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Open Access 01-12-2020 | Affective Disorder | Research article

The prevalence of severe depression in Iranian older adult: a meta-analysis and meta-regression

Authors: Nader Salari, Masoud Mohammadi, Aliakbar Vaisi-Raygani, Alireza Abdi, Shamarina Shohaimi, Behnam Khaledipaveh, Alireza Daneshkhah, Rostam Jalali

Published in: BMC Geriatrics | Issue 1/2020

Abstract

Background

Depression is one of the most common psychiatric disorders in the older adult and one of the most common risk factors for suicide in the older adult. Studies show different and inconsistent prevalence rates in Iran. This study aims to determine the prevalence of severe depression in Iranian older adult through a meta-analysis approach.

Methods

The present meta-analysis was conducted between January 2000–August 2019. Articles related to the subject matter were obtained by searching Scopus, Sciencedirect, SID, magiran, Barakat Knowledge Network System, Medline (PubMed), and Google Scholar databases. The heterogeneity of the studies was evaluated using I² index and the data were analyzed in Comprehensive Meta-Analysis software.

Results

In a study of 3948 individuals aged 50–90 years, the overall prevalence of severe depression in Iranian older adult was 8.2% (95% CI, 4.14–6.3%) based on meta-analysis. Also, in order to investigate the effects of potential factors (sample size and year of study) on the heterogeneity of severe depression in Iranian older adult, meta-regression was used. It was reported that the prevalence of severe depression in Iranian older adult decreased with increasing sample size and increasing years of the study, which is significantly different (P < 0.05).

Conclusion

Considering the high prevalence of severe depression in Iranian older adult, it is necessary for health policy makers to take effective control measures and periodic care for the older adult.

Fakari FR, Hashemi MA, Fakari FR. A qualitative research: postmenopausal women s experiences of abuse. Procedia Soc Behav Sci. 2013;82:57–60.CrossRef

Delvarian M, Hashemi M. Evaluation of nutrition in body mass index (BMI) of old age sanitarium of Shahroud on 2005. Tehran: Proceeding of old age congress; 2005. p. 11–3.

Oh J, Kim HS, Martins D, Kim H. A study of elder abuse in Korea. Int J Nurs Stud. 2006;43(2):203–14.CrossRef

Burns E, Kakara R. Deaths from fall among Persons Aged ≥65 Years - United States, 2007-2016. MMWR Morb Mortal Wkly Rep. 2018;67(18):509–14.

Amirsadri A, Soleimani H. Older adult phenomena and its outcomes in Iran. J Hygin Health. 2005;1(2):19–35.

Karimi M, Elahi N. Older adult abuse in Ahwaz city and its relationship with individual and social characteristics. Iran J Ageing. 2008;3(7):42–7.

Adib-Hajbaghery M, Aghahoseini S. The evaluation of disability and its related factors among the older adult population in Kashan, Iran. BMC Public Health. 2007;7(1):261.

Mirzaie M, Darabi S, Babapour M. Population Aging in Iran and Rising Health Care Costs. Salmand: Iran J Ageing. 2017;12(2):156–69.

Rezai S, Manoochehri M. Comparison of mental disorders between home owner residents and nurse homes elders. Iran J of Ageing. 2008;3(7):16–25.

10.

Christian O. Incomplete remission in depression: role of psychiatric and somatic co-morbidity. Dialogues Clin Neurosci. 2008;10:453–60.

11.

Valenstein M, Taylor KK, Austin K. Benzodiazepine use among depressed patients treated in mental health setting. Am J Psychiatry. 2004;161:654.CrossRef

12.

Schoevers RA, Geerlings MI, Beekman AT. Association of depression and gender with mortality in old age. Results from the Amsterdam study of the older adult (AMSTEL). Br J Psychiatry. 2000;177:336.CrossRef

13.

Sadeghi M, Kazemi H. Prevalence of dementia and depression among residents of older adult nursing homes in Tehran Province. IJPCP. 2004;9:49–55.

14.

Rajabizadeh G, Ramazani A. Prevalence of depression in Kermanian geriatrics (2002). J Rafsanjan Univ Med Sci. 2003;3:58–66.

15.

Khodadady N, Sheikholeslami F, Rezamasuoleh S, Yazdani M. "Rate of depression in late-life in superannuated government employed center of Guilan University of medical sciences"Persian. J Holist Nurs Midwifery. 2007;17:16–22.

16.

Sohrabi M, Zolfaghari P, Mahdizade F, Aghayan S. Ghasemian- Aghmashhadi M, Shariati Z, et al. Eval Comparison Cogn State Depress Older Adult Admitted Sanitarium Older Adult Sited Pers Home Knowledge Health. 2008;3:27–31.

17.

Manzouri L, Babak A, Merasi M. The depression status of the older adult and It's related factors in Isfahan in 2007. Sija. 2010;4.

18.

Nejati V, Ashayeri H. Evaluation of relationship between depression and cognitive impairment in older adult. Sija. 2007;1:112–8.

19.

