Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study
Despite population aging and the increase in mental health problems, studies on the mental health of older people in developing countries are lacking. This population‐based cross‐sectional study estimated the prevalence and associated factors for depression, anxiety and stress symptoms among older a...
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Veröffentlicht in: | Nursing & health sciences 2020-12, Vol.22 (4), p.1139-1152 |
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description | Despite population aging and the increase in mental health problems, studies on the mental health of older people in developing countries are lacking. This population‐based cross‐sectional study estimated the prevalence and associated factors for depression, anxiety and stress symptoms among older adults in Nepal. Community‐dwelling older adults (N = 794) were interviewed using a questionnaire which consisted of the 21‐item Depression Anxiety Stress Scales; and a wide range of sociodemographic, health‐related, and lifestyle characteristics; functional ability, social support, participation in social activities, and adverse life events. The prevalence of symptoms was 15.4% for depression, 18.1% for anxiety, and 12.1% for stress. Risk factors for symptoms included female gender, working in agriculture, lower household wealth, perceived poor health, smoking, chronic conditions, migration of adult children, and exposure to adverse life events. Receiving an allowance, physical exercise, functional ability, social support, and participation in social activities were found to have protective effects. The findings indicate the need for community‐based interventions, including appropriate diagnosis and treatment of mental health conditions, and mental health promotion programs targeting the risk and protective factors. |
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This population‐based cross‐sectional study estimated the prevalence and associated factors for depression, anxiety and stress symptoms among older adults in Nepal. Community‐dwelling older adults (N = 794) were interviewed using a questionnaire which consisted of the 21‐item Depression Anxiety Stress Scales; and a wide range of sociodemographic, health‐related, and lifestyle characteristics; functional ability, social support, participation in social activities, and adverse life events. The prevalence of symptoms was 15.4% for depression, 18.1% for anxiety, and 12.1% for stress. Risk factors for symptoms included female gender, working in agriculture, lower household wealth, perceived poor health, smoking, chronic conditions, migration of adult children, and exposure to adverse life events. Receiving an allowance, physical exercise, functional ability, social support, and participation in social activities were found to have protective effects. The findings indicate the need for community‐based interventions, including appropriate diagnosis and treatment of mental health conditions, and mental health promotion programs targeting the risk and protective factors.</description><identifier>ISSN: 1441-0745</identifier><identifier>EISSN: 1442-2018</identifier><identifier>DOI: 10.1111/nhs.12783</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Adult children ; Aging ; Agriculture ; Anxiety ; Chronic illnesses ; Cross-sectional studies ; cross‐sectional research ; depression ; Developing countries ; Health education ; Health problems ; Health status ; LDCs ; Life events ; Medical diagnosis ; Mental depression ; Mental disorders ; Mental health ; Mental health promotion ; Mental health services ; Migration ; Nepal ; Nursing ; older adults ; Older people ; Population growth ; Population-based studies ; Protective factors ; Risk factors ; Smoking ; Social activities ; Social participation ; Social support ; Sociodemographics ; Stress ; Symptoms ; Wealth</subject><ispartof>Nursing & health sciences, 2020-12, Vol.22 (4), p.1139-1152</ispartof><rights>2020 John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3303-a8fca9188486fbe4af406403f24d9aaead98f2f77e47715cfb7a5b56b9534b553</citedby><cites>FETCH-LOGICAL-c3303-a8fca9188486fbe4af406403f24d9aaead98f2f77e47715cfb7a5b56b9534b553</cites><orcidid>0000-0001-6556-6775 ; 0000-0001-9961-4384 ; 0000-0002-1453-4850 ; 0000-0002-5689-0837</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnhs.12783$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnhs.12783$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,33774,45574,45575</link.rule.ids></links><search><creatorcontrib>Thapa, Deependra K.</creatorcontrib><creatorcontrib>Visentin, Denis C.</creatorcontrib><creatorcontrib>Kornhaber, Rachel</creatorcontrib><creatorcontrib>Cleary, Michelle</creatorcontrib><title>Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study</title><title>Nursing & health sciences</title><description>Despite population aging and the increase in mental health problems, studies on the mental health of older people in developing countries are lacking. This population‐based cross‐sectional study estimated the prevalence and associated factors for depression, anxiety and stress symptoms among older adults in Nepal. Community‐dwelling older adults (N = 794) were interviewed using a questionnaire which consisted of the 21‐item Depression Anxiety Stress Scales; and a wide range of sociodemographic, health‐related, and lifestyle characteristics; functional ability, social support, participation in social activities, and adverse life events. The prevalence of symptoms was 15.4% for depression, 18.1% for anxiety, and 12.1% for stress. Risk factors for symptoms included female gender, working in agriculture, lower household wealth, perceived poor health, smoking, chronic conditions, migration of adult children, and exposure to adverse life events. Receiving an allowance, physical exercise, functional ability, social support, and participation in social activities were found to have protective effects. The findings indicate the need for community‐based interventions, including appropriate diagnosis and treatment of mental health conditions, and mental health promotion programs targeting the risk and protective factors.