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Centre for Policy on Ageing | |
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| Cross-national comparisons of antidepressant use among institutionalized older persons based on the Minimum Data Set (MDS) | | Author(s) | John P Hirdes, Naoki Ikegami, Palmi V Jonsson |
| Journal title | Canadian Journal on Aging, vol 19, supplement 2, Fall 2000 |
| Pages | pp 18-37 |
| Keywords | Drugs ; Depression ; Residents [care homes] ; Care homes ; Nursing homes ; Health [elderly] ; Evaluation ; Comparison ; Canada ; Japan ; Iceland ; Czechoslovakia. |
| Annotation | Antidepressant use was examined with samples from long-term care facilities in Toronto, Sapporo and Naie (Japan), Reykjavik and Prague. Only in Iceland did the majority of residents with depression receive an antidepressant. Rates of depression and antidepressant use were uniformly low in Japan, and there was a great discrepancy between diagnosed depression and behavioural signs of depression in the Czech Republic. In all countries, about half the recipients of antidepressants have not a clear indication of depression present. For some countries, antidepressant use was lower among residents who were female, older and more disabled. Depression is clearly under-diagnosed in the Czech Republic, but low rates of depression in Japan are somewhat more difficult to interpret. Given the widespread consensus that depression is under-detected and under-treated, these results suggest that responses to depression could be improved through instruments like the MDS. (KJ/RH). |
| Accession Number | CPA-010219202 A |
| Classmark | LLD: ENR: KX: KW: LHB: CC: 4C: 48: 7S: 7DT: 76R: 7AC |
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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