Comparison of depression in the community-dwelling and assisted-living elderly

Grayson, Paula; Lubin, Bernard; Whitlock, Rodney Van

doi:10.1002/1097-4679(199501)51:1<18::aid-jclp2270510104>3.0.co;2-w

Cited by 34 publications

(24 citation statements)

References 21 publications

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“…The number of chronic medical conditions in both residential groups was comparable to that found in other groups of older community dwelling people with pre-clinical disability[13,15,32]. Unlike other studies we did not see a significant difference in depression between the residential settings [33] which is likely to be related to the similar physical health profile of our residential groups.…”

Section: Discussionsupporting

confidence: 76%

Screening for pre-clinical disability in different residential settings

et al. 2010

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BackgroundPreventing disability and offering effective interventions to older people during early decline in function is most likely to be effective if those most at risk of progressive disablement are able to be identified. Similarly the ability to easily identify a group with similar functional profile from disparate sectors of the community is of significant benefit to researchers. This study aimed to (1) describe the use of a pre-clinical disability screening tool to select a functionally comparable group of older men and women with early functional limitation from different settings, and (2) explore factors associated with function and disability.MethodsSelf-reported function and disability measured with the Late-Life Function and Disability Instrument along with a range of physical performance measurements were compared across residential settings and gender in a sample of 471 trial participants identified as pre-clinically disabled after being screened with the Fried pre-clinical disability tool. Factors that might lie on the pathway to progressive disablement were identified using multiple linear regression analysis.ResultsWe found that a sample population, screened for pre-clinical disability, had a functional status and disability profile reflecting early functional limitation, regardless of residential setting or gender. Statistical models identified a range of factors associated with function and disability which explained a greater degree of the variation in function, than disability.ConclusionsWe selected a group of people with a comparable function and disability profile, consistent with the pre-clinical stage of disability, from a sample of older Australian men and women from different residential settings using the Fried pre-clinical disability screening tool. The results suggest that the screening tool can be used with greater confidence for research, clinical and population health purposes. Further research is required to examine the validity of the tool. These findings offer insight into the type of impairment factors characterising early functional loss that could be addressed through disability prevention initiatives.Trial RegistrationACTRN01206000431527

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Section: Discussionsupporting

confidence: 76%

Screening for pre-clinical disability in different residential settings

et al. 2010

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“…Administrators noted that 19% of their residents suffered from depression. This report is in line with previous research findings that the rate of depression among elders in residential care facilities exceeds that of community-dwelling elders and approaches that of nursing home residents Response choices, 0 = not at all, 1 = infrequently, 2 = frequently, 3 = very frequently * p < .05, ** p < .01, *** p < .001 (Grayson, Lubin & Van Whitlock, 1995;Lawton, Parmelee, Katz & Nesselroade, 1996). Both ALCF and HFA administrators reported a similar percent of residents with depression suggesting that depression is a common problem among residential care elders and is not confined to elders residing in specific types of residential care facilities.…”

Section: Sherry M Cummings 35supporting

confidence: 92%

“…Researchers report that over 32% of nursing home residents experience significant depressive symptoms (Parmelee, Katz, & Lawton, 1992). Additional studies indicate that assisted living residents experience depression at a higher rate than do community-dwelling elders and at a rate that approaches that of nursing home residents (Grayson, Lubin & Van Whitlock, 1995;Lawton, Parmelee, Katz & Nesselroade 1996).…”

Section: Mental Health Of Assisted Living Residentsmentioning

confidence: 99%

Impact of Facility Type on Assisted Living Facilities' Response to Residents' Mental Health Needs

Cummings

2004

Journal of Human Behavior in the Social Environment

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Assisted living facilities (ALFs) are the most rapidly growing type of residential care for the elderly in the United States. However, little is known about facilities' responses to residents' mental health needs. Obtaining a clear understanding of the industry's response to residents' mental health needs is complicated by the fact that many different types of assisted living residences exist. A survey of the administrators of two different types of assisted living facilities in the state of Tennessee-Assisted Living Care Facilities (ALCFs) and Homes for the Aged (HFA)-was conducted in 2001. Results indicate that 94% of the facilities house residents with mental health disorders. Considerable overlap was found in the characteristics (number of beds, number of staff, cost, years of operation) of the ALCFs and HFAs. However, when examined in aggregate, significant differences emerged. Significant differences were also found in the percent of elders with specific mental health disorders and the methods used to identify and respond to these elders by facility type. Policy and research implications are discussed.

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“…However, these factors did not significantly contribute to the logistic regression analysis. These tests were considered because depressed mood has been found to be more prevalent in the assisted-living population of elders compared to community dwelling elders [41] and has been associated with increased risk of strength decline in older men, especially in combination with low body weight [42]. Depressed elders are also at increased risk for death, impairment in ADLs and IADLs, and cognitive impairment [43, 44].…”

Section: Discussionmentioning

confidence: 99%

Determinants of Living Situation in a Population of Community-Dwelling and Assisted Living–Dwelling Elders

Avery

Kleppinger

Feinn³

et al. 2010

Journal of the American Medical Directors Association

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Objective-To determine what variables separate community-dwelling elders from assistedliving dwelling elders. Design-Cross-sectional Setting-Community and assisted living facilities in ConnecticutParticipants-114 individuals (77 community-dwelling, 37 assisted living) Assessments-Nutritional survey, 6 minute walk, Mini-Mental Status Exam (MMSE), Center of Epidemiologic Studies (CES)-Depression Scale, 25-OH vitamin DResults-At baseline, assisted-living dwelling elders appeared to have lower serum 25-OH vitamin D levels, lower MMSE scores, higher CES-depression scale scores, and walked shorter distances in the six minute walk. Serum 25-OH vitamin D levels and six minute walk were significantly different between the two groups using logistic regression analysis. As serum 25-OH vitamin D levels increased, the probability of an elder living in an ALF decreased, and as distance walked during the six minute walk increased, the probability of an elder living in an ALF decreased.Conclusions-Elders living in assisted living facilities had significantly lower 25-OH vitamin D levels and walked shorter distances during the six minute walk. These variables can be used to predict the probability of an elder living in an assisted living facility. The lack of effect of nutrition suggests that the role of vitamin D in this setting is in physical function.

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Comparison of depression in the community-dwelling and assisted-living elderly

Cited by 34 publications

References 21 publications

Screening for pre-clinical disability in different residential settings

Screening for pre-clinical disability in different residential settings

Impact of Facility Type on Assisted Living Facilities' Response to Residents' Mental Health Needs

Determinants of Living Situation in a Population of Community-Dwelling and Assisted Living–Dwelling Elders

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