Review Article

Depression in the Iranian Elderly: A Systematic Review and Meta-Analysis

Table 1

Characteristics of the included studies (Nā€‰=ā€‰30).

Author (year) (reference)Study typePlace of studyInstrumentSample, n (%)Average of age, mean (SD)Prevalence of depression, n (%)Quality of study

Gharangic (2010) [27]Cross-sectionalBandar torkamanGDS-15Male: 155 (51.7)
Female: 145 (48.3)
68 (6.7)Normal: 201 (67)
Mild: 60 (20)
Moderate: 30 (10)
Severe: 9 (3)
Total depressed: 33%
7
Manzoori (2007) [28]Cross-sectionalIsfahanGDS-15Male: 125 (50.4)
Female: 123 (49.6)
Not reportedNormal: 90 (36.3)
Moderate: 101 (40.7)
Severe: 57 (23)
Total depressed: 63.7%
7
Mobasheri (2008) [29]Descriptive-analyticalShahrekordBDI-215768.7 (16.1)Normal: 9 (15.8)
Mild: 36 (64.9)
Moderate: 9 (15.8)
Severe: 2 (3.5)
Total depressed: 84.2%
7
Ashrafi (2017) [30]Cross-sectionalSalmasGDS-15Male: 137 (45)
Female: 163 (55)
68.74 (6.32)Normal: 166 (55.3)
Mild: 84 (28)
Moderate: 31 (10.33)
Severe: 19 (6.3)
Total depressed: 44.7%
7
Payahoo (2012) [31]Descriptive-analyticalTabrizGDSMale: 97 (52.7) Female: 87 (47.3)69.4 (7.9)Normal: 106 (57.6)
Moderate: 52 (28.3)
Severe: 26 (14.1)
Total depressed: 42.4%
7
Alahyari (2014) [32]Descriptive-analyticalTehranBeck100Not reportedTotal depressed: 12%7
Ghafari (2009) [22]Descriptive-analyticalTehranDASS-21Male: 25 (24)
Female: 79 (76)
64.22 (4.57)Normal: 45 (43.2)
Mild: 16 (15.4)
Moderate: 30 (28.9)
Severe: 8 (7.7)
Very severe: 5 (4.8)
Total depressed: 56.8%
7
Nejati (2006) [33]Cross-sectional, comparativeTehranGDS120Not reportedTotal depressed: 79.8%7
Alipour et al. (2009) [12]Comparative-analyticalTehranHADSMale: 70 (70)
Female: 30 (30)
76.97Total depressed: 40%7
Rajabizadeh (2002) [34]Cross-sectionalKermanBeck1212Not reportedNormal: 259 (21.4)
Borderline: 225 (18.6)
Depressed: 728 (60)
Total depressed: 60%
7
Kashfi (2011) [35]Cross sectionalShirazBeckMale: 20 (16.7)
Female: 100 (83.3)
70Mild: 78 (65)
Moderate: 31 (25.8)
Severe: 11 (9.2)
Total depressed: 100%
7
Ghaderi (2010) [36]Descriptive, cross-sectionalBookanGDS30270.69Total depressed: 23.3%7
Saeedi (2009) [37]Cross-sectionalAhvazGDSMale: 66 (33)
Female: 134 (67)
71 (8)Total depressed: 9%8
Alizadeh (2012) [21]Descriptive-analyticalTehranKessler402Not reportedNormal: 189 (47.1)
Moderate: 187 (46.5)
7
Sharifzadeh (2007) [38]Descriptive-analyticalBirjandElderly health master plan25071 (7.8)Normal: 71 (28.4)
Mild: 171 (68.4)
Severe: 8 (3.2)
Total depressed: 71.6%
7
Bakhtiari (2018) [18]Cross-sectionalAmirkolaGDSMale: 861 (55)
Female: 699 (45)
69.3 (7.4)Normal: 895 (57.4)
Mild: 420 (26.9)
Moderate: 169 (10.8)
Severe: 76 (4.9)
Total depressed: 42.6%
7
Mirzaei (2015) [15]ProspectiveYazdDASS9965Not reportedNormal: 473 (47.9)
Mild: 420 (26.9)
Moderate: 169 (10.8)
Severe: 76 (4.9)
Total depressed: 52.1%
7
Taheri tanjanai (2016) [39]Cross-sectionalTehranGDS-15Male: 642 (47.5)
Female: 708 (52.5)
69 (7)Total depressed: 36.7%8
Keshavarzi (2015) [11]Cross-sectionalShirazGDSMale: 125 (27.9)
Female: 322 (72.1)
65.99 (7.89)Total depressed: 38.1%7
Ahangar (2017) [40]Cross-sectionalAmirkolaGDS-15Male: 763 (54.9)
Female: 627 (45.1)
68.87 (7.23)Total depressed: 43.5%7
Babazadeh (2016) [41]Cross-sectionalKhoyDASS-21Male: 178 (45.4)
Female: 209 (54.6)
68.22Mild: 167 (43.6)
Moderate: 71 (18.5)
Severe: 134 (35.0)
Very severe: 6 (1.6)
Total depressed: 98.7%
7
Sadeghi (2017) [42]Cross-sectional analyticalShahroodGDS-15Male: 146 (46)
Female: 169 (54)
Not reportedMild: 96 (30.4)
Severe: 45 (14.3)
Total depressed: 44.7%
7
Khalili (2016) [43]Descriptive, cross-sectionalKashanGDS-15Male: 290 (58)
Female: 210 (42)
72.07 (9.03)Normal: 112 (22.4)
Mild: 239 (47.8)
Moderate: 120 (24)
Severe: 29 (5.8)
Total depressed: 77.6%
7
Emami (2017) [44]Cross-sectionalTehranBDI-13Male: 227 (32.48)
Female: 348 (60.52)
69.66 (7.91)Normal: 271 (48.13)
Mild: 98 (17.41)
Moderate: 144 (25.58)
Severe: 50 (8.88)
Total depressed: 51.87%
8
Nazemi (2013) [45]Descriptive-analyticalTehranGDS-15Male: 130 (53.3)
Female: 114 (46.7)
75.8 (8.7)Normal: 24 (9.8)
Mild: (50)
Moderate: (29.5)
Severe: (10.7)
Total depressed: 90.2%
8
Mokhber (2011) [46]AnalyticalRazavi khorasanGDSMale: 720 (46)
Female: 845 (54)
70.14 (7.57)Nondepressed: 1165 (78)
Depressed: 330 (22)
7
Hosseini (2018) [47]Cross-sectionalBabolGDS-15Male: 864 (54.4)
Female: 725 (45.6)
69.38 (7.44)Normal: 895 (56)
Mild: 436 (27)
Moderate: 176 (11)
Severe: 82 (5)
Total depressed: 43.67%
7
Majdi (2011) [48]A population-based studyRazavi khorasanGDSMale: 917 (46.4)
Female: 1045 (52.9)
71.14 (7.78)Nondepressed: 1435 (72.2)
Depressed: 440 (22.3)
7
Dehkordi (2014) [49]Descriptive-analyticalShahrekordGDS-155272.9 (6.5)Normal: 14 (34.2)
Mild: 16 (39.1)
Moderate: 7 (17)
Severe: 4 (9.7)
Total depressed: 65.8%
7
Karami (2014) [50]Descriptive-analyticalKermanshahBeckMale: 223 (58.2)
Female: 160 (41.8)
70.11 (5.7)Normal: (32.4)
Mild: (18.5)
Moderate: (40.2)
Severe: (5.7)
Very severe: (3.1)
Total depressed: 67.6%
7