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Summary
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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.

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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.