Major Depression in Elderly Home Health Care Patients

Bruce, Martha L.; McAvay, Gail; Raue, Patrick J.; Brown, Ellen L.; Meyers, Barnett S.; Keohane, Denis; Jagoda, David R.; Weber, Carol J

doi:10.1176/appi.ajp.159.8.1367

Cited by 317 publications

(343 citation statements)

References 55 publications

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“…Many studies have reported that medical co-morbidity affects the feeling of well-being in late life and that chronic medical conditions increase the risk of depression (Cole and Dendukuri 2003;Djernes 2006;Bruce et al 2002). A study of older people in Greece also concurred with our finding (Papadopoulos et al 2005).…”

Section: Health Statussupporting

confidence: 90%

Sex differences in depression among older adults: are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece

et al. 2012

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This study examined depression, which, research has indicated, is the most common mental health problem affecting older people, especially women. Our objective was to estimate the prevalence of depression among older people in an urban Greek population and to investigate the covariates of depression symptoms prevalence by gender. The sample consisted of 360 individuals, 218 women and 142 men, aged 60 years or older, members of four open care centers for older people in Greece. A questionnaire for socio-demographic and medical data was used. Depression was probed by use of the geriatric depression scale short form. One-hundred and nine persons (30.3%), 32 men (22.53%) and 77 women (35.12%) were found to have depressive symptoms. The results indicated that women have more depression symptoms than men. Being currently unmarried and suffering from multimorbidity were associated with depression symptoms in both gender groups. Meetings with friends were found to be protective factors for both sexes; care of grandchildren and participating in outings and excursions seemed to be protective factors for women only. Unfavorable economic situations, and being childless, were associated with prevalence of depression symptoms among women only. This study confirmed the relationship between depression symptoms and gender and the importance of social and medical factors in the prevalence of depression symptoms, in both gender groups. It also indicated the greater vulnerability of women to some social factors.

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Section: Health Statussupporting

confidence: 90%

Sex differences in depression among older adults: are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece

et al. 2012

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“…Home care has grown among the elderly in comparison with other types of care, and now represents 72% of health plan beneficiaries 12 .…”

Section: Discussionmentioning

confidence: 99%

“…The disorders that occur during the aging process can be ameliorated by actions that promote health and assist in the maintenance of the functional capacity of the elderly person. As such, home care programs represent one of the alternatives incentivized by the Brazilian government when facing such demand 12 .…”

Section: Discussionmentioning

confidence: 99%

Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil

Carnaúba

Silva

Viana

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To clinically and epidemiologically characterize patients receiving home care in the city of Maceio, in the state of Alagoas, Brazil. Methods: An observational, crosssectional study with a sample of 859 patients was carried out, based on data obtained from the medical records of institutions that provide a home care service. A total of 445 patients were from a public service and 414 were from a private service. Descriptive analysis was used for the demographic, clinical and functional variables. Results: Most patients were elderly, female, bedridden, fed orally and had neurological disorders, with stroke the most common diagnosis. Regarding patient evolution, 16.8% of individuals were discharged from home care, 45% of patients died and 24% were hospitalized during the period of home care. A total of 9% of patients had a tracheostomy, 84.7% breathed room air, 9.3% used oxygen, 4% used noninvasive mechanical ventilation, 1.9% used invasive mechanical ventilation, and 24.9% of patients had pressure ulcers. All patients received medical visits, with 693 receiving nursing care, 767 undergoing physiotherapy, 233 receiving speech therapy sessions, 665 patients accompanied by a nutritionist, 64 undergoing occupational therapy sessions and 98 receiving counseling. Conclusion: It was noted that some results differed from literature and between the public and private service. This divergence could be related to the specific epidemiology of each region and the type of insurance paying for care (Unified Health Service or Private).

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“…For instance, MDD is evidenced in approximately 3-5% of community dwelling elders (Bruce, McAvay, & Raue, 2002). However, this percentage increases to roughly 20% of residents in skilled nursing facilities (Jones, Marcantonio, & Rabinowitz, 2003).…”

mentioning

confidence: 99%

“…However, this percentage increases to roughly 20% of residents in skilled nursing facilities (Jones, Marcantonio, & Rabinowitz, 2003). Rates of major depression in older adults who receive primary or home health care services or who reside in assisted living facilities fall within these bounds (e.g., Bruce et al, 2002;Watson, Garrett, Sloane, Gruber-Baldini, & Zimmerman, 2003).…”

mentioning

confidence: 99%

A self-help behavioral activation treatment for geriatric depressive symptoms

Moss

Scogin

Napoli

et al. 2012

Aging & Mental Health

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The present study investigated behavioral activation (BA) bibliotherapy as a treatment for late-life depressive symptoms. BA bibliotherapy was administered using Addis and Martell's (2004) Overcoming Depression One Step at a Time as a stand-alone treatment that was completed by participants over a 4-week period. Results of an immediate intervention group were compared with those of a delayed treatment control group and treatment response for both groups was evaluated at 1-month follow-up. Results showed that symptoms on a clinician-rated measure of depression were significantly lower at post-treatment for those who received immediate BA bibliotherapy compared with those who were in the delayed treatment control condition. However, differences between groups at this period on a self-reported measure of depressive symptoms were not significant. Within-subjects analyses examining both treatment groups combined showed that clinician-rated depressive symptoms significantly decreased from pre-treatment to both post-treatment and 1-month follow-up. Self-reported depressive symptoms were significantly lower, and self-reported engagement in pleasant events was significantly higher, from pre-treatment to 1-month follow-up. These findings suggest that BA may be useful in treating mild or subthreshold depressive symptoms in an older adult population.

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Major Depression in Elderly Home Health Care Patients

Cited by 317 publications

References 55 publications

Sex differences in depression among older adults: are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece

Sex differences in depression among older adults: are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece

Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil

A self-help behavioral activation treatment for geriatric depressive symptoms

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