Concepts and Causation of Depression: A Cross-Cultural Study of the Beliefs of Older Adults

Lawrence, Vanessa; Murray, Joanna; Banerjee, Sube; Turner, Sara L.; Sangha, Kuljeet; Byng, Richard; Bhugra, Dinesh; Huxley, Peter; Tylee, André; Macdonald, Alastair

doi:10.1093/geront/46.1.23

Cited by 92 publications

(92 citation statements)

References 28 publications

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“…Their infrequent identification of depression may also reflect their view of its close association with other problems, particularly those pertaining to physical health, social support, physical functioning, and pain-a view consistent with the biopsychosocial perspective (36)(37)(38) and social models of depression (39), in which depression is viewed as arising from adverse personal and social circumstances that accrue in old age (40). Finally, the low ranking of depression may reflect low self-efficacy and a sense that late-life depression is inevitable.…”

Section: Discussionmentioning

confidence: 83%

Perceptions About Competing Psychosocial Problems and Treatment Priorities Among Older Adults With Depression

Proctor

Hasche²,

Morrow‐Howell³

et al. 2008

Psychiatric Services

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Objective-Depression often co-occurs with other conditions that may pose competing demands to depression care, particularly in later life. This study examined older adults' perceptions of depression among cooccurring social, medical, and functional problems and compared the priority of depression with that of other problems.Methods-The study's purposeful sample comprised 49 adults age 60 or older with a history of depression and in publicly funded community long-term care. Fourpart, mixed-methods interviews sought to capture participants' perceptions of life problems as well as the priority they placed on depression. Methods included standardized depression screening, semistructured qualitative interviews, listing of problems, and qualitative and quantitative analysis of problem rankings.Results-Most participants identified health, functional, and psychosocial problems cooccurring with depressive symptoms. Depression was ranked low among the co-occurring conditions; 6% ranked depression as the most important of their problems, whereas 45% ranked it last. Relative rank scores for problems were remarkably similar, with the notable exception of depression, which was ranked lowest of all problems. Participants did not see depression as a high priority compared with co-occurring problems, particularly psychosocial ones.Conclusions-Effective and durable improvements to mental health care must be shaped by an understanding of client perceptions and priorities. Motivational interviewing, health education, and assessment of treatment priorities may be necessary in helping older adults value and accept depression care. Nonspecialty settings of care may effectively link depression treatment to other services, thereby increasing receptivity to mental health services.Depression is a major chronic illness that affects one-fourth to one-fifth of communitydwelling older adults (1,2). It diminishes quality of life, exacerbates physical and functional dependency (3-6), and increases medical costs (7,8). Although depression in later life can be effectively treated, most elderly people with depression remain untreated (9). Older adults are vulnerable to mental health service barriers (10), low detection and treatment rates in primary medical care (11,12), and pervasive stigma-their own as well as that from their family members and treatment providers. Depression treatment is further complicated by comorbidity with other problems. Although older adults with functional disability have higher rates of depression (13), they and their providers may demote depression treatment to a lower priority when medical, functional, and psychosocial comorbidities vie for attention (14). Competing demands may diminish depression as a priority concern, thereby contributing to inadequate rates of depression treatment (15).(e-mail: ekp@wustl.edu). The authors report no competing interests. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptThis study explored depression as a treatment priority among a gr...

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Section: Discussionmentioning

confidence: 83%

Perceptions About Competing Psychosocial Problems and Treatment Priorities Among Older Adults With Depression

Proctor

Hasche²,

Morrow‐Howell³

et al. 2008

Psychiatric Services

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“…Pronounced stigma towards mental health problems exists in some migrant communities (Marwaha & Livingston, 2002). Compared with older white people, black Caribbean and south Asian people are less inclined to consult a doctor for depression (Lawrence et al, 2006). Depression is often masked by somatisation.…”

Section: Assessmentmentioning

confidence: 99%

The ‘black dog’: depression in old age

McCrae¹

2016

British Journal of Neuroscience Nursing

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In this article, old age is defined as 65 years and upwards, and late life as 85 years and over. Depression is extremely common in older people. Its aetiology is complex, with particular age-related factors of physical comorbidity, polypharmacy and declining social activity. There is also overlap with dementia, although the nature of the relationship is unclear. Assessment is problematic as symptoms may be masked or mistaken for other pathology, justifying use of specific instruments for diagnosing depression in older people. Treatment options are discussed, with due consideration of side-effects. Bespoke care management is emphasised, with a positive message that depression in old age is a treatable condition.

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“…Techniques include informal conversational interviews, the general interview guide approach or standardized open-ended interviews (Patton, 2002). For example, Black and Rubinstein (2004) used extended qualitative interviews with a sample of community-residing elders to examine the personal meaning of suffering, while Lawrence and colleagues interviewed elders to explore their attitudes and beliefs about the nature and causes of depression and its treatment (Lawrence et al, 2006a;2006b). Others have used semi-structured interviews to examine the experiences of individuals with dementia (Howorth and Saper, 2003;Beattie et al, 2004;Harman and Clare, 2006) or those of their care givers (Murray et al, 1999;Albinsson and Strang, 2003).…”

Section: Applications Of Qualitative Research In Psychogeriatricsmentioning

confidence: 99%

Qualitative research in psychogeriatrics

Black

Rabins²

2006

IPG

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Over the past twenty years, qualitative research has gained recognition as a useful approach to scientific inquiry on issues related to health and health care, including those of particular interest to psychogeriatrics. This is evidenced not only by the inclusion of health-related qualitative reports in exclusively qualitative publications but also by their acceptance in venues that have traditionally favored quantitative methods of investigation (Sandelowski, 2004). The increased number of these reports has also led in recent years to systematic reviews of qualitative studies and qualitative metasyntheses, metaethnography or meta-analyses (Nygard, 2004;Smith et al., 2005; Steeman et al., 2006).

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Concepts and Causation of Depression: A Cross-Cultural Study of the Beliefs of Older Adults

Cited by 92 publications

References 28 publications

Perceptions About Competing Psychosocial Problems and Treatment Priorities Among Older Adults With Depression

Perceptions About Competing Psychosocial Problems and Treatment Priorities Among Older Adults With Depression

The ‘black dog’: depression in old age

Qualitative research in psychogeriatrics

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