A flexible item to screen for depression in inner-city minorities during palliative care symptom assessment

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Richard Benoit Francoeur

Abstract

There is inconsistent evidence for the validity of a single item to screen depression. In inner-city minority populations, the "yes/no" forced-response option may encourage bias, especially in elders and men, who view depression as stigmatizing or the healthcare system as untrustworthy. In contrast, an open-choice format with a category for ambivalent and missing responses could be acceptable if administered during the legitimized context of a physical symptom assessment. Retrospective data were analyzed from 146 black and Latino inner-city patients receiving palliative care for various physical conditions. Bivariate analyses and ordinal regressions are based on the most recent comprehensive patient assessment conducted by a black female nurse and a bilingual Latina social worker. The depression item (no, unknown, yes) predicts pain and symptom attitude, which is more "hopeful" in older men with unknown depression status than in younger and older women with unknown depression status or no depression. The more "hopeful" pain and symptom attitudes by older men in the unknown category for depression suggest that depression, apathy, and resignation in older minority men may be hidden from clinicians in the absence of the open-choic...Continue Reading

References

Jan 1, 1995·Social Psychiatry and Psychiatric Epidemiology·A T BeekmanW van Tilburg
Sep 1, 1994·Journal of the American Geriatrics Society·J MahoneyM Carnes
May 1, 1993·The American Journal of Psychiatry·L J KirmayerM J Yaffe
Jul 1, 1996·Journal of Geriatric Psychiatry and Neurology·F M BakerS Wong
May 1, 1997·The American Journal of Psychiatry·H M ChochinovS Lander
Apr 1, 1998·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J GarrardL A Waller
Oct 28, 1999·The New England Journal of Medicine·G E SimonJ Ormel
Jun 16, 2000·Journal of the American Geriatrics Society·F P Hopp, S A Duffy
Jun 30, 2000·The American Journal of Psychiatry·D G BlazerJ T Hanlon
Jan 16, 2002·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Ruben C GurRaquel E Gur
May 25, 2002·Journal of the American Geriatrics Society·Eric L KrakauerKen Fox
Aug 7, 2003·Cancer Investigation·Shirley S HwangBasil S Kasimis
Aug 16, 2003·BMJ : British Medical Journal·Mari Lloyd-WilliamsIdris Baker
Mar 11, 2004·Journal of General Internal Medicine·Jeanne Miranda, Lisa A Cooper
Apr 9, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Karen BlankJulie T Robison
May 8, 2004·Journal of Palliative Medicine·Wendi BornJasjit S Ahluwalia
Mar 1, 2005·Journal of Pain and Symptom Management·Richard Benoit Francoeur

❮ Previous
Next ❯

Citations

Dec 24, 2009·Journal of Gerontological Social Work·Victoria H RaveisLinda Harootyan
Oct 15, 2009·Palliative Medicine·Elisabet WastesonUNKNOWN European Palliative Care Research Collaborative (EPCRC)
Sep 12, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alex J Mitchell

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
John PendletonCharles J Rosser
© 2021 Meta ULC. All rights reserved