A study of dementia in old age homes

Background: By 2040, dementia is projected to rise exponentially by 300% in India. Studies addressing the need for psychiatric care in the community being few and those focusing in old age homes even fewer, a study was undertaken to study the prevalence of dementia and the association with sociodemo...

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Main Authors: Daniel Saldanha, R N Mani, Swaleha Mujawar, Suprakash Chaudhury
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Industrial Psychiatry Journal
Subjects:
Online Access:http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2021;volume=30;issue=3;spage=149;epage=154;aulast=Saldanha
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author Daniel Saldanha
R N Mani
Swaleha Mujawar
Suprakash Chaudhury
author_facet Daniel Saldanha
R N Mani
Swaleha Mujawar
Suprakash Chaudhury
author_sort Daniel Saldanha
collection DOAJ
description Background: By 2040, dementia is projected to rise exponentially by 300% in India. Studies addressing the need for psychiatric care in the community being few and those focusing in old age homes even fewer, a study was undertaken to study the prevalence of dementia and the association with sociodemographic factors and psychiatric morbidity. Materials and Methods: A total of 558 elderly aged 60 years and above, residing in old age homes in Pune were studied. 179 inmates were included based on the inclusion and exclusion criteria. Those who scored a predetermined cut-off score on the screening tool were included to undergo a detailed physical and neurological examination, cognitive profile using subtests from the cognitive test (community screening instrument for Dementia of 10/66 group). Results: Mean age of the sample was 75.02 years majority (39.7%) was in the 60–70 years group. Males 25.7% versus females 74.3%. The sample consisted of the following socioeconomic groups: 40.2% middle, 26.3% low middle, 24% high middle, 8.4% high income, and 1.1% in low income. 60.3% widow/widower category, 36.3% never married, 4.5% had family history of dementia. Mean scores of mini mental state examination in the overall sample was 26.02 compared to 18.02 in those cut-off point of 23. The prevalence of dementia in the sample was 22.9%. There was the high prevalence of psychiatric symptoms and psychiatric morbidity in the dementia group than the rest. Frontal lobe dysfunction and impairment of orientation with increasing severity of dementia were observed. Conclusions: Sociodemographic factors, which were considered protective against the prevalence of dementia, identified were less restriction in physical activity and having fish in the diet regularly.
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spelling doaj.art-8e9374fa647a463d8fc43aa31c9f920e2022-12-21T19:23:03ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952021-01-0130314915410.4103/0972-6748.328806A study of dementia in old age homesDaniel SaldanhaR N ManiSwaleha MujawarSuprakash ChaudhuryBackground: By 2040, dementia is projected to rise exponentially by 300% in India. Studies addressing the need for psychiatric care in the community being few and those focusing in old age homes even fewer, a study was undertaken to study the prevalence of dementia and the association with sociodemographic factors and psychiatric morbidity. Materials and Methods: A total of 558 elderly aged 60 years and above, residing in old age homes in Pune were studied. 179 inmates were included based on the inclusion and exclusion criteria. Those who scored a predetermined cut-off score on the screening tool were included to undergo a detailed physical and neurological examination, cognitive profile using subtests from the cognitive test (community screening instrument for Dementia of 10/66 group). Results: Mean age of the sample was 75.02 years majority (39.7%) was in the 60–70 years group. Males 25.7% versus females 74.3%. The sample consisted of the following socioeconomic groups: 40.2% middle, 26.3% low middle, 24% high middle, 8.4% high income, and 1.1% in low income. 60.3% widow/widower category, 36.3% never married, 4.5% had family history of dementia. Mean scores of mini mental state examination in the overall sample was 26.02 compared to 18.02 in those cut-off point of 23. The prevalence of dementia in the sample was 22.9%. There was the high prevalence of psychiatric symptoms and psychiatric morbidity in the dementia group than the rest. Frontal lobe dysfunction and impairment of orientation with increasing severity of dementia were observed. Conclusions: Sociodemographic factors, which were considered protective against the prevalence of dementia, identified were less restriction in physical activity and having fish in the diet regularly.http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2021;volume=30;issue=3;spage=149;epage=154;aulast=Saldanhaco-morbiditydementiaold age homes
spellingShingle Daniel Saldanha
R N Mani
Swaleha Mujawar
Suprakash Chaudhury
A study of dementia in old age homes
Industrial Psychiatry Journal
co-morbidity
dementia
old age homes
title A study of dementia in old age homes
title_full A study of dementia in old age homes
title_fullStr A study of dementia in old age homes
title_full_unstemmed A study of dementia in old age homes
title_short A study of dementia in old age homes
title_sort study of dementia in old age homes
topic co-morbidity
dementia
old age homes
url http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2021;volume=30;issue=3;spage=149;epage=154;aulast=Saldanha
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