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A 12 months follow-up study of depression among nursing-home patients in Norway.

Abstract：

BACKGROUND:Depression is common in nursing-home patients and is often of chronic nature. AIMS:To examine the prevalence, incidence and the persistence rates of clinically significant depressive symptoms, and their risk factors among nursing-home patients. DESIGN:A 12 months follow-up study. METHODS:A sample of 902 randomly selected nursing-home patients was assessed using the Cornell Scale, the Clinical Dementia Rating Scale, the Self-Maintenance Scale and a measurement of physical health. Information was collected from the patients' records. Clinically significant depression was defined as 8+ on the Cornell Scale. RESULTS:At 12 months 231 had died, and depression was together with higher age, worse physical health, poor function in activities of daily living, higher CDR score and cancer a significant predictor of death (0.03). The prevalence of depression was 21.2% at baseline and follow-up, incidence rate was 14.9% and persistence rate was 44.8%. Predictors of depression at 12 months were: high Cornell score at baseline (p<0.001), a shorter stay in a nursing home (0.011) and use of antidepressants (p=0.050); for incident depression: higher Cornell score at baseline (p=0.019), a shorter stay (p=0.002) and higher CDR score (p=0.003); for persistent depression: higher Cornell score at baseline (0.011), use of anxiolytics (p=0.045) and not being married (p=0.037). CONCLUSION:The incidence and persistence rates of clinical significant depressive symptoms are high in nursing-home patients. A higher score on Cornell Scale at baseline and a shorter stay in a nursing home were predictors for both incidence and persistence of clinically significant depressive symptoms.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Barca ML,Engedal K,Laks J,Selbaek G

doi

10.1016/j.jad.2009.04.028

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

141-8

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(09)00181-5

journal_volume

120

pub_type

杂志文章

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