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Comorbidity of depression and anxiety in nursing home patients.
Int J Geriatr Psychiatry. 2005 Mar; 20(3):218-26.IJ

Abstract

OBJECTIVES

To assess the occurrence and risk indicators of depression, anxiety, and comorbid anxiety and depression among nursing home patients and to determine whether depression and anxiety are best described in a dimensional or in a categorical classification system.

METHODS

DSM and subthreshold anxiety disorders, anxiety symptoms, major and minor depression and depressive symptoms were assessed in 333 nursing home patients of somatic wards of 14 nursing homes in the north west of the Netherlands with the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and the Geriatric Depression Scale (GDS). Comorbidity was studied along a severity gradient. Logistic regression analyses were carried out to identify demographic, health-related, psychosocial and care-related correlates of anxiety and depression.

RESULTS

The prevalence of pure depression (PD) was 17.1%, of pure anxiety (PA) 4.8%, and of comorbid anxiety and depression (CAD) 5.1%. Comorbidity increased dependent on severity of both anxiety and depression. Different patterns of risk indicators were demonstrated for PA, PD and CAD for the investigated baseline characteristics.

CONCLUSIONS

Comorbidity of anxiety and depression is most prevalent in the more severe depressive and anxious nursing home patients. The gradual increase of comorbidity of anxiety and depression dependent on the levels of severity of depression and anxiety suggests that for nursing home patients a dimensional classification of depression and anxiety is more appropriate than a categorical one. The observed differences in patterns of risk indicators for PA, PD and CAD support a distinguishing of anxiety and depression. Future studies are needed to assess the effect of treatment of PA, PD and CAD in nursing home patients.

Authors+Show Affiliations

Department of Nursing Home Medicine, VU University Medical Center in Amsterdam, The Netherlands. m.smallbrugge@vumc.nlNo 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

15717344

Citation

Smalbrugge, Martin, et al. "Comorbidity of Depression and Anxiety in Nursing Home Patients." International Journal of Geriatric Psychiatry, vol. 20, no. 3, 2005, pp. 218-26.
Smalbrugge M, Jongenelis L, Pot AM, et al. Comorbidity of depression and anxiety in nursing home patients. Int J Geriatr Psychiatry. 2005;20(3):218-26.
Smalbrugge, M., Jongenelis, L., Pot, A. M., Beekman, A. T., & Eefsting, J. A. (2005). Comorbidity of depression and anxiety in nursing home patients. International Journal of Geriatric Psychiatry, 20(3), 218-26.
Smalbrugge M, et al. Comorbidity of Depression and Anxiety in Nursing Home Patients. Int J Geriatr Psychiatry. 2005;20(3):218-26. PubMed PMID: 15717344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comorbidity of depression and anxiety in nursing home patients. AU - Smalbrugge,Martin, AU - Jongenelis,Lineke, AU - Pot,Anne Margriet, AU - Beekman,Aartjan T F, AU - Eefsting,Jan A, PY - 2005/2/18/pubmed PY - 2005/4/5/medline PY - 2005/2/18/entrez SP - 218 EP - 26 JF - International journal of geriatric psychiatry JO - Int J Geriatr Psychiatry VL - 20 IS - 3 N2 - OBJECTIVES: To assess the occurrence and risk indicators of depression, anxiety, and comorbid anxiety and depression among nursing home patients and to determine whether depression and anxiety are best described in a dimensional or in a categorical classification system. METHODS: DSM and subthreshold anxiety disorders, anxiety symptoms, major and minor depression and depressive symptoms were assessed in 333 nursing home patients of somatic wards of 14 nursing homes in the north west of the Netherlands with the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and the Geriatric Depression Scale (GDS). Comorbidity was studied along a severity gradient. Logistic regression analyses were carried out to identify demographic, health-related, psychosocial and care-related correlates of anxiety and depression. RESULTS: The prevalence of pure depression (PD) was 17.1%, of pure anxiety (PA) 4.8%, and of comorbid anxiety and depression (CAD) 5.1%. Comorbidity increased dependent on severity of both anxiety and depression. Different patterns of risk indicators were demonstrated for PA, PD and CAD for the investigated baseline characteristics. CONCLUSIONS: Comorbidity of anxiety and depression is most prevalent in the more severe depressive and anxious nursing home patients. The gradual increase of comorbidity of anxiety and depression dependent on the levels of severity of depression and anxiety suggests that for nursing home patients a dimensional classification of depression and anxiety is more appropriate than a categorical one. The observed differences in patterns of risk indicators for PA, PD and CAD support a distinguishing of anxiety and depression. Future studies are needed to assess the effect of treatment of PA, PD and CAD in nursing home patients. SN - 0885-6230 UR - https://www.unboundmedicine.com/medline/citation/15717344/Comorbidity_of_depression_and_anxiety_in_nursing_home_patients_ L2 - https://doi.org/10.1002/gps.1269 DB - PRIME DP - Unbound Medicine ER -