Prevalence of Depression and Drug Use Pattern among Elderly People in Living in Old Age Homes in Kathmandu
Abstract
Among 150 respondents, 25 [16.67%] respondents were normal. Out of theses 25respondents, 98 [65.33%] and 27 [18%] respondents had mild and severe depression respectively according to GDS. Regarding the socio-demographic information of the respondents, 7.33% were of age 60-64yrs, 10.66% were of 65-69 yrs, 31.33% were of 70-79 yrs, and 51.33 were of >80 yrs. 100 percent of the elderly people were regularly using drugs, and the average patient was regularly using more than 21 drug classes. The most common classes of drugs used by the older people living in Old Age Homes were antihypertensive agents [9.33 %], vitamins [8.67 %], cardiac drugs [3.33%], cardiovascular dilators [2%], laxatives [6%], and tranquilizers [4%], diuretics [6.67%], and least class of drug used was sedatives i.e. [0.67%], and following drugs classes were hypnotics [6%], antidepressants [2.67%], anti-arrhythmic drugs [3.33%], pulmonary drugs [4.67%], antacids [5.33%] and anti-secretary agents [4%].
Keywords: Old age homes, hypnotics, antidepressant, depression, drug pattern
Keywords:
Old age homes, hypnotics, antidepressant, depression, drug patternDOI
https://doi.org/10.22270/jddt.v13i8.6177References
Shrestha L. Geriatric health in Nepal: concerns and experience. Nepal med coll J. 2012; 15(2):144-18.
Yohannes AM, Roomi J, Baldwin RC, Connolly MJ. Depression in elderly outpatients with disabling chronic obstructive pulmonary disease. Age Ageing. 1998 Mar; 27(2):155-160. https://doi.org/10.1093/ageing/27.2.155
Nisha N. Study on depression in the elderly with diabetes in an urban Government Hospital out-patient setting (Doctoral dissertation, Madras Medical College, Chennai).
B. H. Green, J. R. M. Copeland, M. E. Dewey, V. Sharma, P. A. Saunders, I. A.Davidson, Risk factors for depression in elderly people, Acta Psychiatrica Scandinavica, September 1992; 2:414-425.
Palsson Sigurdur; Skoog, Ingmar, International Clinical Psychopharmacology, December 1997; 3-14. https://doi.org/10.1097/00004850-199712007-00002
Shadi Ghaderi, Robab Sahaf, Farahnaz Mohammad Shahbalaghi, Gholamreza Ansari, Azizeh Gharanjic, Kazem Ashrafi, Negin Taheri, Farid Najafi, Prevalence of Depression in Elderly Kurdish community, Salmand: Iranian Journal of Ageing, 2012; 7:57-66.
Hom Nath Chalise, Depression among elderly living in Briddashram (old age home), Advances in Aging Research, 2014; 3(1):6. https://doi.org/10.4236/aar.2014.31002
Sreejith S. Nair, S.G. Hiremath, Ramesh, Pooja, Sreekanth S. Nair, Depression among geriatrics: Prevalence and associated factors, IJCRR, 2013; 5(8):110-112.
Lina Ma, Zhe Tang, Fei Sun, Lijun Diao, Yun Li, Risk factors for depression among elderly subjects with hypertension living at home in China, February 15, 2015; 8(2):2923-2928.
Joseph A. Lieberman III, M.D., M.P.H., History of the Use of Antidepressants in Primary Care, Primary Care Companion J Clin Psychiatry, 2003; 5(7):6-10.
Mark Olfson, MD, MPH; Steven C. Marcus, PhD, National Patterns in Antidepressant Medication Treatment, Arch Gen Psychiatry, 2009; 66(8):848-56. https://doi.org/10.1001/archgenpsychiatry.2009.81
Preskorn SH, Recent pharmacologic advances in antidepressant therapy for the elderly, The American Journal of Medicine, 01 May 1993; 94(5):2-12
Waite, J., Grundy, E., & Arie, T. A controlled trial of antidepressant medication in elderly in-patients, International Clinical Psychopharmacology, 1986; 2:113-126. https://doi.org/10.1097/00004850-198604000-00003
Michael E. Thase, MD, and Thomas L. Schwartz, MD, Choosing Medications for Treatment-Resistant Depression Based on Mechanism of Action, J Clin Psychiatry 2015; 76(6):720-727. https://doi.org/10.4088/JCP.14052ah2c
Bourin M, David DJ, Jolliet P, Gardier A, Mechanism of action of antidepressants and therapeutic perspectives, Therapie, 01 Jul 2002; 57(4):385-396.
Ignacio Montorio, María Izal, The Geriatric Depression Scale: A Review of Its Development and Utility, International Psychogeriatrics,March 1996; 8(1):103-112. https://doi.org/10.1017/S1041610296002505
J. Wancata, R. Alexandrowicz, B. Marquart, M. Weiss, F. Friedrich, The criterion validity of the Geriatric Depression Scale: a systematic review, December 2006; 14(6):398-410. https://doi.org/10.1111/j.1600-0447.2006.00888.x
Robert Charles Baldwin, Poor prognosis of depression in elderly people: causes and actions, Annals of Medicine, 2000; 32(4):252-256. https://doi.org/10.3109/07853890009011769
Rupert Jackson, Bob Baldwin, Age and Ageing, Oxford Academic, September 1993; 22(5):349-353. https://doi.org/10.1093/ageing/22.5.349
Bibring, E, The mechanism of depression, October 2016, Page (13-48)
George W. Comstock and Knud J. Helsing,, Psychological Medicine , 1977; 6(4):551 - 563. https://doi.org/10.1017/S0033291700018171
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