The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis

Background: Major depressive disorder is characterized by a depressed mood or feeling of sadness, loss of interest or pleasure in everyday activities. Depressed individuals have a cognitive impairment, low self-esteem, difficulty making decisions, feeling helpless and hopeless. The factors that have...

Full description

Saved in:
Bibliographic Details
Main Authors: Abdoli, Nasrin, Salari, Nader, Darvishi, Niloofar, Jafarpour, Sima, Solaymani, Mina, Mohammadi, Masoud, Shohaimi, Shamarina
Format: Article
Published: Elsevier 2022
Online Access:http://psasir.upm.edu.my/id/eprint/103568/
https://www.sciencedirect.com/science/article/pii/S0149763421004838
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.upm.eprints.103568
record_format eprints
spelling my.upm.eprints.1035682023-05-22T02:54:18Z http://psasir.upm.edu.my/id/eprint/103568/ The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis Abdoli, Nasrin Salari, Nader Darvishi, Niloofar Jafarpour, Sima Solaymani, Mina Mohammadi, Masoud Shohaimi, Shamarina Background: Major depressive disorder is characterized by a depressed mood or feeling of sadness, loss of interest or pleasure in everyday activities. Depressed individuals have a cognitive impairment, low self-esteem, difficulty making decisions, feeling helpless and hopeless. The factors that have been associated with depression include the lack of social support, living in rural areas, suffering from chronic diseases, smoking, and alcohol abuse. This study aimed to investigate the global prevalence of major depressive disorder in the elderly. Method: The electronic database such as Web of Science (WoS), Scopus, SID, PubMed, Google Scholar, Mag Iran, and IranDoc were systematically searched for studies reporting the prevalence of major depressive disorderin the elderly published up to March 2021. Meta-analysis was performed using Comprehensive Meta-Analysis (CMA) software. Heterogeneity between the studies was evaluated using the I2 index. Begg and Mazumdar rank correlation test was used to assess publication bias. Result: A total of 20 studies involving 18953 participants were included in this study. The global prevalence of major depression in the elderly was 13.3 % (95 % CI: 8.4–20.3 %). In the subgroup analysis, the prevalence of major depression in elderly women was 11.9 % (95 % CI: 7.6−18.6) and men 9.7 % (95 % CI: 5.2-17.3). No comparison was made between the two sexes, but based on the confidence intervals and large overlap, the two groups are not statistically different. Among continents, Australia had the highest prevalence of major depression in the elderly at 20.1 % (CI: 14.5-27.2 %). This was followed by Europe at 12.9 % (95 % CI: 5.1-28.9 %). Conclusion: Major depressive disorder has a growing trend in the elderly population of the world. The prevalence of major depression in the elderly depends on various clinical and demographic factors such as age and gender. Therefore, mental health and the quality of life (QoL) of the elderly are important. The present study emphasizes the importance of social support in mental health that can reduce depression in the elderly. Elsevier 2022 Article PeerReviewed Abdoli, Nasrin and Salari, Nader and Darvishi, Niloofar and Jafarpour, Sima and Solaymani, Mina and Mohammadi, Masoud and Shohaimi, Shamarina (2022) The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 132. 1067 - 1073. ISSN 0149-7634 https://www.sciencedirect.com/science/article/pii/S0149763421004838 10.1016/j.neubiorev.2021.10.041
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Background: Major depressive disorder is characterized by a depressed mood or feeling of sadness, loss of interest or pleasure in everyday activities. Depressed individuals have a cognitive impairment, low self-esteem, difficulty making decisions, feeling helpless and hopeless. The factors that have been associated with depression include the lack of social support, living in rural areas, suffering from chronic diseases, smoking, and alcohol abuse. This study aimed to investigate the global prevalence of major depressive disorder in the elderly. Method: The electronic database such as Web of Science (WoS), Scopus, SID, PubMed, Google Scholar, Mag Iran, and IranDoc were systematically searched for studies reporting the prevalence of major depressive disorderin the elderly published up to March 2021. Meta-analysis was performed using Comprehensive Meta-Analysis (CMA) software. Heterogeneity between the studies was evaluated using the I2 index. Begg and Mazumdar rank correlation test was used to assess publication bias. Result: A total of 20 studies involving 18953 participants were included in this study. The global prevalence of major depression in the elderly was 13.3 % (95 % CI: 8.4–20.3 %). In the subgroup analysis, the prevalence of major depression in elderly women was 11.9 % (95 % CI: 7.6−18.6) and men 9.7 % (95 % CI: 5.2-17.3). No comparison was made between the two sexes, but based on the confidence intervals and large overlap, the two groups are not statistically different. Among continents, Australia had the highest prevalence of major depression in the elderly at 20.1 % (CI: 14.5-27.2 %). This was followed by Europe at 12.9 % (95 % CI: 5.1-28.9 %). Conclusion: Major depressive disorder has a growing trend in the elderly population of the world. The prevalence of major depression in the elderly depends on various clinical and demographic factors such as age and gender. Therefore, mental health and the quality of life (QoL) of the elderly are important. The present study emphasizes the importance of social support in mental health that can reduce depression in the elderly.
format Article
author Abdoli, Nasrin
Salari, Nader
Darvishi, Niloofar
Jafarpour, Sima
Solaymani, Mina
Mohammadi, Masoud
Shohaimi, Shamarina
spellingShingle Abdoli, Nasrin
Salari, Nader
Darvishi, Niloofar
Jafarpour, Sima
Solaymani, Mina
Mohammadi, Masoud
Shohaimi, Shamarina
The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis
author_facet Abdoli, Nasrin
Salari, Nader
Darvishi, Niloofar
Jafarpour, Sima
Solaymani, Mina
Mohammadi, Masoud
Shohaimi, Shamarina
author_sort Abdoli, Nasrin
title The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis
title_short The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis
title_full The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis
title_fullStr The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis
title_full_unstemmed The global prevalence of major depressive disorder (MDD) among the elderly: a systematic review and meta-analysis
title_sort global prevalence of major depressive disorder (mdd) among the elderly: a systematic review and meta-analysis
publisher Elsevier
publishDate 2022
url http://psasir.upm.edu.my/id/eprint/103568/
https://www.sciencedirect.com/science/article/pii/S0149763421004838
_version_ 1768009471325372416
score 13.211869