Key result
Multimorbidity, female gender, Chinese ethnicity, and the presence of pain were significantly associated with an increased risk of depressive symptoms among community-dwelling older adults with chronic diseases.
Cross-Sectional (n=220)
No
Odds Ratio: 3.36 (95% CI 1.07–12.6)
Absolute Event Rate: 19.62% vs 8.06%
p-value: p=0.04
Depression affects 16.4% of community-dwelling older adults with chronic diseases in Malaysia, highlighting the need for early identification and management, particularly among those with multimorbidity and pain.
May prompt screening in older Malaysian outpatients with chronic disease; leaves open causal determinants and interventions.
The older population continues to grow globally, and data related to the prevalence of depressive symptoms among this population in Malaysia is scarce. Thus, this study aimed to determine the prevalence and determinants of depression symptoms among community-dwelling older adults in Malaysia. A cross-sectional study was conducted among 220 outpatients with chronic diseases. The level of depression was operationalized using the Malay version of the Geriatric Depression Scale. The prevalence of depression among community-dwelling older adults was 16.4%. Female (OR =8.86, 95% CI=1.10–7.53, p=0.03), Chinese ethnic group (OR=4.73, 95% CI= 1.04– 21.48, p=0.04), multimorbidity (OR=3.36, 95% CI=1.07–12.60, p=0.04) and presence of pain (OR=6.67, 95% CI=2.41–18.45, p<0.01) were associated to depressive symptoms. However, higher resilience was associated with lower risk of depressive symptoms in this population (OR=0.88, 95% CI=0.88–0.93, p<0.01). The prevalence of depressive symptoms among older adults with chronic diseases is higher than in previous data. Early identification of depression in this population is crucial for effective chronic disease management.
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Mulud et al. (2023) conducted a cross-sectional in Chronic diseases (n=220). Multimorbidity vs. No multimorbidity was evaluated on Depressive symptoms (M-GDS score ≥ 5) (OR 3.36, 95% CI 1.07-12.60, p=0.04). Multimorbidity, female gender, Chinese ethnicity, and the presence of pain were significantly associated with an increased risk of depressive symptoms among community-dwelling older adults with chronic diseases.
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