Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » Malaysian Journals
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top Journal Cited
 » Top Article Cited
 » Journal Citation Statistics
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Prevalence of Undetected Cognitive Impairment and Depression in Residents of an Elderly Care Home

Al-Jawad, M., and Rashid A.K., and Narayan, K.A., (2007) Prevalence of Undetected Cognitive Impairment and Depression in Residents of an Elderly Care Home. Medical Journal of Malaysia, 62 (5). 375. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Asian Institute of Medicine, Science and Technology, Malaysia, Faculty of Medicine and Health Science
Asian Institute of Medicine, Science and Technology, Malaysia, Faculty of Medicine and Health Science
Asian Institute of Medicine, Science and Technology, Malaysia, Faculty of Medicine and Health Science

Abstract

The elderly population in Malaysia is growing rapidly. Some of the most vulnerable are in residential care. Research is needed into the characteristics of this population to aid clinicians and policy makers in addressing the needs of this group. This observational, cross-sectional study aims to determine prevalence of undetected cognitive impairment and depression in elderly care home residents in Malaysia. One hundred and sixty seven people over 60 years of age living in a state run residential home were interviewed. Validated assessment tools were used to measure dependency, cognitive impairment and depression. The prevalence of probably dementia is 36.5%, with increasing prevalence with age and level of dependence. Prevalence of depression is 67.0% (major depression 13.2%), with more depression in males and in the Indian population. None of the identified cases had been previously investigated or treated for dementia or depression.

Item Type:Journal
Additional Information:Professor EH Kua (Department of Psychological Medicine, National University of Singapore) for providing the validated ECAQ and GDS in Chinese. Dr Suraya Yusoff (Consultant psychogeriatrician, Hospital Sultanah Aminah, Johor Baharu, Johor) for providing the validated ECAQ in Malay. Manager and staff of the elderly care institution for their help. Ethical approval was granted by the Asian Institute for Medicine, Science and Technology. Permission to carry out the study was granted by the supervisor of the institution as well as the State Director of Social Welfare.
Keywords:Elderly, Depression, Dementia, Malaysia
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:4366

1 . World Health Organization, Regional Office for Western Pacific. Ageing and Health. Accessed 26/5/06. http://www.wpro.who.int/health_topics/ageing/general_info.htm

2. Department of Statistics, Malaysia. Senior Citizens and Population Ageing in Malaysia. Population Census Monograph Series no. 4. Kuala Lumpur: National Printing Department, 1998.

3. Ong Fon Sim. International Development Research Centre. Ageing and Long-term Care. Chapter 4. Ageing in Malaysia, A Review of National Policies and Programmes. Accessed 26/5/06. http://www.idrc.ca/en/ev28476-201-1-DO_TOPIC.html

4. Macdonald A J D; ABC of mental health: Mental health in old age. British Medical Journal 1997; 315: 413-17.

5. Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Medical Journal. 1965: 14: 56-61.

6. Kua EH, Ko SM. A questionnaire to screen for cognitive impairment among elderly people in developing countries. Acta Psychiatrica Scandinavia 1992; 85: 119-22.

7. Yesavage J, Brink T, Rose T, et al. Development and validation of a geriatric depression screening scale. Journal of Psychiatric Research 1983: 17: 37-49.

8. Teh EE, Hasanah CI. Validation of Malay Version of Geriatric Depression Scale among Elderly Inpatients. Penang Hospital and School of Medical Sciences, Universiti Sains Malaysia. September 2004. Source: http://www.priory.com/psych/MalayGDS.htm

9. Chan AC. Clinical validation of the Geriatric Depression Scale (GDS): Chinese version. Journal of Aging and Health 1996; 8(2): 238-53.

10. Rait G, Fletcher A, Smeeth L, et al. Prevalence of cognitive impairment: results from the MRC trial of assessment and management of older people in the community. Age & Ageing 2005; 34(3): 242-48.

11. Sidik SM, Rampal L, AfifiM. Physical and Mental Health Problems of the Elderly in a Rural Community of Sepang, Selangor. Malaysian Journal of Medical Sciences 2004; 11(1): 52-59.

12. Knapp M, Prince M, Albanese E, et al. Dementia UK. Summary of key findings: A report into the prevalence and cost of dementia. Alzheimer’s society 2007. http://www.alzheimers.org.uk/News_and_campaigns/Campaigning/PDF/Dementia_UK_Summary.pdf

13. Yap LKP, Au SYL, Ang YH, Kwan KY, Ng SC, Ee CH. Who are the residents of a nursing home in Singapore? Singapore Medical Journal 2003; 44(2): 65-73.

14. Melzer D, Ely M, Brayne C. Cognitive impairment in elderly people: population based estimate of the future in England, Scotland, and Wales. British Medical Journal 1997; 315: 462.

15. Birks J. Cholinesterase inhibitors for Alzheimer’s disease. The Cochrane Database of Systematic Reviews 2006 Issue 1. Published by John Wiley & Sons, Ltd. Source: http://www.cochrane.org/reviews/en/ab005593.html

16. Malaysian Ministry of Health. Clinical Practice Guidelines on Management of Dementia 2003. Source: http://www.moh.gov.my/MohPortal/cpgDetail.jsp?action=view&id=8

17. Chen R, Li W, Zhi H, et al. Depression in Older People in Rural China. Archives of Internal Medicine 2005; 165: 2019-25.

18. Chiu EAM. Epidemiology of depression in the Asia Pacific region. Australasian Psychiatry. Reducing the Social and Economic Burdens of Depression (SEBoD) in Asia 2004; 12(5): 4-10.

19. Sidik SM, Mohd Zulkefli NA, Shah SA. Factors associated with depression among elderly patients in a primary health care clinic in Malaysia. Asia Pacific Family Medicine 2003; 2(3): 148-52.

20. Kuehner C. Gender differences in unipolar depression: an update of epidemiological findings and possible explanations. Acta Psychiatrica Scandinavia 2003; 108(3): 163-74.

21. Eisses AMH, Kluiter H, Jongenelis K, et al. Care staff training in detection of depression in residential homes for the elderly: Randomised trial. British Journal of Psychiatry 2005; 186: 404.

22. Wilson K, Mottram P, Sivanranthan A, Nightingale A. Antidepressants versus placebo for the depressed elderly. The Cochrane Database of Systematic Reviesvs 2006 Issue 1. Published by John Wiley & Sons, Ltd. Source: http://www.cochrane.org/reviews/en/ab000561.html

23. Government of Malaysia. Seventh Malaysia Plan 1996—2000. Kuala Lumpur: National Printing Department, 1996.

24. United Nations Economic and Social Commission for Asia and the Pacific. Profiles of National Coordinating Bodies on Ageing and Non-governmental Organizations for Older Persons in Asia and the Pacific 2002. Accessed 26/5/05. http://www.unescap.org/esid/psis/ageing/profile/ncb1.html

Repository Staff Only: item control page
 
 
 
 
 
 
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.