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Centre for Policy on Ageing | |
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| Depression and cognitive impairment among newly admitted nursing home residents in the USA | | Author(s) | Christine M Ulbricht, Anthony J Rothschild, Jacob N Hunnicutt, Kate L Lapane |
| Journal title | International Journal of Geriatric Psychiatry, vol 32, no 11, November 2017 |
| Publisher | Wiley, November 2017 |
| Pages | pp 1172-1181 |
| Source | http://www.orangejournal.org |
| Keywords | Depression ; Cognitive impairment ; Admission [nursing homes] ; United States of America. |
| Annotation | The objective of this study was to describe the prevalence of depression and cognitive impairment among newly admitted nursing home residents in the USA and to describe the treatment of depression by level of cognitive impairment. The study identified 1,088,619 newly admitted older residents between 2011 and 2013 with an active diagnosis of depression documented on the Minimum Data Set 3.0. The prevalence of receiving psychiatric treatment was estimated by cognitive impairment status and depression symptoms. Binary logistic regression using generalised estimating equations provided adjusted odds ratios and 95% confidence intervals for the association between level of cognitive impairment and receipt of psychiatric treatment, adjusted for clustering of residents within nursing homes and resident characteristics. 26% of newly admitted residents were found to have depression, and of these 47% also had cognitive impairment. Of those who had staff assessments of depression, anhedonia, impaired concentration, psychomotor disturbances and irritability were more commonly experienced by residents with cognitive impairment than residents without cognitive impairment. 48% of all residents with depression did not receive any psychiatric treatment. Approximately one-fifth of residents received a combination of treatment. Residents with severe cognitive impairment were less likely than those with intact cognition to receive psychiatric treatment. Many newly admitted residents with an active diagnosis of depression are untreated, potentially missing an important window to improve symptoms. The extent of comorbid cognitive impairment and depression and lack of treatment suggest opportunities for improved quality of care in this increasingly important healthcare setting. (JL). |
| Accession Number | CPA-171201211 A |
| Classmark | ENR: E4: LHB:QKH: 7T |
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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