Title: A Cross-Sectional Study to Assess the Prevalence of Psychosocial Problems Among Geriatric Age Group of All the Three Strata of Social Class in Central India

Authors: Sunil K Guleri, Shraddha Mishra

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.36

Abstract

Common psychosocial problems of geriatric population are depression, dementia, loneliness, social insecurity, economic instability, sleep disturbances, irritability, etc. The four major psychosocial problems considered in our study are Dementia, depression, loneliness and sleep disorders. WHO report of 2004 states that 536 elderly people per 10,000 suffer from physical and psychosocial problems of old age. The study started with identification of slum areas, residential colonies and pos developed societies in the city sagar, so that sufficient subjects can be identified from low, middle and high socioeconomic class. The identified areas were surveyed till 30 elderly of age 60 years and above (15 males and 15 females) were identified from each classified areas. A pretested semi structured questionnaire was used to assess psychosocial issues of elderly. Prevalence of depression was higher in lower socioeconomic class compared to the middle and higher classes. Females from low socioeconomic status had highest prevalence of having  possible early Dementia while males belonging to low socioeconomic class are least likely to be affected with possible early dementia when compared to other classes, The loneliness index of females belonging to low socio-economic status group is highest 49.13% among all classes. The overall level of psychosocial problems was higher in Lower socioeconomic class when compared to middle and higher socioeconomic class. The burden of psychosocial problems, considered in our study viz. Dementia, depression, loneliness and sleep disorders, was more in female section of the geriatric population as compared to males.

Keywords: geriatric, psychosocial problems, socioeconomic class, loneliness.

References

  1. Kandpal SD, Kakkar R, Aggarwal P. Mental and social dimensions in geriatric population: Need of the hour. Indian J Community Health 2012;24: 71-2.  
  2. The World Health Organization. Mental Health. Available from: http://www.who.org. [Last cited on 2013 Aug 12].  
  3. Situational Analysis of Elderly in India. Central Statistics Office Ministry of Statistics & Programme Implementation Government of India, June 2011
  4. Tools for Early Identification, Assessment, and Treatment for People with Alzheimer’s disease and Dementia. National Chronic Care Consortium and the Alzheimer’s Association, June 2003.
  5. Sunderland T, Minichiello M. Dementia mood assessment scale. International psycho geriatrics, 1996; 8(3):331-333.
  6. Russell, D, Peplau L.A., & Cutrona, C.E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminated validity evidence. Journal of Personality and Social Psychology, 39, 472-480.
  7. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986 June;5(1/2):165-173.
  8. Kim K, Uchiyama M, Okawa M, Liu X, Ogihara R. An epidemiological study of insomnia among the Japanese general population. Sleep. 2000; 23:41–7. 
  9. Saldanha D,  Mani M R ,  Srivastava K, Goyal S , Bhattacharya An epidemiological study of dementia under the aegis of mental health program, Maharashtra, Pune chapter. Indian J Psychiatry [serial online] 2010
  10. Mawar S, Koul P, Das S, Gupta S. association of physical problems and depression with elder abuse in urban community of North India. Indian J Community Med . 2018;43:165-9
  11. Jain RK1, Aras RY. Depression in geriatric population in urban slums of Mumbai. Indian J Public Health.2007;51(2):112-3.
  12. Bharatwaj RS, Vijaya K, and Rajaram P. Prevalence of urban geriatric depression: A cross sectional study in Pondicherry. Int J Med Health Sci 2013; 2:286-91. 
  13. Sanjay TV ,  Jahnavi R ,  Gangaboraiah B, Lakshmi P,  Jayanthi S Prevalence and factors influencing depression among elderly living in the urban poor locality of Bengaluru city. Int J health allied Sci 2014;3: 105-9
  14. Ubaidulla   M, Inamdar I.F., Aswar N.R, Doibale M.K., Narkhede M.G. Medical and Psychosocial Profile of Geriatric Population in Field Practice Area of Nanded, India. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)2014;13 (3) Ver. II. , PP 29-33.

Corresponding Author

Dr Shraddha Mishra

Department of Community Medicine, Bundelkhand Medical College Sagar, Madhya Pradesh, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Contact No.: 9424616454