Depression in newly-urbanized elderly Africans

Authors

  • L.S. Gillis Department of Psychiatry, University of Cape Town, Medical School. Observatory

DOI:

https://doi.org/10.21504/sajg.v1i1.13

Abstract

Two recent South African prevalence studies of depressive symptoms have revealed a high occurence of such symptoms among the black elderly population, particularly in the case of women. In a study of depression conducted in the Cape Peninsula townships of Langa and Khayelitsha (N = 195 and 170, respectively), an alarming vulnerability to depressive symptoms was found among black elderly women. with 27% of the women sampled in Langa and 44% of those in Khayelitsha identifying with these symptoms. The Multidimensional Survey (N = 4 400) demonstrated a greater prevalence of depression among elderly blacks than among other elderly population groups. Possible reasons for these findings are discussed.

References

American Psychiatric Association. 1987. Diagnostic and Statistical Manual of Mental Disorders. Edition III Revised (DSM-III-R) Washington.

Barnes, J. & Yach, D. (Eds) 1991. A survey of health aspects of black elderly living in a settled and a newly developed township in the Cape metropolitan area. MRC Urbanisation and Health National Programme, Technical Report No. 11. Tygerberg, CP: Medical Research Council.

Bebbington, D.E., Tennant, C. & Hurry. J. 1991. Adversity in groups with an increased risk of minor affective disorder. British Journal of Psychiatry, 158: 33-40.

Blazer, D. & Williams, C.D. 1980. Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry, 137: 439-44.

Brown, G.W. & Harris, T.O. 1978. Social origins of depression. London: Tavistock.

Brown, G.W., Craig, Y.K.J, & Harris, T.O. 1985, Depression: distress or disease? British Journal of Psychiatry, 147; 612-22.

Copeland, J.R.M., Dewey, M.R., Wood, N., Searle, R., Davidson. I.A. & MacWilliam, C. 1987. Range of mental illness among the elderly in the community, British Journal of Psychiatry, 150: 815-23

Elk, R., Swartz, L. & Gillis, L.S. 1983. The Coloured elderly in Cape Town - a psychosocial, psychiatric and medical community survey. South African Medical Journal, 64(26): 1017-22.

Ferreira, M., Møller, V., Prinsloo, F.R. & Gillis, L.S. 1992. Multidimensional surrey of elderly South Africans. 1990-91: key findings. Cape Town: HSRC/UCT Centre for Gerontology.

Frerich, R.R., Anesheusel, C.S. & Clark, K. A. 1983. Prevalence of depression in LA County. American Journal of Epidemiology, 113: 691 -99.

Gurland, B. Sc Wilder, D.E. 1984. The Short CARE: an efficient instrument for the assessment of depression, dementia and disability. Journal of Gerontology, 39:166-69.

Krause, N. 1986. Stress and sex difference in depressive symptoms amongst older adults. Journal of Gerontology. 41: 727-31.

Krause, N. 1988. Gender and ethnicity differences in psychological wellbeing. In: Maddox, G.L. & Lawton. M.P. (Eds) Annual Review of Gerontology and Geriatrics, 8: 156-86.

Livingston, G., Hawkins, A., Graham. N., Blizard, B, & Mann, A. 1990. The Gospel Oak Story: prevalence rates of dementia, depression and activity limitation. Psychological Medicine, 20: 137-46.

Murrell, S.A., Himmelfarb, S. & Wright, K. 1983. Prevalence of depression and its correlates in older adults. Journal of Epidemiology, 117(2): 173-85.

Pearlin, L.I. & Johnson, J.S. 1977. Marital status, life stress and depression. American Sociological Review. 42: 704-15.

Prinsloo, F.R. 1991. Health services-needs of the elderly in two black urban areas in the Cape Penninsula, South African Medical Journal, 79:485-89.

Radloff, L.S. 1991. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3): 385-401.

Ramphele, M. & Boonzaier, E. 1988. The position of African women: race and gender in South Africa. In: Boonzaier. E. & Sharp, J. South African keywords. Cape Town; David Philip.

Roberts, R.E. & Vernon, S.W. 1983. The CES-D scale: its use in a community sample. American Journal of Psychiatry, 140: 41-46.

Weissman, M.M. & Klerman, G.L. 1977. Epidemiology of mental illness: emerging trends in the United States. Archives of General Psychiatry, 34: 98-102.

Weissman, M. Sc Locke, B.Z. 1975. Comparison of a self-report symptom rating scale with standardized rating scales in psychiatric populations. American Journal of Epidemiology. 102: 430-31.

Downloads

Published

1992-10-01