A study of dementia in old age homes.

Co-morbidity dementia old age homes

Journal

Industrial psychiatry journal
ISSN: 0972-6748
Titre abrégé: Ind Psychiatry J
Pays: India
ID NLM: 101547239

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 21 01 2021
revised: 26 04 2021
accepted: 07 06 2021
entrez: 15 12 2021
pubmed: 16 12 2021
medline: 16 12 2021
Statut: ppublish

Résumé

By 2040, dementia is projected to rise exponentially by 300% in India. Studies addressing the need for psychiatric care in the community being few and those focusing in old age homes even fewer, a study was undertaken to study the prevalence of dementia and the association with sociodemographic factors and psychiatric morbidity. A total of 558 elderly aged 60 years and above, residing in old age homes in Pune were studied. 179 inmates were included based on the inclusion and exclusion criteria. Those who scored a predetermined cut-off score on the screening tool were included to undergo a detailed physical and neurological examination, cognitive profile using subtests from the cognitive test (community screening instrument for Dementia of 10/66 group). Mean age of the sample was 75.02 years majority (39.7%) was in the 60-70 years group. Males 25.7% versus females 74.3%. The sample consisted of the following socioeconomic groups: 40.2% middle, 26.3% low middle, 24% high middle, 8.4% high income, and 1.1% in low income. 60.3% widow/widower category, 36.3% never married, 4.5% had family history of dementia. Mean scores of mini mental state examination in the overall sample was 26.02 compared to 18.02 in those cut-off point of 23. The prevalence of dementia in the sample was 22.9%. There was the high prevalence of psychiatric symptoms and psychiatric morbidity in the dementia group than the rest. Frontal lobe dysfunction and impairment of orientation with increasing severity of dementia were observed. Sociodemographic factors, which were considered protective against the prevalence of dementia, identified were less restriction in physical activity and having fish in the diet regularly.

Sections du résumé

BACKGROUND BACKGROUND
By 2040, dementia is projected to rise exponentially by 300% in India. Studies addressing the need for psychiatric care in the community being few and those focusing in old age homes even fewer, a study was undertaken to study the prevalence of dementia and the association with sociodemographic factors and psychiatric morbidity.
MATERIALS AND METHODS METHODS
A total of 558 elderly aged 60 years and above, residing in old age homes in Pune were studied. 179 inmates were included based on the inclusion and exclusion criteria. Those who scored a predetermined cut-off score on the screening tool were included to undergo a detailed physical and neurological examination, cognitive profile using subtests from the cognitive test (community screening instrument for Dementia of 10/66 group).
RESULTS RESULTS
Mean age of the sample was 75.02 years majority (39.7%) was in the 60-70 years group. Males 25.7% versus females 74.3%. The sample consisted of the following socioeconomic groups: 40.2% middle, 26.3% low middle, 24% high middle, 8.4% high income, and 1.1% in low income. 60.3% widow/widower category, 36.3% never married, 4.5% had family history of dementia. Mean scores of mini mental state examination in the overall sample was 26.02 compared to 18.02 in those cut-off point of 23. The prevalence of dementia in the sample was 22.9%. There was the high prevalence of psychiatric symptoms and psychiatric morbidity in the dementia group than the rest. Frontal lobe dysfunction and impairment of orientation with increasing severity of dementia were observed.
CONCLUSIONS CONCLUSIONS
Sociodemographic factors, which were considered protective against the prevalence of dementia, identified were less restriction in physical activity and having fish in the diet regularly.

Identifiants

pubmed: 34908681
doi: 10.4103/0972-6748.328806
pii: IPJ-30-149
pmc: PMC8611600
doi:

Types de publication

Journal Article

Langues

eng

Pagination

S149-S154

Informations de copyright

Copyright: © 2021 Industrial Psychiatry Journal.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Acta Psychiatr Scand. 2003 May;107(5):390-3
pubmed: 12752036
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Am J Psychiatry. 2002 Aug;159(8):1367-74
pubmed: 12153830
J Neurol Neurosurg Psychiatry. 1998 Aug;65(2):184-90
pubmed: 9703168
Neuro Endocrinol Lett. 2002 Apr;23(2):155-60
pubmed: 12011802
Arch Neurol. 2006 Nov;63(11):1551-5
pubmed: 17101823
Lancet. 2005 Dec 17;366(9503):2112-7
pubmed: 16360788
Int J Geriatr Psychiatry. 1997 Jul;12(7):702-7
pubmed: 9251930
Ind Psychiatry J. 2011 Jul;20(2):120-3
pubmed: 23271867
Arch Neurol. 2003 Dec;60(12):1707-12
pubmed: 14676044
Int Psychogeriatr. 2001 Dec;13(4):439-50
pubmed: 12003250
BMJ. 2002 Jun 22;324(7352):1465-6
pubmed: 12077015
Arch Neurol. 1991 Mar;48(3):278-81
pubmed: 2001185
Indian J Psychiatry. 2011 Apr;53(2):121-7
pubmed: 21772643
Indian J Psychiatry. 2012 Jan;54(1):8-14
pubmed: 22556431
Neurology. 2000 Jan 25;54(2):427-32
pubmed: 10668707
Br J Nutr. 2001 Sep;86(3):313-21
pubmed: 11570983
Br J Psychiatry. 1990 May;156:667-75
pubmed: 2095943
Am J Epidemiol. 2001 Jan 15;153(2):132-6
pubmed: 11159157
Int J Geriatr Psychiatry. 2004 Feb;19(2):178-81
pubmed: 14758583

Auteurs

Daniel Saldanha (D)

Department of Psychiatry, Dr. D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.

R N Mani (RN)

Department of Psychiatry, Base Hospital, Delhi, India.

Swaleha Mujawar (S)

Department of Psychiatry, Dr. D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.

Suprakash Chaudhury (S)

Department of Psychiatry, Dr. D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.

Classifications MeSH