Volume 8, Issue 1, March 2020, Page: 18-21
Psychiatric Morbidity in Elderly Patients Attending OPD of Lumbini Medical College and Teaching Hospital
Bhaskkar Sharma, Department of Psychiatry, Lumbini Medical College and Teaching Hospital, Palpa, Nepal
Rajesh Shrestha, Department of Psychiatry, Lumbini Medical College and Teaching Hospital, Palpa, Nepal
Received: Jan. 3, 2020;       Accepted: Jan. 9, 2020;       Published: Feb. 4, 2020
DOI: 10.11648/j.ajpn.20200801.14      View  102      Downloads  50
Abstract
Context: The number of geropsychiatric patients is increasing but sufficient work has not been done in this area of Nepal. Aims: To find out the prevalence of different psychiatric morbidities in elderly population and to find out if there are any age and gender specific differences. Settings and Design: Retrospective review; Psychiatric outpatient department of Lumbini Medical College and Teaching Hospital, Palpa, Nepal. Material and Methods: Data for Patients >65 years of age attending the psychiatric outpatient department of Lumbini Medical College and Teaching Hospital, Palpa, Nepal, from 1st April 2018 to 31st March 2019 were collected retrospectively in a predesigned proforma. Stastistical Analysis Used: Risks of having different psychiatric disorders was estimated using odds ratio. Results: The mean age of study group was 71.49 (S. D=6.99; range=28). 59.7% of the patients (no=179) were female and 40.3% of the patients (n=121) were male. Depressive disorder (33.7%) was the most common diagnosis. In the current study the odds of having depressive disorder was higher in females and younger subgroup of the elderly patient. Organic including symptomatic mental disorders was found in 13.66% of the patients. Dementia (12.3%) was the most common diagnosis followed by delirium (0.7%) and organic psychotic depression (0.7%). The risk of having dementia increased with increase in age [OR (75yrs)=10.022, 95%CI=3.406; 29.486]. High prevalence of alcohol related problems (8.3%) was found in our study. Alcohol related problems were more in males and younger subgroup. The prevalence of bipolar affective disorder (BPAD) in outpatients was estimated to be 6.1% (SD=1.5). Conclusions: Depressive disorder was the most common psychiatric disorder (33.7%) followed by somatoform disorder (15.7%). The risk of having dementia was increased in older age group which was statisticsically significant. As for gender, alcohol dependence syndrome was found to be more common in males whereas dementia was found to be more common in females. The odds of male patient suffering from depression, anxiety, mixed anxiety depression, somatoform disorder was around half when compared to females.
Keywords
Geropsychiatric, Psychiatric Morbidities, Gender
To cite this article
Bhaskkar Sharma, Rajesh Shrestha, Psychiatric Morbidity in Elderly Patients Attending OPD of Lumbini Medical College and Teaching Hospital, American Journal of Psychiatry and Neuroscience. Vol. 8, No. 1, 2020, pp. 18-21. doi: 10.11648/j.ajpn.20200801.14
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Tiwari SC, Srivastava S. Geropsychiatric morbidity in rural Uttar Pradesh. Indian J Psychiatry 1998; 40: 266–73.
[2]
Ministry of Health and Family Welfare, Government of India. Annual report: Health plan and policy. New Delhi: Ministry of Health and Family Welfare; 2002: 15.
[3]
Nielsen J. Gerentopsychiatric period prevalence investigation in geographically delimited population. Acta Psychiatr Scand 1963; 38: 307.
[4]
Corrada MM, Brookmeyer R, Paganini-Hill A, Berlau D, Kawas CH. Dementia incidence continues to increasewith age in the oldest old: The 90+ study. Ann Neurol2010; 67: 114-21.
[5]
Jeste DV, Alexopoulos GS, Bartels SJ, Cummings JL, Gallo JJ, Gottlieb GL, et al. Consensus statement on theupcoming crisis in geriatric mental health: Research agendafor the next 2decades. Arch Gen Psychiatry 1999; 56: 848-53.
