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The management of depression in older nursing home residents
Author(s)Mary N Brown, Kate L Lapane, Andrea F Luisi
Journal titleJournal of the American Geriatrics Society, vol 50, no 1, January 2002
Pagespp 69-76
KeywordsDepression ; Drugs ; Residents [care homes] ; Nursing homes ; United States of America.
AnnotationData for more than 42,000 residents aged 65+ with depression obtained from the US Systematic Assessment of Geriatric drug use via Epidemiology (SAGE) database identified 11% of subjects as depressed on the Minimum Data Set (MDS) assessment. Of these, 53% received antidepressant therapy, of whom 32% received doses less than the manufacturers' minimum effective dose for treating depression. The oldest-old (age 85+), blacks, and those with severe cognitive impairment were least likely to receive an antidepressant. In those treated, cardiovascular diseases were associated with an increased likelihood of selective serotonin re-uptake inhibitor (SSRI) use; and women were least likely to receive an SSRI. Thus although depression is a treatable condition, most nursing home residents may be inadequately treated. (RH).
Accession NumberCPA-020701202 A
ClassmarkENR: LLD: KX: LHB: 7T

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