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Depression in the oldest old in urban and rural municipalities
Author(s)E Bergdahl, P Allard, B Lundman
Journal titleAging & Mental Health, vol 11, no 5, September 2007
PublisherTaylor & Francis, September 2007
Pagespp 570-578
Sourcehttp://www.tandfonline.com
KeywordsOctogenarians ; Nonagenarians ; Centenarians ; Depression ; Drugs ; Urban areas ; Rural areas ; Comparison ; Sweden.
AnnotationIn this cross-sectional study in five depopulated areas and one expanding city in northern Sweden, 363 participants aged 85+ were evaluated for depression. Data were collected from structured interviews and assessments and from relatives, caregivers and medical charts. Depression was screened using the Geriatric Depression Scale - 15 (GDS-15) and evaluated by the Montgomery-Asberg Depression Rating Scale (MADRS). 29% of the participants were depressed (34% in the rural areas, 27% in the city). 51% versus 69% were receiving treatment with antidepressants. In the rural areas, those with depression were less frequently treated with selective serotonin re-uptake inhibitor (SSRI) medications (36% vs 65%); instead there were participants treated with tricyclic antidepressants (TCAs)) (10% vs 0%). A larger proportion of the participants in the urban sample had responded to treatment (59% vs 27%). Depression in old age appears to be a common cause of emotional suffering in the oldest old. In the rural areas, depression was more often inadequately treated and it was also treated with inappropriate medications. (RH).
Accession NumberCPA-080327208 A
ClassmarkBBM: BBR: BBT: ENR: LLD: RK: RL: 48: 76P

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