Anxiety, depression, and cognitive impairment in dementia-specific and traditional assisted living

Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

J Gerontol Nurs

Journal/Book/Conference Title

Journal of gerontological nursing

PubMed ID


DOI of Published Version



With the rapid growth of the assisted living (AL) industry, the number of AL residences providing dementia care continues to increase. The purpose of this article is to describe and compare demographic characteristics; frequency and type of psychiatric diagnoses; level of cognition, depression, and anxiety symptoms; and use of psychotropic medication among older adults in dementia-specific assisted living (DSAL) and traditional assisted living (TAL) residences. Secondary analysis of screening data collected during a crosssectional, descriptive pilot project compared 18 participants from two DSAL facilities and 28 participants from three TAL facilities. DSAL participants with dementia were more cognitively impaired than TAL participants with dementia (p < 0.001) and used more antipsychotic (67%), anxiolytic (60%), antidepressant (53%), and cognitive-enhancing (87%) medications. No statistically significant differences in demographic factors or levels of anxiety or depression were observed among residents in either setting.


Anxiety -- Epidemiology, Assisted Living, Dementia -- Epidemiology, Depression -- Epidemiology, Aged, Aged, 80 and Over, Antianxiety Agents, Antidepressive Agents, Antipsychotic Agents, Cross Sectional Studies, Data Analysis Software, Descriptive Statistics, Education, Continuing (Credit), Female, Fisher's Exact Test, Funding Source, Human, Interviews, Iowa, Kruskal-Wallis Test, Male, Psychological Tests, Psychometrics, Scales

Published Article/Book Citation

Journal of gerontological nursing, 36:1 (2010) pp.18-30. DOI:10.3928/00989134-20091204-01.

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