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Prevalence, Presentation and Co-Morbidity Pattern Associated with Depression among Geriatric Patients Attending the GOPD of UPTH

Author Affiliations

  • 1 Dept. of Family Medicine, University of Port Harcourt Teaching Hospital (UPTH), Rivers State, NIGERIA

Int. Res. J. Medical Sci., Volume 1, Issue (3), Pages 17-24, April,28 (2013)


The study was done to determine the prevalence of depressive illness among the elderly patients attending the General Outpatient Department of the University of Port Harcourt Teaching Hospital (UPTH). This was done against the background of increased morbidity of depressive illness among the elderly culminating in disability and suicidal risk. A descriptive cross-sectional study of one hundred and fifty randomly selected elderly patients attending the GOPD was carried out. A structured questionnaire containing the Geriatric Depression Scale was administered to the patients that had satisfied the inclusion and exclusion criteria. Data was entered into the computer using the Epi-info version 3.2.2 software, and analysed. 28% of the patients were found to be mildly, moderately and severely depressed. The commonest modes of presentation were internal heat, multiple somatic complaints and delusions and/or hallucinations. Most of the depressed respondents had at least one co-morbid condition and these were more frequently found to be stroke and diabetes mellitus.


  1. Press Y. Clinical Trial: Depression and increased health services utilization among elderly primary care patients: Clinical Trials, Available from: (2006)
  2. WHO Issues New Healthy Life Expectancy Rankings, WHO Press Release in Washington, D.C. and Geneva Switzerland; June, 4, 1-5 (2000)
  3. CIA World Factbook Nigeria 1. Available from: factbook/print/ni.html (2007)
  4. Akanji B.O., Ogunniyi A., Baiyewu O., Healthcare for older persons, a country profile: Nigeria, Journal of the American Geriatric Society, 50(7), 1289-1292 (2002)
  5. WHO/ WPRO-Ageing and Health- A health Promotion Approach for Developing Countries, WHO regional office for the Western Pacific (2003)
  6. Baldwin R. and Wild R., Management of depression in late life, Advances in Psychiatric Treatment, 10, 131-139, (2004)
  7. Whooley M.A. and Simon G.E., Managing depression in medical outpatients, N Eng J Med., 343, 1942 (2001)
  8. Kevorkian R., Depression in the elderly, Division of Geriatric Medicine, St. Louis School of Medicine, Available from: (2005)
  9. Baldwin R.C., Poor prognosis of depression in elderly people: causes and actions, Ann Med, 32(4), 252-6 (2000)
  10. Birrer R.B. and Vemuri S.P., Depression in late life: A diagnostic and therapeutic challenge, American Family Physician, 69, 2375- 82 (2004)
  11. Sokoya O.O. and Baiyewu O., Geriatric depression in Nigerian primary care attendees, Int Geriatr Psychiatry, 18,506-510 (2003)
  12. Evans M. and Mottram P., Diagnosis of depression in the elderly patients, Advances in psychiatric treatment, 6, 49-56 (2000)
  13. Sharp L.K. and Lipsky M.S., Screening for depression across the lifespan: A review of measures for use in primary care: Depression in the elderly. American Family Physician (serial on the internet) (cited 2007 December 17); 66(6):1(2002) Available from: (2002)
  14. Wilson K., Mottram P. and Sixsmith A., Depressive symptoms in the very old living alone: prevalence, incidence and risk factors, Int J Geriatr Psyciatr, 22(4), 61-366 (2006)
  15. Alexopoulos G.S., Depression in the elderly, The Lancet, 365(9475), 1961-1970 (2005)
  16. Gazmararian J., Baker D., Parker R. and Blazer D.G., A multivariate analysis of factors associated with depression, Archives of Internal Medicine,160(21), 3307-14 (2000)
  17. Lawrence V., Murray J., Banerjee S., Turner S., Sangha K. and Byng al., Concepts and causation of depression: A cross-cultured study of beliefs of older adults, The Gerontologist, 46, 23-32 (2006)
  18. Coyne J.C. and Schwenk T.L., Diagnosis of late life depression: The View from Primary Care, Biol. Psychiatry52(3), 157-163 (2002)
  19. Nakasujja N., Seggane M., Wahugembe J. and Wallace D., Psychiatric Disorders among the elderly on non- psychiatric wards in an African setting, International Psychogeriatric Association,(2007)
  20. Al-Shammari S.A., Prevalence and correlates of depression among Saudi elderly, Wiley Interscience J; (Abstract) 1999)
  21. Buckley M.R., Lachman V.D., Depression in older patients; recognition and treatment, JAAPA, 20(8), 34-41 (2007)
