening should be done for geriatric living in such homes to alleviate the prevalence of depression. The role of family, government and the society support is imperative to address the issue of depression among geriatrics.