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Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India

Background: There is scant literature from India assessing the burden of mental disorders among elderly patients with non-communicable diseases (NCDs). This study aimed to determine the prevalence of depression and generalised anxiety disorder (GAD) among the elderly population with diabetes and/or...

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Autores principales: Verma, Madhur, Grover, Sandeep, Tripathy, Jaya Prasad, Singh, Tarundeep, Nagaraja, Sharath Burugina, Kathirvel, Soundappan, Singh, Gopal, Nehra, Ritu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Touch Medical Media 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785953/
https://www.ncbi.nlm.nih.gov/pubmed/31616502
http://dx.doi.org/10.17925/EE.2019.15.2.106
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author Verma, Madhur
Grover, Sandeep
Tripathy, Jaya Prasad
Singh, Tarundeep
Nagaraja, Sharath Burugina
Kathirvel, Soundappan
Singh, Gopal
Nehra, Ritu
author_facet Verma, Madhur
Grover, Sandeep
Tripathy, Jaya Prasad
Singh, Tarundeep
Nagaraja, Sharath Burugina
Kathirvel, Soundappan
Singh, Gopal
Nehra, Ritu
author_sort Verma, Madhur
collection PubMed
description Background: There is scant literature from India assessing the burden of mental disorders among elderly patients with non-communicable diseases (NCDs). This study aimed to determine the prevalence of depression and generalised anxiety disorder (GAD) among the elderly population with diabetes and/or hypertension and risk factors for psychiatric morbidity. Methodology: A cross-sectional study was conducted between September–December 2017 by using a semi-structured questionnaire amongst an elderly population (n=320), who were attending an NCD clinic in a rural district in the northern state of Punjab, India. The Geriatric Depression Scale (30-item) and GAD-7 scale were used to assess depression and GAD. Result: Depression was found in 58.1% (95% confidence interval [CI] 52.6–63.4%) of the study participants; of whom, 34.1% had severe depression. The proportion of GAD was found to be 38.7% (95% CI 33.6–44.2%), with 19.7% scoring in the severe range. Both GAD and depression was found in 37.8% (95% CI 32.7–43.2%). Female gender, nuclear family, being single/separated/divorced/widowed, low-income status and comorbid NCDs (especially hypertension) were found to be risk factors associated with depression and GAD. Conclusion: NCDs with co-morbid mental illness are a growing public health problem amongst the elderly population of the country. The NCD programme should make immediate efforts to provide mental-health care as part of a holistic care package to elderly with NCDs.
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spelling pubmed-67859532019-10-15 Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India Verma, Madhur Grover, Sandeep Tripathy, Jaya Prasad Singh, Tarundeep Nagaraja, Sharath Burugina Kathirvel, Soundappan Singh, Gopal Nehra, Ritu Eur Endocrinol Diabetes Background: There is scant literature from India assessing the burden of mental disorders among elderly patients with non-communicable diseases (NCDs). This study aimed to determine the prevalence of depression and generalised anxiety disorder (GAD) among the elderly population with diabetes and/or hypertension and risk factors for psychiatric morbidity. Methodology: A cross-sectional study was conducted between September–December 2017 by using a semi-structured questionnaire amongst an elderly population (n=320), who were attending an NCD clinic in a rural district in the northern state of Punjab, India. The Geriatric Depression Scale (30-item) and GAD-7 scale were used to assess depression and GAD. Result: Depression was found in 58.1% (95% confidence interval [CI] 52.6–63.4%) of the study participants; of whom, 34.1% had severe depression. The proportion of GAD was found to be 38.7% (95% CI 33.6–44.2%), with 19.7% scoring in the severe range. Both GAD and depression was found in 37.8% (95% CI 32.7–43.2%). Female gender, nuclear family, being single/separated/divorced/widowed, low-income status and comorbid NCDs (especially hypertension) were found to be risk factors associated with depression and GAD. Conclusion: NCDs with co-morbid mental illness are a growing public health problem amongst the elderly population of the country. The NCD programme should make immediate efforts to provide mental-health care as part of a holistic care package to elderly with NCDs. Touch Medical Media 2019-08 2019-08-16 /pmc/articles/PMC6785953/ /pubmed/31616502 http://dx.doi.org/10.17925/EE.2019.15.2.106 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/3.0/ Review Process: Double-blind peer review. Compliance with Ethics: Ethics approval was obtained from the Institutional Ethics Committee of Post Graduate Institute of Medical Education and Research, Chandigarh, India, and The Union Ethics Advisory Group, Paris, France. Written informed consent was obtained from the participants before the interview. Authorship: All named authors meet the criteria of the International Committee of Medical Journal Editors for authorship for this manuscript, take responsibility for the integrity of the work as a whole and have given final approval for the version to be published.
spellingShingle Diabetes
Verma, Madhur
Grover, Sandeep
Tripathy, Jaya Prasad
Singh, Tarundeep
Nagaraja, Sharath Burugina
Kathirvel, Soundappan
Singh, Gopal
Nehra, Ritu
Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India
title Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India
title_full Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India
title_fullStr Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India
title_full_unstemmed Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India
title_short Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India
title_sort co-existing non-communicable diseases and mental illnesses amongst the elderly in punjab, india
topic Diabetes
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785953/
https://www.ncbi.nlm.nih.gov/pubmed/31616502
http://dx.doi.org/10.17925/EE.2019.15.2.106
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