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Public Health.
Krizelle Cleo Fowler1, Jacqueline C Dominguez1, Ma Fe P De Guzman1
1Institute for Dementia Care Asia, Quezon City, Metro Manila, Philippines.
Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
Summary
The Philippines faces high disaster risk, impacting elderly mental health and cognition. Chronic stress from natural hazards is linked to cognitive decline and psychiatric conditions in community-dwelling seniors.
Area of Science:
- Gerontology
- Disaster Psychiatry
- Cognitive Neurology
Background:
- The Philippines is highly vulnerable to natural disasters, ranking 1st globally in disaster risk.
- Frequent tropical cyclones and recent flooding events exacerbate the mental health challenges faced by the elderly.
- There is a significant gap in research on the mental health and cognitive well-being of community-based elderly in disaster-prone regions.
Purpose of the Study:
- To investigate the prevalence of cognitive impairment and psychiatric conditions among elderly residents in Marikina City, Philippines.
- To explore the association between chronic stress from natural hazards and the mental health and cognitive function of community-dwelling seniors.
- To assess the utility of the STORM-32 tool in indicating flooding stress and differentiating cognitive status in the elderly.
Main Methods:
- A mixed-method cross-sectional study involving 627 senior citizens in Marikina City post-COVID-19 pandemic.
- Utilized the STORM-32 tool alongside MOCA-P, MMSE, and AD8 for cognitive assessment and stress evaluation.
- Employed descriptive statistics, bivariate tests, logistic regression for quantitative data, and thematic analysis for qualitative data.
Main Results:
- High prevalence of cognitive impairment (65%) and psychiatric conditions (32.8%) was observed in the community.
- Significant association found between stressful natural hazard experiences (STORM32 Total Score) and cognitive function/quality of life.
- Financial difficulties were identified as a major stressor for participants and their families during and after disasters.
Conclusions:
- A substantial proportion of the elderly population studied experiences cognitive and psychiatric conditions.
- A weak but significant association exists between chronic stress and cognitive or psychiatric diagnoses.
- Identified critical gaps in healthcare response for the elderly during emergencies, emphasizing the need for improved, age-specific care pathways during and after disaster events.
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