Knowledge and attitudes of primary care nurses towards geriatric depression in Jazan Region, Saudi Arabia

Eman M. Abdelrazek, Wafa A. Bashir, Darin M. Mathkor, Abdulrahman Khamaj, Salwa A.M. Mohmed, Maria R.E. Crisostomo, Ghada A.A. Eldeeb, Warda E. Hamed, Elwaleed I. Sagiron, Suhair S. Mohmmed, Mohammed A.A. Ahmed


Depression is a global health concern, particularly in the geriatric population. The increasing number of hospital admissions among older individuals highlights the need for healthcare professionals, particularly nurses, to understand and treat geriatric depression. Nurses play a crucial role in caring for older adults with depressive symptoms or depression. This study aimed to assess knowledge and attitudes regarding geriatric depression among primary care nurses in Jazan Region, Saudi Arabia. A cross-sectional study was conducted among 210 primary healthcare nurses in Jazan City using a validated self-administered questionnaire. Knowledge scores were measured and compared among selected demographic variables as well as attitudes toward geriatric depression. Data obtained were analyzed using the Statistical Package for the Social Sciences, version. 20.0. Chi-square test, fisher’s exact test were used for comparison of variables with categorical data. Most primary care nurses were interested in caring for older patients with depression; however, they never attended training courses focused on geriatric depression. Where the study indicated that 38.1% of participants have poor knowledge about geriatric depression while 25.2% have good knowledge. Where the majority had a high understanding of the potential side effects of antidepressant medications, while they had limited knowledge about symptoms, diagnosis, and medications, the majority of participants demonstrated a positive attitude regarding feeling comfortable dealing with depressed patients' needs (56.7%) and considered their profession as a well-placed to assist patients (83.3%) However, 15.2% had a negative attitude citing a lack of self-discipline and willpower. (Afr J Reprod Health 2024; 28 [4]: 78-89).

Full Text:



Albasara SA, Haneef MS, Zafer M and Moinuddin KG.

Depression and associated risk factors among

hypertensive patients in primary health care centers in

Dammam, Kingdom of Saudi Arabia. Pan African

Medical Journal, 2021, 38.1.

Aljawadi MH, Khoja AT, Alaboud NM, AlEnazi ME, AlShammari SA, Khoja TA, AlMuqbil MS, Alsheikh

AM and Alwhaibi M. Prevalence of Polypharmacy

and Factors Associated with it Among Saudi Older

Adults–Results from the Saudi National Survey for

Elderly Health (SNSEH). Saudi Pharmaceutical

Journal, 2022, 30.3: 230-236.

MNEIMNEH, Zeina N., et al. The Saudi national mental

health survey: Sample design and weight

development. International Journal of Methods in

Psychiatric Research, 2020, 29.3: e1829.Almarhoon

FH, Almubarak KA, Alramdhan ZA, Albagshi RS,

Alotayriz JK and Alqahtani AH.The association

between depression and obesity among adults in the

Eastern province, Saudi Arabia. Cureus, 2021, 13.10.

Altwaijri YA, Al-Subaie AS, Al-Habeeb A, Bilal L, AlDesouki M, Aradati M, King AJ, Sampson NA and

Kessler RC. Lifetime prevalence and age‐of‐onset

distributions of mental disorders in the Saudi National

Mental Health Survey. International journal of

methods in psychiatric research, 2020, 29.3: e1836.

Lee CC, Tseng HC, Wu LP and Chuang YH. Multiple brief

training sessions to improve nurses’ knowledge,

attitudes, and confidence regarding nursing care of

older adults with depression in long‐term care

facilities. Research in Nursing & Health, 2020, 43.1:


Viglund K, Olofsson B, Lundman B, Norberg A and

Lövheim H. Relationships among inner strength,

health and function, well-being, and negative life

events in old people: a longitudinal study. European

Journal of Ageing, 2021, 1-10.

Al Balawi MM, Faraj F, Al Anazi BD and Al Balawi DM.

Prevalence of depression and its associated risk

factors among young adult patients attending the

primary health centers in Tabuk, Saudi Arabia. Open

Access Macedonian Journal of Medical Sciences,

, 7.17: 2908.

Alamri HS, Algarni A, Shehata SF, Al Bshabshe A, Alshehri

NN, ALAsiri AM, Hussain AH, Alalmay AY,

Alshehri EA, Alqarni Y and Saleh NF. Prevalence of

depression, anxiety, and stress among the general

population in Saudi Arabia during Covid-19

pandemic. International journal of environmental

research and public health, 2020, 17.24: 9183.

Zenebe Y, Akele BW, Selassie M and Necho M Prevalence

and determinants of depression among old age: a

systematic review and meta-analysis. Annals of

general psychiatry, 2021, 20.1: 55.

Assiri HA, Alkhaldi YM, Alsaleem SA and Alqarni HM.

Knowledge, Attitude and Practices of Primary Care

Physicians in Aseer Region, Saudi Arabia, Regarding

Geriatric Depression. Middle East Journal of Family

Medicine, 2021, 19.6.

Chuang YH and Kuo LM. Nurses’ confidence in providing

and managing care for older persons with depressive

symptoms or depression in long term care facilities: A

national survey. International journal of mental health

nursing, 2018, 27.6: 1767-1775.