[6]
Aich TK, Dhungana M, Muthuswamy R. Pattern ofneuropsychiatric illness in older age group population: An inpatient study report from Nepal. Indian J Psychiatry2012; 54: 23-31.
[7]
Shakya DR. Psychiatric morbidities of elderly psychiatricoutpatients in a tertiary care hospital. J Coll Med Sci2011; 7: 1-8.
[8]
Khattri JB, Nepal MK. Study of depression among geriatricpopulation of Nepal. Nepal Med Coll J 2006; 8: 220-3.
[9]
Khattri JB, Nepal MK. Sociodemographic characteristic andorganic mental disorders among elderly citizens attendingtertiary care teaching hospital in Nepal. Stupa J Health Sci2007; 3: 67-72.
[10]
Tang MX, Jacobs D, Stern Y, Marder K, Schofield P, Gurland B, et al. Effect of oestrogen during menopauseon risk and age atonset of Alzeimer’s disease. Lancet 1996; 348: 429-32.
[11]
Khattri JB, Poudel BM, Godar ST, Ramesh K, Chakrabortty PK, Thapa BB. Alcohol dependence syndrome among older adultsattending psychiatry OPD of a private hospital in westernregion of Nepal. Nepal J Med Sci 2012; 1: 39-41.
[12]
Lin JC, Karno MP, Grella CE, Warda U, Liao DH, Hu P, et al. Alcohol, Tobacco, and Nonmedical drug use disorders in U.S. Adults aged 65 and older: Data from 2001-2002 National Epidemiological Survey of Alcohol and related conditions. AmJ Geriatr Psychiatry 2011; 19: 292-5.
[13]
Vaillant GE. A 60-year follow-up of alcoholic men. Addiction2003; 98: 1043-51.
[14]
Reid MC, Jinetti ME, Brown CJ, Concato J. Physicianawareness of alcohol use disorders among older patients. J Gen Intern Med 1998; 13: 729-34.
[15]
Silva Pereira YD, Estibeiro A, Dhume R, Fernandes J. Geriarticpatients attending tertiary care psychiatric hospital. Indian JPsychiatry 2002; 44: 326-31.
[16]
Larco JB, Jeste DV. Geriatric psychosis. Psychiatry Q1997; 68: 247-60.
[17]
Castle DJ. Gender and age at onset in schizophrenia. In: Howard R, Rabins PV, Castle DJ, editors. Late onset schizophrenia. 1st ed. single volume. Petersfield: WrightsonBiomedical; 1999. p. 147-64.
[18]
Mirowsky J, Reynolds J. Age, depression, and attrition in theNational Survey of Families and Households. Soc Methods Res 2000; 28: 476-50.
[19]
Charles ST, Reynolds CA, Gatz M. Age-related difference sand changes in positive and negative affect over 23 years. J Pers Soc Psychol 2001; 80: 136-51.
[20]
Blazer DG. Psychiatry and the oldest old. Am J Psychiatr2000; 157: 1915-24.
[21]
Depp CA, Jeste DV. Bipolar disorders in older adults: A criticalreview. Bipolar Disord 2004; 6: 343-67.
[22]
McDonald MW, Wemager J. Pharmacological treatment ofgeriatric mania. Curr Psychiatry Rep 2002; 4: 43-50.
[23]
Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Life time prevalence and age of onset distributionof DSM IV disorders in National Comorbidity Surveyreplication. Arch Gen Psychiatry 2005; 62: 595-606.
[24]
Gum AM, King-Kallimanis B, Kohn R. Prevalence of mood, anxiety and substance abuse disorder for older Americansin the National Comorbidity Survey replication. Am J Geriatr Psychiatry 2009; 17: 769-81.
[25]
Schaub RT, Linden M. Anxiety and anxiety disorders in theold and very old-results from Berlin Aging study (BASE). Compr Psychiatry 2000; 41 (2 Suppl 1): 48-54.
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