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Depressive symptoms in newly admitted nursing home residents
- Authors:
- ACHTERBERG Wilco, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(12), December 2006, pp.1156-1162.
- Publisher:
- Wiley
The aim was to study the relationship between the prevalence of depressive symptoms in newly admitted nursing home residents and their previous place of residence. In 65 nursing homes in the Netherlands trained physicians assessed 562 residents (mean age 78.5, range 28-101, 64.6% female) within 10 days after admission. Depressive symptoms were assessed with the Minimum Data Set (MDS) Depression Rating Scale (DRS), and the MDS items: diagnosis of major or minor depression, change in depression and indicators of persistent depressed, sad or anxious mood disorder present. Previous place of residence was categorized as own home, hospital or sheltered living facility. Adjustments were performed for demographic and health related factors measured with the MDS. The prevalence of depressive symptoms (DRS 3) for all 562 residents was 26.9%; it was higher in residents admitted from their own home (34.3%) than in residents admitted from the hospital (19.7%). Residents who were admitted from the hospital have an adjusted Odds Ratio for having many depressive symptoms of 0.54 (95% CI 0.31-0.94) compared to residents admitted from their own home. There is, after adjustment, no statistical significant difference between residents admitted from their own home, or residents admitted from a sheltered living facility. Depressive symptoms are very prevalent in nursing homes. Residents who are admitted from their own home, or from a residential facility, have more depressive symptoms than residents admitted from the hospital. This may reflect different conceptualizations or different adjustment patterns for those groups. For a better understanding of the factors associated with nursing home depression, future studies in detection, prevention and management of depressive symptoms should start prior to or directly after admission, especially for those who have no prior institutional history.
The effect of depression on social engagement in newly admitted Dutch nursing home residents
- Authors:
- ACHTERBERG Wilco, et al
- Journal article citation:
- Gerontologist, 43(2), April 2003, pp.213-218.
- Publisher:
- Oxford University Press
The purpose of this article was to study the effect of depression (high levels of depressive symptoms) on social engagement. In 65 nursing homes in the Netherlands, 562 newly admitted residents were assessed at admission. Social engagement was measured with the MDS Index of Social Engagement. A multivariate logistic regression model was used to study the effect of depression, measured according to the MDS-depression rating scale and controlled for confounders, on social engagement. Fifty-one percent of the newly admitted residents had a low level of social engagement; twenty seven percent were depressed (high levels of depressive symptoms). Residents with a depression were significantly more often found to have low social engagement (OR 3.3), and confounders did not influence the strength of this relationship. Low social engagement on admission is predicted by depression and low cognitive performance, and to a lesser extent by impairments in vision and ADL. Low social engagement is very common in newly admitted nursing home residents, and depression is an important independent risk factor.