Determinants of depression and insomnia among institutionalized elderly people in Malaysia

Suzana Shahar, Junaidah Hassan, Vatana V. Sundar, Ai Yun Wenty Kong, Sook Ping Chin, Samsul Anuar Ahmad, Lai Kuan Lee

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Depression and insomnia are common psychiatric disorders among elderly people and reported to be related to several social and health factors. However, their occurrences in relation to food intake have rarely been investigated. Therefore, this study was to identify determinants of depression and insomnia, with emphasised on food intake among 71 elderly people residing in a government funded institution in Malaysia. An interview based questionnaire was used to obtain information on socio-demography, health and functional status, depression, insomnia and food intake. A total of 71.8% subjects had depression and 53% had insomnia. Subjects who had insomnia [Adjusted Odds Ratio (AOR) 19.55, 95% CI = 4.04-94.64], needed help/unable to perform >4 items of IADL (AOR = 16.65, 95% CI = 3.95-70.22), had hypertension (AOR = 7.66, 95% CI = 1.37-42.76), had >50% wastage of poultry or fish (AOR = 3.66, 95% CI = 1.06-12.60) and wastage of vegetables (AOR 3.31, 95% CI = 1.03-10.60) were more likely to have depression. Subjects who had depression (AOR 19.55, 95% CI = 4.04-94.64), needed help/unable to perform >4 items of IADL (AOR 2.97, 95% CI = 1.12-7.84), needed help/unable to handle financial matters (AOR 5.01, 95% CI = 1.37-18.27) and had >50% wastage of vegetables (AOR 3.91, 95% CI = 1.42-10.82) were at a higher risk to develop insomnia. Depression and insomnia affected more than half of the subjects, interrelated, and associated with functional inability, socioeconomic factor and high food wastage of specific foods.

Original languageEnglish
Pages (from-to)188-195
Number of pages8
JournalAsian Journal of Psychiatry
Volume4
Issue number3
DOIs
Publication statusPublished - Sep 2011

Fingerprint

Malaysia
Sleep Initiation and Maintenance Disorders
Odds Ratio
Depression
Eating
Vegetables
Food
Poultry
Health Status
Psychiatry
Fishes
Demography
Interviews
Hypertension
Health

Keywords

  • Depression
  • Elderly, Food intake, Food wastage
  • Insomnia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Shahar, S., Hassan, J., Sundar, V. V., Kong, A. Y. W., Ping Chin, S., Ahmad, S. A., & Kuan Lee, L. (2011). Determinants of depression and insomnia among institutionalized elderly people in Malaysia. Asian Journal of Psychiatry, 4(3), 188-195. https://doi.org/10.1016/j.ajp.2011.06.001

Determinants of depression and insomnia among institutionalized elderly people in Malaysia. / Shahar, Suzana; Hassan, Junaidah; Sundar, Vatana V.; Kong, Ai Yun Wenty; Ping Chin, Sook; Ahmad, Samsul Anuar; Kuan Lee, Lai.

In: Asian Journal of Psychiatry, Vol. 4, No. 3, 09.2011, p. 188-195.

Research output: Contribution to journalArticle

Shahar, S, Hassan, J, Sundar, VV, Kong, AYW, Ping Chin, S, Ahmad, SA & Kuan Lee, L 2011, 'Determinants of depression and insomnia among institutionalized elderly people in Malaysia', Asian Journal of Psychiatry, vol. 4, no. 3, pp. 188-195. https://doi.org/10.1016/j.ajp.2011.06.001
Shahar, Suzana ; Hassan, Junaidah ; Sundar, Vatana V. ; Kong, Ai Yun Wenty ; Ping Chin, Sook ; Ahmad, Samsul Anuar ; Kuan Lee, Lai. / Determinants of depression and insomnia among institutionalized elderly people in Malaysia. In: Asian Journal of Psychiatry. 2011 ; Vol. 4, No. 3. pp. 188-195.
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