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Antidepressant treatment of depression in rural nursing home residents.
Issues Ment Health Nurs. 2008 Sep; 29(9):959-73.IM

Abstract

Under-diagnosis and under-treatment of depression are major problems in nursing home residents. The purpose of this study was to determine antidepressant use among nursing home residents who were diagnosed with depression using three different methods: (1) the Geriatric Depression Scale, (2) Minimum Data Set, and (3) primary care provider assessments. As one would expect, the odds of being treated with an antidepressant were about eight times higher for those diagnosed as depressed by the primary care provider compared to the Geriatric Depression Scale or the Minimum Data Set. Men were less likely to be diagnosed and treated with antidepressants by their primary care provider than women. Depression detected by nurses through the Minimum Data Set was treated at a lower rate with antidepressants, which generates issues related to interprofessional communication, nursing staff communication, and the need for geropsychiatric role models in nursing homes.

Authors+Show Affiliations

Mennonite College of Nursing, Illinois State University, Normal, Illinois 61790-5810, USA. ckerber@ilstu.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18770101

Citation

Kerber, Cindy Sullivan, et al. "Antidepressant Treatment of Depression in Rural Nursing Home Residents." Issues in Mental Health Nursing, vol. 29, no. 9, 2008, pp. 959-73.
Kerber CS, Dyck MJ, Culp KR, et al. Antidepressant treatment of depression in rural nursing home residents. Issues Ment Health Nurs. 2008;29(9):959-73.
Kerber, C. S., Dyck, M. J., Culp, K. R., & Buckwalter, K. (2008). Antidepressant treatment of depression in rural nursing home residents. Issues in Mental Health Nursing, 29(9), 959-73. https://doi.org/10.1080/01612840802274651
Kerber CS, et al. Antidepressant Treatment of Depression in Rural Nursing Home Residents. Issues Ment Health Nurs. 2008;29(9):959-73. PubMed PMID: 18770101.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antidepressant treatment of depression in rural nursing home residents. AU - Kerber,Cindy Sullivan, AU - Dyck,Mary J, AU - Culp,Kennith R, AU - Buckwalter,Kathleen, PY - 2008/9/5/pubmed PY - 2008/12/17/medline PY - 2008/9/5/entrez SP - 959 EP - 73 JF - Issues in mental health nursing JO - Issues Ment Health Nurs VL - 29 IS - 9 N2 - Under-diagnosis and under-treatment of depression are major problems in nursing home residents. The purpose of this study was to determine antidepressant use among nursing home residents who were diagnosed with depression using three different methods: (1) the Geriatric Depression Scale, (2) Minimum Data Set, and (3) primary care provider assessments. As one would expect, the odds of being treated with an antidepressant were about eight times higher for those diagnosed as depressed by the primary care provider compared to the Geriatric Depression Scale or the Minimum Data Set. Men were less likely to be diagnosed and treated with antidepressants by their primary care provider than women. Depression detected by nurses through the Minimum Data Set was treated at a lower rate with antidepressants, which generates issues related to interprofessional communication, nursing staff communication, and the need for geropsychiatric role models in nursing homes. SN - 1096-4673 UR - https://www.unboundmedicine.com/medline/citation/18770101/Antidepressant_treatment_of_depression_in_rural_nursing_home_residents_ L2 - https://www.tandfonline.com/doi/full/10.1080/01612840802274651 DB - PRIME DP - Unbound Medicine ER -