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Centre for Policy on Ageing | |
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| Clinical detection of depression among community-based elderly people with self-reported symptoms of depression | | Author(s) | Judith Garrard, Sharon Judith Rolnick, Nicole M Nitz |
| Journal title | The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, vol 53A, no 2, March 1998 |
| Pages | pp M92-M102 |
| Keywords | Depression ; Symptoms ; Diagnosis ; Living in the community ; United States of America. |
| Annotation | Depression is under-diagnosed and under-treated in the primary care sector. This study determines the association between self-reported indications of depression by American community-dwelling older enrollees in a managed care organisation and clinical detection of depression by primary care clinicians. This was a 2-year cohort study of 3,410 older people who responded to the Geriatric Depression Scale (GDS) at the mid-point of the study period. A broad measure of clinical detection was used consisting of one or more of three indicators: diagnosis of depression, visit to a mental health specialist, or antidepressant medical treatment. About half of the group with self-reported indications of clinical depression did not have documentation of clinical detection of depression by health care providers. Recognition of depression by GPs tends to increase with the severity of enrollees' self-reported feelings of depression. Men aged 65 to 74 and those aged 85 and over were at highest risk for under-detection of depression by primary care providers. Clinical detection of depression in older people continues to be a problem, particularly in older white men. (RH). |
| Accession Number | CPA-010116209 A |
| Classmark | ENR: CT: LK7: K4: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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