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Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study.
J Affect Disord. 2004 Dec; 83(2-3):135-42.JA

Abstract

BACKGROUND

Depression is a common and disabling psychiatric disorder in later life. Particular frail nursing home patients seem to be at increased risk. Nursing home-based studies on risk indicators of depression are scarce.

METHODS

Prevalence and risk indicators of depression were assessed in 333 nursing home patients living on somatic wards of 14 nursing homes in the North West of the Netherlands. Depressive symptoms were measured by means of the Geriatric Depression Scale (GDS). Major and minor depression were diagnosed according to the DSM-IV criteria, sub-clinical depression was defined as a GDS score >10 while not meeting the DSM-V criteria for depression.

RESULTS

The prevalence of major depression was assessed to be 8.1% and the prevalence of minor depression was 14.1%, while a further 24% of the patients suffered from sub-clinical depression. For major depression significant risk indicators were found for pain, functional limitations, visual impairment, stroke, loneliness, lack of social support, negative life events and perceived inadequacy of care. For sub-clinical depression the same risk indicators were found, with the exception of lack of social support.

LIMITATIONS

Data were collected cross-sectional.

CONCLUSIONS

The prevalence of depression in the nursing home population is very high. Whichever way defined, the prevalence rates found were three to four times higher than in the community-dwelling elderly. Age, pain, visual impairment, stroke, functional limitations, negative life events, loneliness, lack of social support and perceived inadequacy of care were found to be risk indicators for depression. Consequently, optimal physical treatment and special attention and focus on psychosocial factors must be major goals in developing care programs for this frail population.

Authors+Show Affiliations

Department of Nursing Home Medicine, VU Medical Center, Institute for Research in Extramural Medicine, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands. k.jongenelis@vumc.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15555706

Citation

Jongenelis, K, et al. "Prevalence and Risk Indicators of Depression in Elderly Nursing Home Patients: the AGED Study." Journal of Affective Disorders, vol. 83, no. 2-3, 2004, pp. 135-42.
Jongenelis K, Pot AM, Eisses AM, et al. Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study. J Affect Disord. 2004;83(2-3):135-42.
Jongenelis, K., Pot, A. M., Eisses, A. M., Beekman, A. T., Kluiter, H., & Ribbe, M. W. (2004). Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study. Journal of Affective Disorders, 83(2-3), 135-42.
Jongenelis K, et al. Prevalence and Risk Indicators of Depression in Elderly Nursing Home Patients: the AGED Study. J Affect Disord. 2004;83(2-3):135-42. PubMed PMID: 15555706.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study. AU - Jongenelis,K, AU - Pot,A M, AU - Eisses,A M H, AU - Beekman,A T F, AU - Kluiter,H, AU - Ribbe,M W, PY - 2003/09/23/received PY - 2004/06/09/revised PY - 2004/06/14/accepted PY - 2004/11/24/pubmed PY - 2005/4/23/medline PY - 2004/11/24/entrez SP - 135 EP - 42 JF - Journal of affective disorders JO - J Affect Disord VL - 83 IS - 2-3 N2 - BACKGROUND: Depression is a common and disabling psychiatric disorder in later life. Particular frail nursing home patients seem to be at increased risk. Nursing home-based studies on risk indicators of depression are scarce. METHODS: Prevalence and risk indicators of depression were assessed in 333 nursing home patients living on somatic wards of 14 nursing homes in the North West of the Netherlands. Depressive symptoms were measured by means of the Geriatric Depression Scale (GDS). Major and minor depression were diagnosed according to the DSM-IV criteria, sub-clinical depression was defined as a GDS score >10 while not meeting the DSM-V criteria for depression. RESULTS: The prevalence of major depression was assessed to be 8.1% and the prevalence of minor depression was 14.1%, while a further 24% of the patients suffered from sub-clinical depression. For major depression significant risk indicators were found for pain, functional limitations, visual impairment, stroke, loneliness, lack of social support, negative life events and perceived inadequacy of care. For sub-clinical depression the same risk indicators were found, with the exception of lack of social support. LIMITATIONS: Data were collected cross-sectional. CONCLUSIONS: The prevalence of depression in the nursing home population is very high. Whichever way defined, the prevalence rates found were three to four times higher than in the community-dwelling elderly. Age, pain, visual impairment, stroke, functional limitations, negative life events, loneliness, lack of social support and perceived inadequacy of care were found to be risk indicators for depression. Consequently, optimal physical treatment and special attention and focus on psychosocial factors must be major goals in developing care programs for this frail population. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/15555706/Prevalence_and_risk_indicators_of_depression_in_elderly_nursing_home_patients:_the_AGED_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(04)00182-X DB - PRIME DP - Unbound Medicine ER -