摘要:"Background: Mental disorders in the elderly are always overlooked and underdiagnosed. The most common neuropsychiatric disorders in this age group are dementia and depression. The geri-atric depression variation with respect to different environments will help us to understand its epidemiology. Methods: To estimate and compare the prevalence of geriatric de-pression and the associated factors in community and old-age homes, a cross-sectional study was carried out in both these settings between august 2017 and april 2018. A sample of 150 was taken in community and old-age homes each. Cluster random sampling and simple random sampling were employed. Geriatric depression scale -15 (GDS-15) was used to assess the depression and mini-mental state examination (MMSE-30) was used to assess cognitive status. Results: Prevalence of geriatric depression in old-age home was 33.3% and in community was 31.2%, but the difference was not statistically significant (p=0.702). However in a subgroup analysis, prevalence of depression in private old-age home was 21.6% and public old-age home was 46.3% and this difference was statistically significant (p = 0.002). Age, marital status, education, socioeconomic status, economic dependency, source of pension, physical dependency and uncorrected hearing/visual impairment were the important predictors of depres-sion. Conclusion: Prevalence of geriatric depression does not significantly vary in community and Old-age home, but it varies with respect to type of Old-age home. Better facilities and good environment in old-age homes may help to reduce depression.
关键词:Depression; elderly; Geriatric; GDS; Old-age homes