Haddad, M., Menchetti, M., McKeown, E, Tylee A and

Mann A. The development and psychometric

properties of a measure of clinicians’ attitudes to

depression: the revised Depression Attitude

Questionnaire (R-DAQ). BMC psychiatry, 2015,

1: 1-12.

Botega NJ., Mann AH, Blizard RA and Wilkinson G.

General practitioners and depression—First use of the

Depression Attitude Questionnaire. International

Journal of Methods in Psychiatric Research, 1992.

BANKS J and Xu X. The mental health effects of the first

two months of lockdown during the COVID19

pandemic in the UK. Fiscal Studies, 2020, 41.3: 685-

OWNBY and Raymond L. Improving access to geriatric

mental health services. Current psychiatry reports,

, 7.1: 8-9.

Kim S, Lee EJ and Kim HO. Effects of a physical exercise

program on physiological, psychological, and

physical function of older adults in rural

areas. International journal of environmental research

and public health, 2021, 18.16: 8487.

Creighton AS, Davison TE and Kissane DW. The

prevalence of anxiety among older adults in nursing

homes and other residential aged care facilities: a

systematic review. International Journal of Geriatric

Psychiatry, 2016, 31.6: 555-566.

Agustini B, Lotfaliany M, Woods RL, McNeil JJ, Nelson

MR, Shah RC, Murray AM, Ernst ME, Reid CM,

Tonkin A, Lockery JE, Williams LJ, Berk M,

Mohebbi M and ASPREE Investigator Group.

Patterns of association between depressive symptoms

and chronic medical morbidities in older

adults. Journal of the American Geriatrics Society,

, 68.8: 1834-1841.

Kumar P and Shoba B. A study to assess the knowledge and

attitude of nurses regarding management of patient

with depression in a selected general hospital at

Tumkur, Karnataka. Nurs Health Sci, 2014, 3.2: 63-

Ogbeide SA and Neumann CA. Knowledge of aging and late

life depression among a sample of non-physician

clinicians: A preliminary analysis. American Journal

of Psychological Research, 2011, 7: 19-30.

NI, Cheng-Hua, et al. Nurses’ late-life depression

knowledge and attitudes toward depression: A crosssectional study. INQUIRY: The Journal of Health

Care Organization, Provision, and Financing, 2020,

: 0046958020945179.

Peng W, Shi H, Li M, Li X, Liu T and Wang Y. Association

of residential greenness with geriatric depression

among the elderly covered by long-term care

insurance in Shanghai. Environmental Science and

Pollution Research, 2022, 1-11.

Berman J and Furst L. Identifying Older Adults at Risk for

Depression in Senior Centers: The Educating About and Screening Elders for Depression Model. Care

Management Journals, 2012, 13.4: 209-212.

Ni CH, Guo SL, Chao CY, Wang CH, Susanty S and Chuang

YH. Nurses’ late-life depression knowledge and

attitudes toward depression: A cross-sectional

study. INQUIRY: The Journal of Health Care

Organization, Provision, and Financing, 2020, 57:

Mulango ID, Atashili J, Gaynes BN and Njim

T. Knowledge, attitudes and practices regarding

depression among primary health care providers in

Fako division, Cameroon. BMc psychiatry, 2018, 18:


Park M and Unützer J. Geriatric depression in primary

care. Psychiatric Clinics, 2011, 34.2: 469-487.

Sedri, N, Zakeri M, Zardiny M and Tavan A. Evaluation of

Nurses’ knowledge and attitudes towards older adults

and Associated factors. The Open Nursing Journal,

, 16.1.

Van Daele T, Vansteenwegen D, Hermans D, Van den

Bergh O and Van Audenhove C. Home nurses and

patient depression. Attitudes, competences and the

effects of a minimal intervention. Journal of advanced

nursing, 2015, 71.1: 126-135.

de Almeida Tavares JP, da Silva AL, Sá-Couto P, Boltz M

and Capezuti E. Portuguese nurses' knowledge of and

attitudes toward hospitalized older

adults. Scandinavian Journal of Caring Sciences,

, 29.1: 51-61.

Rathnayake S, Athukorala Y and Siop S. Attitudes toward

and willingness to work with older people among

undergraduate nursing students in a public university

in Sri Lanka: A cross sectional study. Nurse Education

Today, 2016, 36: 439-444.

Rush KL, Hickey S, Epp S and Janke R. Nurses' attitudes

towards older people care: An integrative

review. Journal of clinical nursing, 2017, 26.23-24:


Swoboda NL, Dahlke S and Hunter KF. Nurses’ perceptions

of their role in functional focused care in hospitalised

older people: an integrated review. International

journal of older people nursing, 2020, 15.4: e12337.

Ross L, Jennings P and Williams B. Experience, knowledge

and attitudes: Are paramedic students prepared to care

for older patients?. Educational Gerontology, 2016,

4: 241-252.

Mansouri Arani M, Aazami S, Azami M and Borji

M.Assessing attitudes toward elderly among nurses

working in the city of Ilam. International journal of

nursing sciences, 2017, 4.3: 311-31.


  • There are currently no refbacks.