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The feasibility of a GP led screening intervention for depression among nursing home residents
Author(s)Sandra Davidson, Stella Koritsas, Daniel W O'Connor
Journal titleInternational Journal of Geriatric Psychiatry, vol 21, no 11, November 2006
Pagespp 1026-1030
Sourcehttp://www.interscience.wiley.com
KeywordsDepression ; Screening ; Residents [care homes] ; Nursing homes ; Diagnosis ; General practitioners ; Australia.
AnnotationIn this Australian study, general practitioners (GPs) attended a single education session on late-life depression and were trained in the use of the Cornell Scale for Depression in Dementia (CSDD). After this, the GPs reviewed their patients for depression. The 10 GPs identified that 24% of the 38 patients in the study had Cornell scores indicative of probable major depression that was either unrecognised or inadequately treated. 88% of these patients had been previously diagnosed with depression. A further 32% of patients exhibited depression symptoms, half of whom had a previous diagnosis of depression. Reviewing patients had an effect on antidepressant prescribing for patients with probable major depression, with GPs making changes to the antidepressant medication of 29% of the patients. The high rate of residents presenting with probable major depression despite being prescribed antidepressants indicate that depression symptoms are inadequately recognised and treated in nursing homes. The value of the education session in improving GPs' recognition of depression is demonstrated. (RH).
Accession NumberCPA-061213207 A
ClassmarkENR: 3V: KX: LHB: LK7: QT6: 7YA

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