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Prevalence of depression and anxiety symptoms in elderly patients admitted in post-acute intermediate care
- Authors:
- YOHANNES A. M., BALDWIN R. C., CONNOLLY M. J.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(11), November 2008, pp.1141-1147.
- Publisher:
- Wiley
Depression and anxiety symptoms are common in medically ill older patients. This study investigated the prevalence and predictors of depression and anxiety symptoms in older patients admitted for further rehabilitation in a post acute intermediate care unit, in the North West of England. One hundred and seventy-three older patients (60 male), aged mean (SD) 80 (8.1) years, referred for further rehabilitation to intermediate care. Depression and anxiety symptoms were assessed by the Hospital Anxiety and Depression Scale, and severity of depression examined by the Montgomery Asberg Depression Rating Scale. Physical disability was assessed by the Nottingham Extended ADL Scale and quality of life by the SF-36. Sixty-five patients (38%) were identified with depressive symptoms, 29 (17%) with clinical depression, 73 (43%) with anxiety symptoms, and 43 (25%) with clinical anxiety. 15 (35%) of the latter did not have elevated depression scores (9% of the sample). Of those with clinical depression, 14 (48%) were mildly depressed and 15 (52%) moderately depressed. Longer stay in the unit was predicted by severity of depression, physical disability, low cognition and living alone. Clinical depression and anxiety are common in older patients admitted in intermediate care. Anxiety is often but not invariably secondary to depression and both should be screened for. Depression is an important modifiable factor affecting length of stay. The benefits of structured management programmes for anxiety and depression in patients admitted in intermediate care are worthy of evaluation.
Health behaviour, depression and religiosity in older patients admitted to intermediate care
- Authors:
- YOHANNES A. M., at al.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.735-740.
- Publisher:
- Wiley
The authors' objective was to examine health behaviour, severity of depression, gender differences and religiosity in older patients admitted to intermediate care for further rehabilitation with a cross-sectional survey. A research physiotherapist interviewed 173 older patients (113 female), 60 and older consecutively admitted to intermediate care for rehabilitation, usually after acute care. Religiosity was measured using the Duke University Religion Index, depressive and anxiety symptoms using the Hospital Anxiety Depression Scale, and severity of depression measured by the Montgomery Asberg Depression Rating Scale. Physical disability was assessed by the Nottingham Extended Activities of Daily Living Scale and quality of life measured by the SF-36 questionnaire. After controlling for other factors using multiple regression, religious attendance was associated with positive general health perception and inversely associated with number of pack years smoked and severity of illness. Intrinsic religious activity was associated with older age, female gender, living situation and with less severe depression. The conclusion was that in older patients with chronic diseases in intermediate care, religious attendance was associated with positive perceptions of health, less severe illness, and fewer pack years. Intrinsic religious activities were associated with less severe depression and lower likelihood of living alone.