Cp.164 The Prevalence Of Depression Among The Elderly With Mental Disorders In Primary Health Care Settings

Author(s): 
M. Racic1, L. Kozomara2, S. Kusmuk1
1 Medical Faculty E. Sarajevo, Bosnia-Herzegovina
2 Dom Zdravlja Banja Luka, Bosnia-Herzegovina
Text: 
Background.
Depression among the elderly not only causes distress and suffering but also leads to impairments in physical, mental, and social functioning. Despite being associated with excessive morbidity, depression often goes undiagnosed.
Aim.
To determine the prevalence of depression among the elderly with mental disorders in Bosnia and Herzegovina and usefulness of depression screening in primary care.
Method.
This descriptive study used the SIMON’S screening questionnaire for early detection of mental disorders. 714 patients over 60 from three family medicine practices in Sarajevo region of Bosnia were interviewed. Questionnaires were evaluated, and the patients with positives scores for mental disorders were invited back to the clinics for a GDS –short form screening interview and additional clinical evaluation.
Results.
Mental disorders were identified in 61% of participants. Of those, in 34% of cases, disorders were graduated as “marked”, while in 66% as “severe”. According to GDS and clinical evaluation, 42% exhibited depression. Gender, age, education and environment were statistically significant for depression. Marital and social statuses were not statistically significant.
Conclusions.
Screening for early detection of mental disorders, revealed depression in 42% of cases, previously undiagnosed what demonstrates the usefulness and importance of the depression screening. By using Simon’s and GDS screening tools, physicians could better diagnose depression and other mental disorders in their patients, and take appropriate action to treat it, thereby improving the quality of life of a great many people in the country and consequently decrease use of health care resources.
Literature: 
CP.164 THE PREVALENCE OF DEPRESSION AMONG THE ELDERLY WITH MENTAL DISORDERS IN PRIMARY HEALTH CARE SETTINGS