Journal
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
Volume 15, Issue 5, Pages 438-442Publisher
ELSEVIER SCIENCE INC
DOI: 10.1097/JGP.0b013e31803c54f7
Keywords
depression; nursing home; dementia; comorbidity
Categories
Funding
- NIA NIH HHS [R29 AG11407, R01 AG08211] Funding Source: Medline
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Objective: To determine rates of depression by dementia status in a statewide sample of nursing home admissions, and associations with medical comorbidity and physical functioning. Methods: Trained interviewers obtained information from nursing home residents, staff, significant others, and medical records. Results: A total of 22.3% were classified depressed in the nondemented status and 23.6% in the demented status. Depression status was significantly associated with more physical dependencies regardless of dementia status. In the nondemented, there was also a significant positive association with number of comorbidities. One interaction, dementia with comorbidity at the highest levels of comorbidity, was significant in looking at association with depression. Conclusion: There is significant depressive symptomatology in nursing home admissions, which is also associated with difficulty in physical function and with the number of medical comorbidities in the nondemented. Application of the two measures used in this study represents a strategy to assess depression in all nursing home residents.
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