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Prevalence of mental disorders among older people in Nepal: a systematic review

Thapa, DK, Visentin, D ORCID: 0000-0001-9961-4384, Kornhaber, R ORCID: 0000-0001-6556-6775 and Cleary, M ORCID: 0000-0002-1453-4850 2018 , 'Prevalence of mental disorders among older people in Nepal: a systematic review' , Kathmandu University Medical Journal, vol. 16, no. 62 , pp. 181-190 .

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Background:There has been limited research into the prevalence of mental disorders amongstolder adults in developing countries. Developing countries such as Nepal areundergoing significant demographic changes with an increasing number andproportion of older persons.Objective:This systematic review reports the prevalence of mental health disorders amongstthe elderly in Nepal.Method:Databases searched were PubMed, CINAHL, Scopus and PsycINFO. A hand search forrelevant articles appearing in reference lists and previously identified research wasalso undertaken.Result:Of the 26 studies (32 articles) included most were community and aged-care home-based studies measuring depression. The prevalence of depressive symptom casesranged from 25.5% to 60.6% in the community, 17.3% to 89.1% in aged-care facilitiesand 53.2% to 57.1% in hospital settings. The prevalence of depressive disorders insimilar settings varied between 4.4% (in community) to 53.2% (in hospital). Theprevalence of anxiety symptom cases ranged from 21.7% to 32.3%. Psychosis,alcohol dependence and dementia were other identified disorders amongst theelderly. Disordered symptom cases are more prevalent in aged-care facilities thanin community settings and mental disorders are higher for hospital-based studiescompared to community settings.Conclusion:This review identified a higher prevalence of depression amongst the elderly in Nepalcompared to studies conducted in developed countries. The high rates of reportedprevalence among the elderly warrant the need to develop more effective publichealth and welfare approaches to prevent, treat and manage the mental disordersamong this vulnerable population.

Item Type: Article
Authors/Creators:Thapa, DK and Visentin, D and Kornhaber, R and Cleary, M
Keywords: aged, anxiety, depression, elderly, mental disorders, Nepal, prevalence
Journal or Publication Title: Kathmandu University Medical Journal
Publisher: Kathmandu University, Kathmandu Medical College
ISSN: 1812-2027
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Copyright 2018 KUMJ

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