Aiming to restore mental health among older adults: A loud cry

Publish Year: 1395
نوع سند: مقاله ژورنالی
زبان: English
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JR_EPR-2-2_013

تاریخ نمایه سازی: 2 آبان 1396

Abstract:

Globally, a significant demographic transition has been observed according to the recent estimates released by the World Health Organization.[1] In fact, keeping the current trend in mind, it has been expected that by theyear 2050, the proportion of the world’s population over 60 years will almost be 2 billion, which is currently 900 million.[1] These extra years of life have not only opened numerous opportunities for older personsbut even created a wide range of challenges for the stakeholders so that, diversified needs of the older people is addressed.[1,2] However, to ensure that people live these extra years in a meaningful and dignifiedmanner, the key factor is the maintenance of an optimal state of health (viz., physical, mental, and social elements).[2] Even though, older adults can play major contributions (asa responsible member of family, volunteer, member of the workforce, etc.) in the progress of society, most of them might experience multiple ailments, including mental illnesses at the same time.[3,4] Like any otherphase in human life, sound mental health is a crucial determinant to ensure well‑being among older adults.[1,2] In fact, it has been observed that in excess of one‑fifths of adults aged 60 and above worldwide is sufferingfrom a mental or neurological illness, which on their accounts for almost 7 percent of all disability among older adults. Multiple mental illnesses such as dementia,depression (7 percent), anxiety disorders (3.8 percent), substance abuse (1 percent), and suicides have been reported among older adults.[3] Further, most of these estimates do not reflect a clear picture, as these illnessesare overlooked by older adults themselves/family members/health professionals or misdiagnosed or often not reported due to the stigma attributed to them.[5,6] These mental illnesses precipitate due to a complexinteraction between multiple social, psychological, and biological factors, namely the inability to live independently (because of restricted mobility, other physical, or mental ailments), exposure to various kindsof deprivations due to loss of income secondary to their retirement, children staying away from their parents, and subject to different forms of abuse.[2,3,5] Almost, all of thesefactors can eventually precipitate isolation, loneliness, and psychological distress in older people.[3] Further, these mental illnesses can further enhance the risk or progression of other physical health ailments, whichfurther compromises their independence

Authors

Saurabh RamBihariLal Shrivastava

Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India

Prateek Saurabh Shrivastava

Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India

Jegadeesh Ramasamy

Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India