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Anxiety and depression among nursing home residents without cognitive impairment.
Scand J Caring Sci. 2013 Dec; 27(4):872-81.SJ

Abstract

BACKGROUND

Anxiety and depression symptoms and their association with components of social support have been studied rarely among nursing home residents without cognitive impairment.

AIM

To investigate the prevalence of the diagnosis and symptoms of depression and anxiety and their combination, the use of antidepressant and anxiolytic drugs in nursing home residents without cognitive impairment and how attachment, nurturance, reassurance of worth and social integration are associated with anxiety and depression symptom scores.

METHOD

A cross-sectional observation study of 227 residents 65-102 years old with ≥6 months'; residence in 30 nursing homes. All had a Clinical Dementia Rating ≤0.5 and could converse. The Hospital Anxiety and Depression Scale and Social Provision Scale were used in face-to-face interviews. Sociodemographic variables, medical diagnoses and drug information were obtained from medical records. Pearson's chi-squared test and ordinal logistic regression were used to identify associations between anxiety and depression and the Social Provision Scale.

RESULTS

Twice as many residents had symptoms of depression (n = 72, 32%), anxiety (n = 33, 14%) and both (n = 22, 10%) as the respective diagnoses in their medical records (depression diagnosis, n = 40, 18%; anxiety, n = 20, 9%; both, n = 12, 5%). Nevertheless, more were treated with antidepressant and anxiolytic drugs than having the respective diagnosis. The social support subdimensions reassurance of worth and social integration were correlated with less depressive symptoms. Attachment was correlated with less anxiety.

CONCLUSION

Anxiety and depression symptoms were common and often not diagnosed. Attachment was associated with less anxiety and reassurance of worth and social integration with less depression. Nursing staff should give support to improve attachment, reassurance of worth and social integration and closely observe residents without cognitive impairment for symptoms of anxiety and depression.

Authors+Show Affiliations

Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.No affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23072281

Citation

Drageset, Jorunn, et al. "Anxiety and Depression Among Nursing Home Residents Without Cognitive Impairment." Scandinavian Journal of Caring Sciences, vol. 27, no. 4, 2013, pp. 872-81.
Drageset J, Eide GE, Ranhoff AH. Anxiety and depression among nursing home residents without cognitive impairment. Scand J Caring Sci. 2013;27(4):872-81.
Drageset, J., Eide, G. E., & Ranhoff, A. H. (2013). Anxiety and depression among nursing home residents without cognitive impairment. Scandinavian Journal of Caring Sciences, 27(4), 872-81. https://doi.org/10.1111/j.1471-6712.2012.01095.x
Drageset J, Eide GE, Ranhoff AH. Anxiety and Depression Among Nursing Home Residents Without Cognitive Impairment. Scand J Caring Sci. 2013;27(4):872-81. PubMed PMID: 23072281.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anxiety and depression among nursing home residents without cognitive impairment. AU - Drageset,Jorunn, AU - Eide,Geir Egil, AU - Ranhoff,Anette Hylen, Y1 - 2012/10/16/ PY - 2011/11/22/received PY - 2012/09/10/accepted PY - 2012/10/18/entrez PY - 2012/10/18/pubmed PY - 2014/5/3/medline KW - anxiety KW - depression KW - nursing home KW - older KW - social support SP - 872 EP - 81 JF - Scandinavian journal of caring sciences JO - Scand J Caring Sci VL - 27 IS - 4 N2 - BACKGROUND: Anxiety and depression symptoms and their association with components of social support have been studied rarely among nursing home residents without cognitive impairment. AIM: To investigate the prevalence of the diagnosis and symptoms of depression and anxiety and their combination, the use of antidepressant and anxiolytic drugs in nursing home residents without cognitive impairment and how attachment, nurturance, reassurance of worth and social integration are associated with anxiety and depression symptom scores. METHOD: A cross-sectional observation study of 227 residents 65-102 years old with ≥6 months'; residence in 30 nursing homes. All had a Clinical Dementia Rating ≤0.5 and could converse. The Hospital Anxiety and Depression Scale and Social Provision Scale were used in face-to-face interviews. Sociodemographic variables, medical diagnoses and drug information were obtained from medical records. Pearson's chi-squared test and ordinal logistic regression were used to identify associations between anxiety and depression and the Social Provision Scale. RESULTS: Twice as many residents had symptoms of depression (n = 72, 32%), anxiety (n = 33, 14%) and both (n = 22, 10%) as the respective diagnoses in their medical records (depression diagnosis, n = 40, 18%; anxiety, n = 20, 9%; both, n = 12, 5%). Nevertheless, more were treated with antidepressant and anxiolytic drugs than having the respective diagnosis. The social support subdimensions reassurance of worth and social integration were correlated with less depressive symptoms. Attachment was correlated with less anxiety. CONCLUSION: Anxiety and depression symptoms were common and often not diagnosed. Attachment was associated with less anxiety and reassurance of worth and social integration with less depression. Nursing staff should give support to improve attachment, reassurance of worth and social integration and closely observe residents without cognitive impairment for symptoms of anxiety and depression. SN - 1471-6712 UR - https://www.unboundmedicine.com/medline/citation/23072281/Anxiety_and_depression_among_nursing_home_residents_without_cognitive_impairment_ L2 - https://doi.org/10.1111/j.1471-6712.2012.01095.x DB - PRIME DP - Unbound Medicine ER -