Depression in Assisted Living Is Common and Related to Physical Burden

Watson, Lea C.; Lehmann, Susan W.; Mayer, Lawrence S.; Samus, Quincy M.; Baker, Alva; Brandt, Jason; Steele, Cynthia D.; Rabins, Peter V.; Rosenblatt, Adam; Lyketsos, Constantine G.

doi:10.1097/01.jgp.0000218698.80152.79

Cited by 52 publications

(51 citation statements)

References 34 publications

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“…The diagnostic data are compatible with the findings of other authors [5, 6], but the proportion of correctly treated patients in our study, when compared with the data from other, similar studies [5, 6], is very low. There are several possible reasons for this.…”

Section: Discussionsupporting

confidence: 81%

“…69% of dementia patients were assessed as having Alzheimer disease, 13.4% vascular dementia, and 27.6% mixed or unspecified dementia [5]. In the more recent study using direct estimate of depression and dementia from 196 residents of ALF, 68% met criteria for dementia and 24% suffered from depression; 43% of depressed patients were regularly treated but 57% did not receive any antidepressant [6]. The study by Samus et al [7] estimating the 12-month incidence, prevalence, and persistence of mental disorders among individuals admitted to ALFs revealed that 56% suffered from dementia, 19% from cognitive disorders not otherwise specified, and 15% from an active noncognitive mental disorder.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, Recognition, and Treatment of Dementia in Assisted Living Facilities

Šutovský

Kŕaĺová

Šiarnik

et al. 2018

Dement Geriatr Cogn Disord

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Background/Aims: Dementia and psychiatric disorders are common in assisted living facilities (ALFs) and have suboptimal rates of recognition and treatment. Therefore, we aimed to obtain a direct estimate of the prevalence of cognitive impairment and especially dementia among residents of ALFs in western Slovakia and their rates of primary recognition and adequate treatment. Methods: We conducted two cross-sectional studies. Ten ALFs within the city of Bratislava were chosen for the study in 2004, and again in 2011. A total of 866 residents in ALFs were examined in 2004, and 821 residents in ALFs were examined in 2011. The rate and characterization of dementia, its primary recognition and adequate treatment were investigated in both cross-sectional studies. Results: In 2004, 57% of the participants had dementia. Only 7.2% of the participants with probable Alzheimer disease were treated with acetylcholinesterase inhibitors. In 2011, we observed a significant improvement in primary diagnostics and therapy. 66.9% of the cases of dementia were adequately evaluated, and 52.1% were adequately treated. Conclusion: Cognitive deficit and dementia are significantly underdiagnosed and undertreated in assisted living settings. In the second cross-sectional study we detected significant but not complete improvement in the primary recognition and adequate therapy of dementia.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Prevalence, Recognition, and Treatment of Dementia in Assisted Living Facilities

Šutovský

Kŕaĺová

Šiarnik

et al. 2018

Dement Geriatr Cogn Disord

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“…Illness and disability have also been associated with increased risk of LLD (Huang, Dong, Lu, Yue, & Liu, 2010;Watson et al, 2006), perhaps particularly when these conditions result in functional impairment (Zeiss, Lewinsohn, Rohde, & Seeley, 1996). Functional limitations impair an individual's ability to engage in activities that were once enjoyed, which results in a loss of RCPR.…”

Section: Behavioral Perspectives On Lldmentioning

confidence: 99%

Behavioral activation for depression in older adults: Theoretical and practical considerations

Polenick

Flora

2013

BEHAV ANALYST

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Late-life depression (LLD) is a major public health concern that can have devastating effects on older individuals and their families. Behavioral theories predict that decreases in responsecontingent positive reinforcement and increases in negatively reinforced avoidance behaviors, often accompanied by aversive life events, result in the selection and maintenance of depression. Based on these theories, behavioral activation treatments for depression are designed to facilitate structured increases in enjoyable activities that increase opportunities for contact with positive reinforcement. We discuss the applicability of behavioral models for LLD, and we briefly review current behavioral activation interventions for LLD with an emphasis on implications for future behavior-analytic research. Behavioral activation has been demonstrated to be effective in reducing depression and increasing healthy behavior in older adults. Potential challenges and considerations for future research are discussed. We suggest that applied behavior analysts and clinical behavior analysts are particularly well suited to improve and expand on the knowledge base and practical application of behavioral activation interventions with this population.

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“…The prevalence of depression in nursing or residential homes is at least twice that seen in the general population [5,6] . There are clear associations between depression and chronic illness and disability [7] . Individuals diagnosed with depression, may have poor physical and social functioning and an impaired quality of life.…”

Section: Introductionmentioning

confidence: 99%

Effect of Micronutrient Supplementation on Mood in Nursing Home Residents

et al. 2008

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One third of older people in nursing and/or residential homes have significant symptoms of depression. In younger people, deficiencies in selenium, vitamin C and folate are associated with depression. This study examines the association between micronutrient status and mood before and after supplementation. The objective was to determine whether the administration of selenium, vitamin C and folate improved mood in frail elderly nursing home residents. Mood was assessed using the Hospital Anxiety and Depression rating scale (HAD), and Montgomery-Åsberg Depression Rating Scale (MADRS). Micronutrient supplementation was provided for 8 weeks in a double-blinded randomised controlled trial. Significant symptoms of depression (29%) and anxiety (24%) were found at baseline. 67% of patients had low serum concentrations of vitamin C, but no-one was below the reference range for selenium. Depression was significantly associated with selenium levels, but not with folate or vitamin C levels. No individual with a HAD depression score of ≧8, had selenium levels >1.2 µM. In those patients with higher HAD depression scores, there was a significant reduction in the score and a significant increase in serum selenium levels after 8 weeks of micronutrient supplementation. Placebo group scores were unchanged. This small study concluded that depression was associated with low levels of selenium in frail older individuals. Following 8 weeks of micronutrient supplementation, there was a significant increase in selenium levels and improved symptoms of depression occurred in a subgroup.

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Depression in Assisted Living Is Common and Related to Physical Burden

Cited by 52 publications

References 34 publications

Prevalence, Recognition, and Treatment of Dementia in Assisted Living Facilities

Prevalence, Recognition, and Treatment of Dementia in Assisted Living Facilities

Behavioral activation for depression in older adults: Theoretical and practical considerations

Effect of Micronutrient Supplementation on Mood in Nursing Home Residents

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