Mobasheri M, Moezy M. The prevalence of depression among the older adult population of Shaystegan and Jahandidegan nursing homes in Shahrekord. J Shahrekord Univ Med Sci. 2010;12:89–94.

20.

Kashfi M, Khani Jeihooni A, Farhadi S. The relationship between social and demographic factors and prevalence of depression among over 60 years old individuals, shiraz. Iran Med J Hormozgan Univ. 2011;14:319–25.

21.

Gharanjik A, Mohammadi Shahbolaghi F, Ansari G, Najafi F, Ghaderi S, Ashrafi K, et al. The prevalence of depression in older Turkmen adults in 2010. Sija. 2011;6:34–9.

22.

Ghaderi S, Sahaf R, Mohammadi Shahbalaghi F, Ansari G, Gharanjic A, Ashrafi K, et al. Prevalence of depression in older adult Kurdish community residing in Boukan, Iran (Persian). Sija. 2012;7:57–66.

23.

Miri MR, Salehiniya H, Tiyuri A, Bahlgerdi M, Taghizadeh AA. Prevalence of mental disorders and its related factors among older adult of Birjand, 2014. J Nurs. 2015;2(2):94–103.

24.

Khalili Z, Taghadosi M, Heravi-Karimooi M, Sadrollahi A, Gilasi H. Assessment of the associations of depression with elder abuse among the older adult in Kashan City. Iran Salmand: Iran J Ageing. 2016;10(4):8–17.

25.

Ashrafi K, Sahaf R, Mohammadi Shahbalaghi F, Farhadi A, Ansari G, Najafi F, et al. Prevalence of depression inTurk Azeri older adults of Iran. J Sabzevar Univ Med Sci. 2017;23(6):856–65.

26.

Sarokhani D, Parvareh M, Hasanpour Dehkordi A, Sayehmiri K, Moghimbeigi A. Prevalence of depression among Iranian older adult: systematic review and meta-analysis. Iran J Psychiatry. 2018;13(1):55–64.PubMedPubMedCentral

27.

Sjöberg L, Karlsson B, Atti AR, Skoog I, Fratiglioni L, Wang HX. Prevalence of depression: comparisons of different depression definitions in population-based samples of older adults. J Affect Disord. 2017;221:123–31.CrossRef

28.

He G, Xie JF, Zhou JD, Zhong ZQ, Qin CX, Ding SQ. Depression in left-behind older adult in rural China: prevalence and associated factors. Geriatr Gerontol Int. 2016;16(5):638–43.CrossRef

29.

Papadopoulos F, Petridou E, Argyropoulou S, Kontaxakis V, Dessypris N, Anastasiou A, et al. Prevalence and correlates of depression in late life: a population based study from a rural Greek town. Int J Geriatr Psychiatry. 2005;20:350–7.CrossRef

30.

Gao S, Jin Y, Unverzagt F, Liang C, Hall K, Ma F, et al. Correlates of depressive symptoms in rural older adult Chinese. Int J Geriatr Psychiatry. 2009;24:1358–66.CrossRef

31.

Pérez–Rojo G, Izal M, Montorio I, Penhale B. Risk factors of elder abuse in a community dwelling Spanish sample. Arch Gerontol Geriatr 2009; 49(1):17–21.

32.

Beach SR, Schulz R, Castle NG, Rosen J. Financial exploitation and psychological mistreatment among older adults: differences between African Americans and non–African Americans in a population–based survey. Gerontologist. 2010;50(6):744–57.CrossRef

33.

Dong X, Simon MA, Evans DA. Prevalence of self–neglect across gender, race, and socioeconomic status: findings from the Chicago health and aging project. Gerontol. 2011;58(3):258–68.CrossRef

34.

Heravi–Karimooi M, Anoosheh M, Froughan M, Sheikhi MT, Hajizadeh E. Elder abuse by family members: an exploration in the lived experiences of older people. Iran J Nurs Res 2010; 5(18):6–17.

35.

Legrand FD, Mille CR. The effects of 60 minutes of supervised weekly walking (in a single vs. 3–5 session format) on depressive symptoms among older women: findings from a pilot randomized trial. Ment Health Phys Act. 2009;2(2):71–5.CrossRef

36.

Koshyar H, Najafi Z, Azhari A, Mazlom SR. Comparison the effect of regular physical activity and fun on the changes in rates of depression and cognitive disorders in older adult women residents of nursing homes in Mashhad. IJOGI. 2015;17(32):1–9.

37.

Lachs MS, Pillemer K. Elder abuse. Lancet. 2004;364(9441):1263–72.CrossRef

Title: The prevalence of severe depression in Iranian older adult: a meta-analysis and meta-regression
Authors: Nader Salari
Masoud Mohammadi
Aliakbar Vaisi-Raygani
Alireza Abdi
Shamarina Shohaimi
Behnam Khaledipaveh
Alireza Daneshkhah
Rostam Jalali
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Affective Disorder
Affective Disorder
Published in: BMC Geriatrics / Issue 1/2020
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-020-1444-0

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