</description><subject>Adult children</subject><subject>Aging</subject><subject>Agriculture</subject><subject>Anxiety</subject><subject>Chronic illnesses</subject><subject>Cross-sectional studies</subject><subject>cross‐sectional research</subject><subject>depression</subject><subject>Developing countries</subject><subject>Health education</subject><subject>Health problems</subject><subject>Health status</subject><subject>LDCs</subject><subject>Life events</subject><subject>Medical diagnosis</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health promotion</subject><subject>Mental health services</subject><subject>Migration</subject><subject>Nepal</subject><subject>Nursing</subject><subject>older adults</subject><subject>Older people</subject><subject>Population growth</subject><subject>Population-based studies</subject><subject>Protective factors</subject><subject>Risk factors</subject><subject>Smoking</subject><subject>Social activities</subject><subject>Social participation</subject><subject>Social support</subject><subject>Sociodemographics</subject><subject>Stress</subject><subject>Symptoms</subject><subject>Wealth</subject><issn>1441-0745</issn><issn>1442-2018</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kcFqFTEUhgdRsF5d-AYBNwqdNpkkd3LdlaK2UKqgroczmRM7JTMZczLW2fkIfUafpJl7XRUMgZz8fP8Ph78oXgt-IvI5HW_oRFS1kU-KI6FUVVZcmKf7WZS8Vvp58YLolmeVa3lU3H-J-As8jhYZjB1zYFOIxIAo2B4SduyuTzeswykiUR_G48z97jEtx3sDpVVntAxTCkM2DmH8wYLvMDLoZp_oPTtjNgaiv3_uCW3KGeDZFKbZw_rJcguEa9TcLS-LZw484at_76b4_vHDt_OL8urzp8vzs6vSSsllCcZZ2AljlNm6FhU4xbeKS1epbgeA0O2Mq1xdo6proa1ra9Ct3rY7LVWrtdwUbw-5Uww_Z6TUDD1Z9B5GDDM1lVI5vuJGZfTNI_Q2zDEvsVJbo7WQ-W6Kdwdqv2tE10yxHyAujeDN2k2Tu2n23WT29MDe9R6X_4PN9cXXg-MBQb6VYg</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Thapa, Deependra K.</creator><creator>Visentin, Denis C.</creator><creator>Kornhaber, Rachel</creator><creator>Cleary, Michelle</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>ASE</scope><scope>BHHNA</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6556-6775</orcidid><orcidid>https://orcid.org/0000-0001-9961-4384</orcidid><orcidid>https://orcid.org/0000-0002-1453-4850</orcidid><orcidid>https://orcid.org/0000-0002-5689-0837</orcidid></search><sort><creationdate>202012</creationdate><title>Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study</title><author>Thapa, Deependra K. ; Visentin, Denis C. ; Kornhaber, Rachel ; Cleary, Michelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3303-a8fca9188486fbe4af406403f24d9aaead98f2f77e47715cfb7a5b56b9534b553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult children</topic><topic>Aging</topic><topic>Agriculture</topic><topic>Anxiety</topic><topic>Chronic illnesses</topic><topic>Cross-sectional studies</topic><topic>cross‐sectional research</topic><topic>depression</topic><topic>Developing countries</topic><topic>Health education</topic><topic>Health problems</topic><topic>Health status</topic><topic>LDCs</topic><topic>Life events</topic><topic>Medical diagnosis</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health promotion</topic><topic>Mental health services</topic><topic>Migration</topic><topic>Nepal</topic><topic>Nursing</topic><topic>older adults</topic><topic>Older people</topic><topic>Population growth</topic><topic>Population-based studies</topic><topic>Protective factors</topic><topic>Risk factors</topic><topic>Smoking</topic><topic>Social activities</topic><topic>Social participation</topic><topic>Social support</topic><topic>Sociodemographics</topic><topic>Stress</topic><topic>Symptoms</topic><topic>Wealth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thapa, Deependra K.</creatorcontrib><creatorcontrib>Visentin, Denis C.</creatorcontrib><creatorcontrib>Kornhaber, Rachel</creatorcontrib><creatorcontrib>Cleary, Michelle</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing & health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thapa, Deependra K.</au><au>Visentin, Denis C.</au><au>Kornhaber, Rachel</au><au>Cleary, Michelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study</atitle><jtitle>Nursing & health sciences</jtitle><date>2020-12</date><risdate>2020</risdate><volume>22</volume><issue>4</issue><spage>1139</spage><epage>1152</epage><pages>1139-1152</pages><issn>1441-0745</issn><eissn>1442-2018</eissn><abstract>Despite population aging and the increase in mental health problems, studies on the mental health of older people in developing countries are lacking. This population‐based cross‐sectional study estimated the prevalence and associated factors for depression, anxiety and stress symptoms among older adults in Nepal. Community‐dwelling older adults (N = 794) were interviewed using a questionnaire which consisted of the 21‐item Depression Anxiety Stress Scales; and a wide range of sociodemographic, health‐related, and lifestyle characteristics; functional ability, social support, participation in social activities, and adverse life events. The prevalence of symptoms was 15.4% for depression, 18.1% for anxiety, and 12.1% for stress. Risk factors for symptoms included female gender, working in agriculture, lower household wealth, perceived poor health, smoking, chronic conditions, migration of adult children, and exposure to adverse life events. Receiving an allowance, physical exercise, functional ability, social support, and participation in social activities were found to have protective effects. 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subjects | Adult children Aging Agriculture Anxiety Chronic illnesses Cross-sectional studies cross‐sectional research depression Developing countries Health education Health problems Health status LDCs Life events Medical diagnosis Mental depression Mental disorders Mental health Mental health promotion Mental health services Migration Nepal Nursing older adults Older people Population growth Population-based studies Protective factors Risk factors Smoking Social activities Social participation Social support Sociodemographics Stress Symptoms Wealth |
title | Prevalence and factors associated with depression, anxiety, and stress symptoms among older adults: A cross‐sectional population‐based study |
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