Title

Antidepressant treatment of depression in rural nursing home residents

Document Type

Article

Peer Reviewed

1

Publication Date

9-1-2008

Journal, Book or Conference Title

Issues in Mental Health Nursing

NLM Title Abbreviation

Issues Ment Health Nurs

PubMed ID

18770101

Abstract

Under-diagnosis and under-treatment of depression are major problems in nursing home residents. The purpose of this study was to determine antidepressant use among nursing home residents who were diagnosed with depression using three different methods: (1) the Geriatric Depression Scale, (2) Minimum Data Set, and (3) primary care provider assessments. As one would expect, the odds of being treated with an antidepressant were about eight times higher for those diagnosed as depressed by the primary care provider compared to the Geriatric Depression Scale or the Minimum Data Set. Men were less likely to be diagnosed and treated with antidepressants by their primary care provider than women. Depression detected by nurses through the Minimum Data Set was treated at a lower rate with antidepressants, which generates issues related to interprofessional communication, nursing staff communication, and the need for geropsychiatric role models in nursing homes.

Keywords

Antidepressive Agents -- Therapeutic Use, Depression -- Drug Therapy, Nursing Homes, Aged, Confidence Intervals, Descriptive Statistics, Female, Funding Source, Geriatric Depression Scale, Iowa, Logistic Regression, Male, Minimum Data Set, Odds Ratio, Psychological Tests, Random Sample, Rural Areas, Secondary Analysis, Sex Factors, Human

Published Article/Book Citation

The definitive version was published in Issues in Mental Health Nursing, 29:9 (2008) pp.959-973.

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URL

http://ir.uiowa.edu/nursing_pubs/222