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Hanipsych, poster

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  • 1. ression Hani Hamedelderly in Beni Suef city (Upper Egypt) among Dessoki, Ekram M. El Shabrawy, Eman El Tahlawy, uthors Prof. lShymaa M. Lotfy logo MD.Psychiatry Department, Faculty of Medicine Beni Suef University, MD.Community medicine Department, Faculty of Medicine Beni Suef University Introduction; font size 9 - 12 •Depression is a medical illness in which the person has feelings of sadness, discouragement and lack of self-worth, it can also be a sign of medical problem and may be complicated by brain disorders that occur with age, such as Alzheimer’s disease, it frequently goes without diagnosis and treatment . •Studies have shown a positive correlation between age (especially 60 and older) and the presence of symptoms of depression . The depression risk increases among elderly living in nursing homes. Prevalence of depression in the nursing home population is very high, three to four times higher than in the community-dwelling elderly . Major depression in nursing-home population range from 10-22%. Materials and Methods •The study was conducted in Beni Suef city in three geriatric homes besides one geriatric club (the other two clubs were inactive), from December 2008 till October 2009. All the elderly above 60 years males and females who are living in geriatric homes and those attending the geriatric club were included (145) with the following Inclusion criteria: A: Those living in Beni Suef city, B: Alert and oriented to time, place and person. •Data collection tools were: •A questionnaire: pre-tested on a small scale pilot study, its results was not included. It contains, Socioeconomic data (age, sex, former occupation, martial status, educational level), Health condition (presence of chronic diseases as diabetes or hypertension). •The used questionnaire was prepared in Arabic language to ensure that all participants will understand the questions •Geriatric Depression Scale (GDS) (Arabic version). Selfrated 30-item scale which has been recommended by the Royal College of physicians, British Geriatric society as a suitable method for screening of depression in the geriatric age group and rating of its severity. •Life Satisfaction Scale and Facing Daily Stressful Live Events Scale-Arabic version- It is a 30-statements scale that includes 3 subscales to which the subject agrees, disagrees or is equivocal. •Ethical considerations :All procedures of the study were conducted after explaining to the participants the study objectives, then consent was taken at first from director of place then the elderly and lastly from his family. References Sharp L K, and. Lipsky M S: Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary Care Settings, American Family Physician (2002): Vol. (66), No. (6). Dessoki M M : Life Satisfaction Scale(2003):, Egyptian Anglo Library. Results •89.7 % of elderly in geriatric homes suffer from depression while only 56.7 % in geriatric clubs, the difference was statistically significant (p value < 0.0001) • 77.8% of the females suffering from depression while it is only present in 67.4% of males (the difference was insignificant at p>0.05) •There is no significant difference between depressed and normal elderly as regards educational level. • Depression was present among 100% of single, 80.9% among divorced and the least among married 67.4%, (the difference was significant at p< 0.05) •There is no statistical significant relation between occurrence of depression and family history of psychiatric disorder. •Hypertension constitutes 51.9%, 43.2% while diabetes was present in 27.8% and 21.6% in the depressed and none depressed elderly respectively. •There was statistical significant difference between the elderly in geriatric homes and clubs regarding the life satisfaction scales at p<0.00001 •There was statistical significant negative correlation at p<0.0001 between the total geriatric depression scale and life satisfaction scale with controlling the place of living, all parameters of life satisfaction decrease with increasing the total depression score. Conclusions •Depression among elderly is one of the most important public health problems. In Beni Suef city the depression among the elderly in geriatric homes were more than those living with their families and attending club. •Depression is common with those who suffer from loneliness as single , widowed or divorced .There is no relation in occurrence of depression with education , sex or family history of depression , the people in geriatric homes cannot cope with stressful life events and not satisfied with their life . •Depression has inverse relationship with the life events the more depression severity the less satisfaction with life.