Mental disorders such as depression are widespread, often underdiagnosed, and usually inappropriately treated. The early recognition of factors that may promote depression with the help of depression screening aid can help to plan better care for the patient. Therefore, this study aimed to determine the depression prevalence among the older adults staying in old 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. A cross-sectional study was conducted with a convenience sample of 141 elderly by using the validated tool. The study instrument was divided into two sections: Section I (Socio-demographic data); Section II (M-Geriatric Depression Scale-14). The results showed 44.7% were in the age group of 65-75 years, the majority were Chinese (42.6%), and male (57.4%). Among the subjects, 43.3% had hypertension, followed by 39% of diabetes, and 8.5% were with heart disease, while more than 90% reported not known history of depression. The study revealed that more than 50% of the respondents had depression. Statistically, a significant difference was observed between the depression prevalence with marital status (p=0.021) and a history of heart disease (p= 0.002). On multivariate analysis, heart disease was found to be statistically significant. Depression was prevailing among the older community those who were staying in old home care. Daily evaluation should be done for the older population staying in old home care to attenuate the prevalence of depression. Family and social support were vital to highlight the issue of depression among older adults.
Abhishek, G., Uday, M., Singh Shivendra, K., Manish, M. K., Chandra, T. S., & Kumar, S. V. (2015). Screen depression among elderly in a city Asia. Journal of Clinical and Diagnostic Research, 9(9), 3-7.
Ames, D. (1993). Depressive disorders among elderly people in long-term institutional care. Australian and New Zealand Journal of Psychiatry, 27(3), 379-391.
Andrews, G., Hall, W., & Teesson, M. (1999). Henderson Sl. The mental health of Australians. Canberra, ACT: Commonwealth of Australia Department of Health and Aged Care.
Blazer, D. G. (2003). Depression in late life: review and commentary. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(3), M249-M265.
Brown, E. L., McAvay, G., Raue, P. J., Moses, S., & Bruce, M. L. (2003). Recognition of depression among elderly recipients of home care services. Psychiatric Services, 54(2), 208-213.
Chen, R., Hu, Z., Wei, L., Qin, X., McCracken, C., & Copeland, J. R. (2008). Severity of depression and risk for subsequent dementia: cohort studies in China and the UK. The British Journal of Psychiatry, 193(5), 373-377.
Choulagai, P. S., Sharma, C. K., & Choulagai, B. P. (2013). Prevalence and associated factors of depression among elderly population living in geriatric homes in Kathmandu Valley. Journal of Institute of Medicine, 35(1), 39-44.
Cole, M. G., Bellavance, F., & Mansour, A. (1999). Prognosis of depression in elderly community and primary care populations: a systematic review and meta- analysis. American Journal of Psychiatry, 156(8), 1182- 1189.
Cole, M. G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. American journal of psychiatry, 160(6), 1147-1156.
de Craen, A. J., Heeren, T. J., & Gussekloo, J. (2003). Accuracy of the 15‐item geriatric depression scale (GDS‐15) in a community sample of the oldest old. International journal of geriatric psychiatry, 18(1), 63-66.
Department of Statistics. Malaysia. (1998) Senior citizens and population. Ageing in Malaysia. Population Census Monograph Series no. 4. Kuala Lumpur. National Printing Department.
Evans, M., & Mottram, P. (2000). Diagnosis of depression in elderly patients. Advances in psychiatric treatment, 6(1), 49-56.
Ewe, E. T., & Che Ismail, H. (2004). Validation of Malay version of Geriatric Depression Scale among elderly inpatients. Age, 17, 65-4. URL:www.priory.com/psych/ MalayGDS.htm
Friedhoff, A. J. (1991). Consensus development statement: Diagnosis and treatment of depression in late life. In Diagnosis and treatment of depression in late life: Results of the NIH consensus development conference (pp. 493-511).
Grayson, P., Lubin, B., & Van Whitlock, R. (1995). Comparison of depression in the community‐dwelling and assisted‐living elderly. Journal of Clinical Psychology, 51(1), 18-21. http://www.Mentalhealth. Com/Book/Pus-Dpo1htm [access June 2008]
Imran, A., Azidah, A. K., Asrenee, A. R., & Rosediani, M. (2009). Prevalence of depression and its associated factors among elderly patients in outpatient clinic of Universiti Sains Malaysia Hospital. The Medical Journal of Malaysia, 64(2), 134-139.
Li, Z., Jeon, Y. H., Low, L. F., Chenoweth, L., O’Connor, D. W., Beattie, E., & Brodaty, H. (2015). Validity of the geriatric depression scale and the collateral source version of the geriatric depression scale in nursing homes. International psychogeriatrics, 27(9), 1495- 1504.
Lyness, J. M., Noel, T. K., Cox, C., King, D. A., Conwell, Y., & Caine, E. D. (1997). Screening for depression in elderly primary care patients: A comparison of the Center for Epidemiologic Studies—Depression Scale and the Geriatric Depression Scale. Archives of internal medicine, 157(4), 449-454.
