Clinical features of depression in the elderly and younger patients at tertiary care center of Saurashtra, India - A comparative study
Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 10
Abstract
Background: Depression in the elderly has serious consequences such as poor quality of life, dependency, increases comorbidity, and premature death. Symptom profile of depression in the elderly was not extensively researched in India. Objectives: The objective of the study is to compare clinical features of depression between elderly and younger groups and its relation to various sociodemographic variables between two groups. Materials and Methods: A cross-sectional, observational, comparative study carried out at tertiary care center of Jamnagar. Forty patients with depression for each elderly and younger groups were selected using simple convenient sampling from the outpatient department and inpatient department of the Department of Psychiatry, M. P. Shah Government Medical College and Guru Gobind Singh Hospital, Jamnagar. Depression was diagnosed using diagnostic and statistical manual of mental disorder-5 diagnostic criteria for major depressive disorder. HAM-D-17 was used for assessment and comparison of clinical features of depression between two groups. Mini–Mental State Examination used to rule out dementia in elderly patients. Descriptive statistics, t-test, Chi-square test, and binary logistic regression were used for statistical analysis. Results: Symptom profile of depression is somewhat different in the elderly compare to younger patients. Elderly patients with depression compared to young scored significantly less for depressed mood (odds ratio [OR]: 0.98, P = 0.001) and genital symptoms (OR: 0.20, P = 0.038) but significantly higher for somatic symptoms - gastrointestinal (OR: 5.18, P = 0.049) and somatic symptoms - general (OR: 7.06, P = 0.023) and insomnia - delayed (OR: 4.15, P = 0.042). Conclusions: Clinical features of depression are different in the elderly as depressed mood is often masked. Somatic symptoms and insomnia are often reported by elderly depressed patients than younger patients.
Authors and Affiliations
Anoopkumar P Srivastava, Vishal K Patel, Deepak S Tiwari, Hitarth H Raja, Dhruvkumar S Patel, Nirav B Chanpa
Keywords
Related Articles
- EP ID EP488087
- DOI 10.5455/ijmsph.2018.0618323062018
- Views 78
- Downloads 0
Early Patient Contact: Exploring the horizons in Physiology
Background: Principles in Physiology should be understood by the medical students to relate with context of disease, but the first year of medical career is taught mainly by didactic lectures and tutorials with little or...
The relationship between Helicobacter pylori infection and allergic rhinitis during childhood
Background: There are different publications on the relationship between the infections and development of allergic diseases. Aims & Objective: To examine the relationship between Helicobacter pylori infection...
Survey of different types of anemia
Background: Anemia is a major public health problem of considerable importance in the developing countries in the world. Objective: The aim of present study is to determine the prevalence of anemia and various types of a...
Assessment of relationship between tobacco consumption and laryngopharyngeal cancers
Background: Tobacco use is a known distinguishable risk factor for oropharyngeal and laryngeal cancers. It is essential to create a public awareness of the negative effects of tobacco on cancers. Objectives: The objectiv...
Assessment of patient satisfaction: a descriptive study at outpatient department of a tertiary care public hospital in Jabalpur
Background: Patients satisfaction has always been important issue for physicians and hospital administrators. A patient is the ultimate consumer of the hospital. He is the person in distress and expects...