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Depression in Dutch homes for the elderly
 — under-diagnosis in demented residents?
Author(s)Menke Baller, Marijke Boorsma, Dinnus H M Frijters
Journal titleInternational Journal of Geriatric Psychiatry, vol 25, no 7, July 2010
Pagespp 712-718
Sourcehttp://www.interscience.wiley.com/journal/gps DOI: 10.1002/gps.2412
KeywordsResidents [care homes] ; Care homes ; Dementia ; Depression ; Symptoms ; Diagnosis ; Cross sectional surveys ; Netherlands.
AnnotationAlthough community-based studies reported an increased incidence of depression among demented people compared with non-demented people, it is not clear whether this relationship also exists among institutionalised older people. The aim of this study was to compare the prevalence of diagnosed depressive disorders and mood symptoms between demented and non-demented residents living in Dutch homes. Cross-sectional analysis was conducted between January 2007 and April 2008 in 16 care homes of routine outcome measurements by trained nurse assistants using the Resident Assessment Instrument (RAI). The nurse assistants recorded all known medical diagnoses including dementia and depression, as well as a structured observation of the presence or absence of 11 mood symptoms over the last 3 days. 313 demented and 463 non-demented residents with complete data were included (99% of all residents, mean age 84 years). 24.6% of participants were diagnosed with a depressive disorder, with no statistically significant difference between demented and non-demented persons (p = 0.237). Mood symptoms were more prevalent in demented residents. Among residents with mood symptoms, demented residents were less likely to be diagnosed with a depressive disorder than non-demented residents. The prevalence of diagnosed depressive disorders was comparable between demented and non-demented residents. However, demented residents suffered more from mood symptoms and may be at risk of under-diagnosis of depression. (KJ/RH).
Accession NumberCPA-100827235 A
ClassmarkKX: KW: EA: ENR: CT: LK7: 3KB: 76H

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