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Centre for Policy on Ageing | |
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The pattern of depressive symptoms and factor analysis of the Cornell Scale among patients in Norwegian nursing homes | Author(s) | Maria Lage Barca, Geir Selbęk, Jerson Laks |
Journal title | International Journal of Geriatric Psychiatry, vol 23, no 10, October 2008 |
Pages | pp 1058-1065 |
Source | http://www.interscience.wiley.com |
Keywords | Depression ; Symptoms ; Evaluation ; Residents [care homes] ; Nursing homes ; Norway. |
Annotation | Depression is more prevalent in subjects with dementia than in those without it. Due to both psychological and biological risk factors, it is hypothesised that a biomodal distribution of depressive symptoms exists with higher prevalence rate being found in patients suffering both with mild and with severe dementia. A sample of 1159 randomly selected nursing home patients was assessed using the Cornell Scale, the Clinical Dementia Rating Scale (CDR) and Lawton's Scale of the activities of daily living. Additionally, information was collected from patients' records. The use of antidepressants and demographic characteristics, except for gender distribution, did not differ across CDR groups. Patients with dementia had more symptoms such as anxiety, irritability, agitation, retardation, loss of interest, lack of joy, and delusion than those without dementia. Mo symptoms was more frequent among non-demented subjects. Factor analysis of the Cornell Scale resulted in a five factor solution: mood, cyclic, physical, retardation and behavioural. The score on the mood subscale did not differ across CDR groups, whereas scores on the four other subscales increased with increasing CDR scores. A biomodal distribution of depressive symptoms was not found. The explanation for the occurrence of the typical core symptoms of depression, the mood symptoms, is probably complex. The non-mood symptoms are probably strongly influenced by biological factors. (RH). |
Accession Number | CPA-090605208 A |
Classmark | ENR: CT: 4C: KX: LHB: 76N |
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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