Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 1111       
ORIGINAL ARTICLE
Year : 2013  |  Volume : 138  |  Issue : 4  |  Page : 504-514

Prevalence of psychiatric morbidity amongst the community dwelling rural older adults in northern India


1 Department of Geriatric Mental Health, King George's Medical University, Lucknow, India
2 Department of Geriatric Mental Health, King George's Medical University, Lucknow; Department of Psychology, Allahabad University, Allahabad (UP), India
3 Department of Statistics, Lucknow University, Lucknow, India
4 Department of Geriatric Mental Health, King George's Medical University, Lucknow; Institute of Behavioural Sciences, Gujarat Forensic Sciences University, Gandhinagar, Gujarat, India
5 Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh, India

Correspondence Address:
S C Tiwari
Department of Geriatric Mental Health, King George's Medical University, Lucknow 226 003
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 24434257

Rights and PermissionsRights and Permissions

Background & objectives: The population of elderly is growing globally and so are the physical illnesses and psychiatric morbidity. This study was planned to assess the prevalence and patterns of psychiatric morbidity amongst rural older adults in Lucknow, north India. Methods: A survey was conducted in subjects aged 60 yr and above to identify the cases of psychiatric morbidity in rural population from randomly selected two revenue blocks of Lucknow district, Uttar Pradesh, India. All subjects were screened through Hindi Mental Status Examination (HMSE) and Survey Psychiatric Assessment Schedule (SPAS) to identify for the suspected cases of cognitive and the psychiatric disorders, respectively. The subjects screened positive on HMSE and SPAS were assessed in detail on Cambridge Mental Disorder of the Elderly Examination-Revised (CAMDEX-R) and Schedule for Clinical Assessment in Neuropsychiatry (SCAN), to diagnose cognitive disorders and psychiatric disorders (other than the cognitive), respectively on the basis of International Classification of Diseases-10 (ICD-10) diagnostic guidelines. Results: The overall prevalence of psychiatric morbidity in rural older adults was found to be 23.7 per cent (95% CI=21.89-25.53). Mood (affective) disorders were the commonest (7.6%, 95% CI=6.51-8.80), followed by mild cognitive impairment (4.6%, 95% CI=3.72-5.53), mental and behavioural disorders due to substance use (4.0%, 95% CI=3.17-4.87) and dementia (2.8%) [Alzheimer's disease (2.4%, 95% CI=1.81-3.16) and vascular (0.4%, 95% CI=0.16-0.73)]. Interpretation & conclusions: Overall prevalence of psychiatric morbidity amongst rural elderly in this study was found to be less in comparison to those reported in earlier studies from India. However, prevalence pattern of different disorders was found to be similar. Therefore, it appears that a stringent methodology, refined case criteria for diagnosis and assessment by trained professionals restrict false diagnosis.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2098    
    Printed17    
    Emailed0    
    PDF Downloaded470    
    Comments [Add]    

Recommend this journal