Depression and Hopelessness in Institutionalized Elderly: A Societal Concern

Even though occurrence of depression in older adults is considered a major public health problem, very few Indian studies have made an attempt to study the mental health of elderly residing in institutionalized settings such as nursing homes and old age homes. The purpose of this study is to examine the presence and severity of depression and extent of negative attitudes about the future in institutionalized elderly in India. Data were collected by administering the Beck Depression Inventory (BDI) and Beck Hopelessness Scale (BHS) on residents of different old age homes across Delhi NCR (N = 21). Results revealed presence of mild depression and mild hopelessness in the institutionalized elderly. Further, a positive strong correlation was found between depression and hopelessness (Г = 0.83). Social and emotional losses associated with institutionalization are likely to lead to depressive responses in the elderly. The findings of the study draw attention to the neglected and apathetic conditions of institutionalized elderly, an imperative concern for the Indian society.

[1]  A. Beck,et al.  Cognitive theory and therapy. , 1995 .

[2]  A. Beck,et al.  Beck Depression Inventory–II , 2011 .

[3]  R. Schoevers,et al.  Risk factors for anxiety and depression in the elderly: a review. , 2008, Journal of affective disorders.

[4]  B. Gangadhar,et al.  Effects of yoga intervention on sleep and quality-of-life in elderly: A randomized controlled trial , 2013, Indian journal of psychiatry.

[5]  S. Gilbody,et al.  Can we predict suicide and non-fatal self-harm with the Beck Hopelessness Scale? A meta-analysis , 2007, Psychological Medicine.

[6]  Ezra Stotland,et al.  The psychology of hope , 1969 .

[7]  R. Hansson,et al.  Relationships in Old Age: Coping with the Challenge of Transition , 1995 .

[8]  R. Kumar,et al.  Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. , 2003, International journal of epidemiology.

[9]  D. Nandi,et al.  A STUDY OF PSYCHIATRIC MORBIDITY OF THE ELDERLY POPULATION OF A RURAL COMMUNITY IN WEST BENGAL , 1997, Indian journal of psychiatry.

[10]  Suresh Bada Math,et al.  Indian Psychiatric epidemiological studies: Learning from the past , 2010, Indian journal of psychiatry.

[11]  Gayle Andresen Relationships in Old Age???Coping With the Challenge of Transition , 1995 .

[12]  D Lester,et al.  The measurement of pessimism: the hopelessness scale. , 1974, Journal of consulting and clinical psychology.

[13]  P. Khanna,et al.  Elderly depression in India: An emerging public health challenge. , 2013, The Australasian medical journal.

[14]  Archana Singh,et al.  Loneliness, depression and sociability in old age , 2009, Industrial psychiatry journal.

[15]  K. Smarr,et al.  Measures of depression and depressive symptoms: Beck Depression Inventory‐II (BDI‐II), Center for Epidemiologic Studies Depression Scale (CES‐D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire‐9 (PHQ‐9) , 2011, Arthritis care & research.

[16]  K. Matthews,et al.  Hopelessness, Depressive Symptoms, and Carotid Atherosclerosis in Women: The Study of Women’s Health Across the Nation (SWAN) Heart Study , 2009, Stroke.

[17]  S. Dunn Hopelessness as a response to physical illness. , 2005, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[18]  J. K. Djernes,et al.  Prevalence and predictors of depression in populations of elderly: a review , 2006, Acta psychiatrica Scandinavica.

[19]  Eva Kahana,et al.  Chapter Five Person-Environment Transactions Relevant to Control And Helplessness in Institutional Settings , 1988 .

[20]  David Satcher,et al.  Mental health: A report of the Surgeon General--Executive summary. , 2000 .

[21]  D. Blazer Depression in late life: review and commentary. , 2003, The journals of gerontology. Series A, Biological sciences and medical sciences.

[22]  Martin Keller,et al.  The epidemiology of major depressive episodes: results from the International Consortium of Psychiatric Epidemiology (ICPE) surveys , 2003, International journal of methods in psychiatric research.

[23]  P. Mottram,et al.  Diagnosis of depression in elderly patients , 2000 .

[24]  A. Sood,et al.  Psychiatric morbidity in non-psychiatric geriatric inpatients , 2006, Indian journal of psychiatry.

[25]  P. Runcan Elderly institutionalization and depression , 2012 .

[26]  D. Lamis,et al.  Relations between hopelessness, depressive symptoms and suicidality: mediation by reasons for living. , 2014, Journal of clinical psychology.

[27]  M. Prince,et al.  Nature, prevalence and factors associated with depression among the elderly in a rural south Indian community , 2009, International Psychogeriatrics.

[28]  N. Kar,et al.  Screening for depression in elderly Indian population , 2010, Indian journal of psychiatry.