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Elders with first psychiatric hospitalization for depression
Author(s)Sunha Choi, Philip Rozario, Nancy Morrow-Howell
Journal titleInternational Journal of Geriatric Psychiatry, vol 24, no 1, January 2009
Pagespp 33-40
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsDepression ; Admission [hospitals] ; Psychogeriatric units ; Psychiatric treatment ; Usage [services] ; United States of America.
AnnotationLittle is known about the first psychiatric hospitalisation episode of older adults with depression. Guided by the Network Episode Model and the Andersen model, this study identifies and compares the characteristics of depressed older adults with (n=108) and those without (n=77) prior psychiatric hospitalisation, upon admission to the psychogeriatric unit, using logistic regression. Data on a lifetime history of inpatient psychiatric treatment, clinical characteristics, demographics, social resources, and psychosocial or medical service use were obtained from patients' medical records and self-reports. Compared with patients who had previous psychiatric admission, first-time inpatients were associated with having: late-onset depression; no lifetime psychotic symptoms; lower scores on the Brief Psychiatric Rating Scale (BPRS) at admission; higher numbers of doctors seen; and lower use of senior centres 6 months prior to the admission. Depressed older adults' previous psychiatric inpatient service use is closely related to their past and current psychiatric needs. Also, the two groups show significant differences in health and social service use prior to psychiatric hospitalisation. However, severity of depression at admission was not different. (RH).
Accession NumberCPA-090121203 A
ClassmarkENR: LD:QKH: LDM: LP: QLD: 7T

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