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


Thapa, DK and Visentin, D and Kornhaber, R and Cleary, M, Prevalence of mental disorders among older people in Nepal: a systematic review, Kathmandu University Medical Journal, 16, (62) Article 2. ISSN 1812-2027 (2018) [Refereed Article]

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Copyright 2018 KUMJ

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Background: There has been limited research into the prevalence of mental disorders amongst older adults in developing countries. Developing countries such as Nepal are undergoing significant demographic changes with an increasing number and proportion of older persons.

Objective: This systematic review reports the prevalence of mental health disorders amongst the elderly in Nepal.

Method: Databases searched were PubMed, CINAHL, Scopus and PsycINFO. A hand search for relevant articles appearing in reference lists and previously identified research was also 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 cases ranged from 25.5% to 60.6% in the community, 17.3% to 89.1% in aged-care facilities and 53.2% to 57.1% in hospital settings. The prevalence of depressive disorders in similar settings varied between 4.4% (in community) to 53.2% (in hospital). The prevalence of anxiety symptom cases ranged from 21.7% to 32.3%. Psychosis, alcohol dependence and dementia were other identified disorders amongst the elderly. Disordered symptom cases are more prevalent in aged-care facilities than in community settings and mental disorders are higher for hospital-based studies compared to community settings.

Conclusion: This review identified a higher prevalence of depression amongst the elderly in Nepal compared to studies conducted in developed countries. The high rates of reported prevalence among the elderly warrant the need to develop more effective public health and welfare approaches to prevent, treat and manage the mental disorders among this vulnerable population.

Item Details

Item Type:Refereed Article
Keywords:aged, anxiety, depression, elderly, mental disorders, Nepal, prevalence
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Mental health services
UTAS Author:Thapa, DK (Mr Deependra Thapa)
UTAS Author:Visentin, D (Dr Denis Visentin)
UTAS Author:Kornhaber, R (Dr Rachel Kornhaber)
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:129979
Year Published:2018
Deposited By:Health Sciences
Deposited On:2019-01-03
Last Modified:2021-01-19

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