Mann, A. H., Schneider, J., Mozley, C. G., Levin, E., Blizard, R., Netten, A., ... & Todd, C. (2000). Depression and the response of residential homes to physical health needs. International Journal of Geriatric Psychiatry, 15(12), 1105-1112.
Marc, L. G., Raue, P. J., & Bruce, M. L. (2008). Screening performance of the 15-item geriatric depression scale in a diverse elderly home care population. The American Journal of Geriatric Psychiatry, 16(11), 914-921.
Mat, R. (2003). 2003. Socio-economic characteristics of elderly in Malaysia. In 21st Population Census Conference, Kyoto, 2003 (pp. 19-21).
Mbakwem, A., Aina, F., & Amadi, C. (2016). Expert opinion-depression in patients with heart failure: is enough being done?. Cardiac failure review, 2(2), 110.
Mitchell, A. J., Bird, V., Rizzo, M., & Meader, N. (2010). Diagnostic validity and added value of the Geriatric Depression Scale for depression in primary care: a meta- analysis of GDS30 and GDS15. Journal of affective disorders, 125(1-3), 10-17.
Sidik, M.S., Zulkefli, N. A. M, & Shah, S. A. (2003). Factors associated with depression among elderly patients in a primary health care clinic in Malaysia. Asia Pacific Family Medicine, 2(3), 148-152.
Murray, C. J., Lopez, A. D., & World Health Organization. (1996). The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary. World Health Organization.
Norsiah, M. N. (1999). Prevalence of depression among the elderly attending Klinik Kesihatan Pokok Sena and who do they go for help. MMed Thesis. Universiti Kebangsaan Malaysia.
Pocklington, C., Gilbody, S., Manea, L., & McMillan, D. (2016). The diagnostic accuracy of brief versions of the Geriatric Depression Scale: a systematic review and meta‐analysis. International Journal of Geriatric Psychiatry, 31(8), 837-857.
Prashanth, A. K., Rakesh, M. P. K., Praveena, V., Preethi, A., Prithvi, S., Priyadharshini, R., & Suvetha, K. (2015). A cross-sectional study analysing the level of depression and its causative factors among patients visiting a multispecialty hospital. Advanced medical sciences: An international journal, 4(2), 1-6.
Rashid, A., Manan, A., & Rohana, S. (2011). Depression among the elderly Malays living in rural Malaysia. The Internet Journal of Public Health, 1(2), 128-136.
Reynolds III, C. F., & Kupfer, D. J. (1999). Depression and aging: a look to the future. Psychiatric Services, 50(9), 1167-1172.
Rovner, B. W., Kafonek, S., Filipp, L., Lucas, M. J., & Folstein, M. F. (1986). Prevalence of mental illness in a community nursing home. The American journal of psychiatry, 143(11), 1446-1449.
Savikko, N., Routasalo, P., Tilvis, R. S., Strandberg, T. E., & Pitkälä, K. H. (2005). Predictors and subjective causes of loneliness in an aged population. Archives of gerontology and geriatrics, 41(3), 223-233.
Sherina, M. S., & Mustaqim, A. (2002). A Study on the Association of Depression andFunctional Disability Among the Elderly in MukimSepang, Sepang, Selangor, Malaysia. Malaysian Journal of Psychiatry, 10(2), 28- 32.
Spitzer, R. L., Williams, J. B., Gibbon, M., & First, M. B. (1992). The structured clinical interview for DSM-III-R (SCID): I: history, rationale, and description. Archives of general psychiatry, 49(8), 624-629.
Steffens, D. C., Skoog, I., Norton, M. C., Hart, A. D., Tschanz, J. T., Plassman, B. L., & Breitner, J. C. (2000). Prevalence of depression and its treatment in an elderly population: the Cache County study. Archives of General Psychiatry, 57(6), 601-607.
Venne, R. (2005). Mainstreaming the concerns of older persons into the social development agenda. United Nations Secretariat. Division for Social Policy and Development, 2(5).
Watson, L. C., & Pignone, M. P. (2003). Screening accuracy for late-life depression in primary care: a systematic review. Journal of Family Practice, 52(12), 956-956.
World Health Organization. (2008). The world health report 2008: primary health care now more than ever. World Health Organization.
Yesavage, J. A., & Sheikh, J. I. (1986). 9/Geriatric depression scale (GDS) recent evidence and development of a shorter version. Clinical gerontologist, 5(1-2), 165- 173.
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of psychiatric research, 17(1), 37-49.
Qamar, Muhammad; Zahirah, Nurul; and Ahmad, Sohail
"Assessment of Depression Among Older Adults Staying in Old Home Care in Klang, Malaysia,"
Pharmaceutical Sciences & Research: Vol. 7
, Article 9.
Available at: https://scholarhub.ui.ac.id/psr/vol7/iss1/9