+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Prevalence, clinical and psychosocial variables of depression, anxiety and suicidality in geriatric tertiary care settings



Prevalence, clinical and psychosocial variables of depression, anxiety and suicidality in geriatric tertiary care settings



Asian Journal of Psychiatry 2018



The study investigated the prevalence of depressive and anxiety disorders and suicide risk in geriatric outpatients in tertiary care hospitals. An observational, cross-sectional study was conducted with 803 participants aged 60 and above attending geriatric outpatient clinics in tertiary care hospitals in Thailand. Participants were assessed using DSM-IV-TR criteria to calculate the prevalence of deressive and anxiety disorders, and their suicide risk. Montreal Cognitive Assessment (MoCA), Perceived Stress Scale (PSS), Multidimensional Scale of Perceived Social Support, Core Symptom Index (CSI), 15-item Geriatric Depression Scale (GDS-15), Neuroticism Inventory (NI) and the Revised Experience of Close Relationships Questionnaire (ECR-R) were administered. Quality of life was assessed using the EuroQoL (EQ-5D). The prevalence rate for depressive disorders was 23.7%, anxiety disorders was 6.4%, and current suicide risk was 20.4%. PSS, MSPSS, GDS, CSI, and NI scores were significantly higher in all clinical disorders and a suicide group compared with nonclinical subjects. MoCA and ECR-R did not differentiate between clinical disorder and nonclinical samples. Comparing all four outcomes, the EQ-5D differed most in the mixed depressive-anxiety disorder and nonclinical groups (t = 12.20, p < .001). The present findings revealed a high prevalence of depression, anxiety and suicidality among elderly patients attending tertiary care hospitals. Perceived stress, perceived social support, and neuroticism scores were significantly higher in this group. Role of sociodemographic, clinical and psychosocial variables as risk factors for these clinical disorders should be further examined.

(PDF emailed within 0-6 h: $19.90)

Accession: 065887780

Download citation: RISBibTeXText

PMID: 30348596

DOI: 10.1016/j.ajp.2018.10.007


Related references

Prevalence and predictors of depression and anxiety in patients of diabetes mellitus in a tertiary care center. Indian Journal of Endocrinology and Metabolism 20(6): 746-751, 2016

Prevalence and predictors of depression and anxiety in adult patients with type 1 diabetes in tertiary care setting. Acta Diabetologica 55(9): 943-953, 2018

Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry 77(4): 534-542, 2008

Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet. Oncology 12(2): 160-174, 2011

Screening for depression and anxiety among older Chinese immigrants living in Western countries: The use of the Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI). Asia-Pacific Psychiatry 8(1): 32-43, 2015

Reliability, concurrent validity, and cultural adaptation of the Geriatric Depression Scale and the Geriatric Anxiety Inventory for detecting depression and anxiety symptoms among older Chinese immigrants: an Australian study. International Psychogeriatrics 30(5): 735-748, 2017

Psychosocial variables and the life event/anxiety-depression link. A community study. Acta Psychiatrica Scandinavica 74(3): 281-291, 1986

Comorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables. Psychosomatic Medicine 66(6): 837-844, 2004

The psychometric properties, sensitivity and specificity of the geriatric anxiety inventory, hospital anxiety and depression scale, and rating anxiety in dementia scale in aged care residents. Aging and Mental Health 2018: 1-10, 2018

Prevalence and clinical features of newly diagnosed generalized anxiety disorder patients in Spanish primary care settings: the GADAP study. Actas Espanolas de Psiquiatria 40(3): 105-113, 2013

Depression and anxiety in multisomatoform disorder: prevalence and clinical predictors in primary care. South African Medical Journal 98(6): 473-476, 2008

Anxiety, depression and quality of life after cancer diagnosis: what psychosocial variables best predict how patients adjust?. Psycho-Oncology 21(8): 857-867, 2015

From 'postnatal depression' to 'perinatal anxiety and depression': key points of the National Perinatal Depression Plan for nurses and midwives in Australian primary health care settings. Contemporary Nurse 35(1): 58-67, 2010

Assessment and treatment of geriatric depression in primary care settings. Archives of Family Medicine 6(5): 433-438, 1997

Prevalence and psychosocial factors of anxiety and depression in breast cancer patients. Journal of the Medical Association of Thailand 90(10): 2164-2174, 2007