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Assessment of cognitive impairment, quality of life, in depressed geriatric patients attending tertiary care hospital

Author: 
Dr. Sahil Shaikh, Dr. Ravi Thakkar and Dr. Kamlesh Patel
Subject Area: 
Health Sciences
Abstract: 

People aged 60 years and above are defined as Geriatric people. According to community based mental health, prevalence of depressive disorders in elderly Indian population varies between 13% and 25%.Previous research reported a 15.7% prevalence of cognitive impairment among urban population aged 60 year old and above in India. Persistent depression has shown significant association with cognitive decline in perspective study. Treatment of depression positively affects quality of life in old age patient. Objectives • To assess severity of depression, To assess presence of cognitive impairment, To assess quality of life, To assess correlation of cognitive impairment and quality of life Methods • Geriatric Depression Scale, Standardized Mini Mental State Examination, WHO Quality Of Life Result • Geriatric depression and severity: Out of 100 patient, 57 had mild depression and 43 had severe depression; Male ( N = 47) and Female ( N= 53) • Cognitive impairment in geriatric depressed patient ( N = 100) : 53 had no cognitive impairment ( MMSE >23) , 29 had mild cognitive impairment ( MMSE 19-23) , 14 had moderate cognitive impairment ( MMSE 10-18) , 4 had sever cognitive impairment (MMSE <10). • Quality of life in depressed geriatric patients: In physical health 52% , In psychological health 43 %. In social health 55%, In environmental health 57% had Good Quality of Life. Conclusion • More cognitive impairment is seen in severely depressed geriatric patient and quality of life is also poor in depressed geriatric patients.

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