Observer-rated depression in long-term care: frequency and risk factors

Archives of Gerontology and Geriatrics
Jane McCuskerEric Belzile

Abstract

The objectives of this study were: (1) to describe the prevalence and 6-month incidence of observer-rated depression in residents age 65 and over of long-term care (LTC) facilities; (2) to describe risk factors for depression, at baseline and over time. A multisite, prospective observational study was conducted in residents aged 65 and over of 7 LTC facilities. The Cornell Scale for Depression in Dementia (CSDD) was completed by nurses monthly for 6 months. We measured demographic, medical, and functional factors at baseline and monthly intervals, using data from research assessments, nurse interviews, and chart reviews. 274 residents were recruited and completed baseline depression assessments. The prevalence of depression (CSDD score of 6+) was 19.0%. The incidence of depression among those without prevalent depression was 73.3 per 100 person-years. A delirium diagnosis, pain, and diabetes were independently associated with prevalent depression. CSDD score at baseline and development of severe cognitive impairment at follow-up were independent risk factors for incident depression. A diagnosis of delirium and uncorrected visual impairment at follow-up occurred concurrently with incident depression. The results of this study ha...Continue Reading

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Citations

Jan 26, 2016·Psychosomatics·Scott NelsonF Andrew Kozel
Aug 11, 2015·International Psychogeriatrics·Jane McCuskerChun Bai
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Jan 11, 2019·Social Work in Health Care·Yao Ching-TengChen Yu-Chia
May 10, 2019·International Journal of Older People Nursing·Chien-Lin KuoYeu-Hui Chuang
Jul 3, 2019·Clinical Gerontologist·Rebecca ChauTanya E Davison

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