  22. Servan Schreiber D., Tabas G. and Kolb R., Somatizing patients: Part II Practical management, American Family Physician, 61(5), 1-3 (2000)
  23. Simon G.E., Vonkorff M., Picciell M., Fullerton C. and Omel J., An International study of the relation between somatic symptoms and Depression, N Eng J Med, 18, 1329-35 (1999)
  24. Kirmayer L.J., Cultural variations in clinical presentation of depression and anxiety, J Clin Psychiatry,62(13), 22-8 (2001)
  25. Schulberg H.C. and Bruce M.L., Preventing suicide in primary care patients: The primary care physician’s role, General Hospital Psychiatry, 26(5), 337-345 (2004)
  26. Walling A.D., Prevalence of suicidal ideation in older patients, American Family Physician, (cited 2007 December 10); 73 (4): 1. Available from: (2006)
  27. Pfaff J.J. and Almada O.P., Detecting suicidal ideation in older patients: Identifying risk factors within the general practice setting, Br J Gen Pract, 55, 269-73 (2005)
  28. Tomilson M., Swartz L., Kruger L. and Gureje O., Manifestations of affective disturbance in Sub-Saharan Africa, Key themes, Journal of Affective Disorders, 102(1-3), 191-198 (2007)
  29. Lavender H., Khandoker A.H. and Jones R., Understanding of depression: An interview study of Yoruba, Bangladeshi and white British people, Family Practice, 23(6), 651-658 (2006)
  30. Makanjuola ROA, “Ode-ori”: A culture- based disorder with prominent somatic features in Yoruba Nigerians, Acta Psychiatr Scand, 75(3), 231-236 (1987)
  31. Heisel M.J., Flett G.L., Duberstein P.R. and Lyness J.F., Does the Geriatric Depression Scale (GDS) distinguish between older adults with high versus low levels of suicidal ideation? Am J Geriatr Psychiatry,13, 876-833 (2005)
  32. Tekin S. and Cummings J.L., Depression in Dementia, Neurobiogist, 7(4), 252-259 (2001)
  33. Alexopoulos G.S., Abrams R.C., Young R.C. and Shamoian C.A., Cornell scale for depression in dementia, Biol Psychiatry, 23(3), 271- 284 (1998)
  34. Wilson K.C.M., Mottram P.G., Abou-Saleh M.T., Older community residents with depression: long term treatment with sertraline, Br J Psychiatry, 182, 492-497 (2003)
  35. Uwakwe R. and Prince M., Identifying dementia and depression in the elderly: The role of the family, Nigerian Journal of Clinical Practice, 7(2), 82-87 (2004)
  36. Holley C., Murrel S.A. and Mast B.T., Psychosocial and vascular risk factors for depression in the elderly, Am J Geriatr Psychiatry, 14, 84-90 (2006)
  37. Miller M.D., Lenze E.J. and Dew M.A. et al., Effects of cerebrovascular risk factors on depression; treatment outcomes in later life, Am J Geriatr Psychiatry, 110(5), 592-8 (2002)
  38. Pouwer F., Onset and recurrence of depression in older persons Diagnosed with type 2 diabetes: Who is at risk? A prospective study 2003-2005 (2007 October 6): (Abstract). Available from: (2007)
  39. Nandini V., Perspectives on psycho-neuro-immunology in oncology, Indian J of Palliative Care,12(1), 29-33 (2006)
  40. Hitti M., Depression may worsen Alzheimer’s: Faster mental decline seen in people with history of major depression, Web MD Medical News 2006 (2007 December )
  41. : 1-2. Available from: (2007)
  42. Rakel R.E., Textbook of Family Practice. 6th ed. Philadelphia: W.B. Saunders, 91 (2002)
  43. Williams S.A., Kasl S.V., Heiat A., Abramson J.L., Krumholz H.M. and Vaccarino V et al., Depression and risk of heart failure among the elderly: A prospective community- based study, Psychosomatic Medicine, 64, 6-12 (2002)
  44. Kurlowicz L., The Geriatric Depression Scale, (1999)
  45. Mc Elhaney JE. Depression in the elderly. Could you be missing the signs? Psychiatric Times 2006 4: 1-6. (2007 November 20) Available from: (2007)
  46. Papadopoulos F.C., Petridou E., Argyropoulos S., Kontaxakis V., Dessypris N. and Anastasiou A. et al. Prevalence and correlates of depression in late life: A population-based study from a rural Greek town, Int J Geriatr Psychiatry20(4), 350-357 (2005)
  47. Girland B., Golden R.R., Teresi J.A., Challop J., The SHORT-CARE: An Efficient instrument for the assessment of depression, dementia and disability, J Geriontol.,39(2), 166-9 (1984)
  48. Okulate G.T., Olayinka M.O. and Jones O.B., Somatic symptoms of Depression: Evaluation of their diagnostic weight in an African setting, Br J Psychiatry, 184, 422-7 2004)
  49. Denninger J.W., Somatic symptoms in outpatients with major depressive disorder treated with fluoxetine, Psychosomatics,47, 348-352 (2006)