Case review vs. usual care in primary care patients with depression: a pilot study

Ceroni, Giuseppe Berti; Rucci, Paola; Berardi, Domenico; Ceroni, F. Berti; Katon, Wayne

doi:10.1016/s0163-8343(01)00182-7

Cited by 15 publications

(7 citation statements)

References 55 publications

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“…Depression in the oldest old is often underdiagnosed and inadequately treated, resulting in increased disability and mortality (Penninx et al ., 1999a; 1999b; Blazer, 2000; Bergdahl et al ., 2005). Studies have demonstrated an association between QOL and the severity of depression in the elderly (Warner, 1998; McKenna et al ., 2001; Ceroni et al ., 2002; Doraiswamy et al ., 2002). Our findings highlight the importance of screening and treating depression in the oldest old (Nakajima and Wenger, 2007), in order to maintain their QOL (Blazer, 2000).…”

Section: Discussionmentioning

confidence: 99%

What is the quality of life in the oldest old?

Lapid

Rummans

Boeve

et al. 2011

Int. Psychogeriatr.

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Background Maintaining and improving quality of life has become a major focus in geriatric medicine, but the oldest old have received limited attention in clinical investigations. We aimed to investigate the relationship between self-perceived and caregiver-perceived quality of life (QOL), cognitive functioning, and depressive symptoms in the oldest old. Methods This IRB-approved prospective study recruited community dwellers aged 90–99 years old. Collected data included neurological evaluation, DSM III-R criteria for dementia, Mini-Mental State Examination (MMSE), Dementia Rating Scale (DRS), Geriatric Depression Scale (GDS), Record of Independent Living (ROIL), and QOL assessment using the Linear Analogue Self Assessment (LASA). Results Data on 144 subjects (56 cognitively normal (normal), 13 mild cognitive impairment (MCI), 41 dementia (DEM), 34 dementia with stroke and parkinsonism (DEMSP)) over a three-year period were analyzed. Mean ages ranged from 93 to 94 years, and the majority were female with at least high school education. Overall functional ability was higher in groups without dementia (p < 0.0001). All subjects reported high overall QOL (range 6.76–8.3 out of 10), regardless of cognitive functioning. However, caregivers perceived the subjects’ overall QOL to be lower with increasing severity of cognitive impairment (p < 0.0001). Lower GDS scores correlate with higher self-perceived overall QOL (ρ = −0.38, p < 0.0001). Conclusions In our community sample of the oldest old, there was a fairly high level of overall QOL, whether or not cognitive impairment exists. Individuals perceive their QOL better than caregivers do, and the difference in subjects’ and caregivers’ perception is more pronounced for the groups with dementia. QOL is more strongly correlated with depressive symptoms than with dementia severity.

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Section: Discussionmentioning

confidence: 99%

What is the quality of life in the oldest old?

Lapid

Rummans

Boeve

et al. 2011

Int. Psychogeriatr.

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“…There is a strong association between QOL and the severity of depression. The factors that have been found to be associated with both depression and QOL in the elderly include physical health, cognitive functioning, social support, and spirituality (Warner, 1998;Unützer et al, 2000;McKenna et al, 2001;Shmuely et al, 2001;Ceroni et al, 2002;Doraiswamy et al, 2002;Herrman et al, 2002). Elderly individuals with comorbid medical illnesses with consequent impairment and disability are more likely to report more severe depressive symptoms, poorer recovery outcomes, and poorer QOL than those who are physically healthy (Ware, 1993;Bruce et al, 1994;Krach et al, 1996;Lebowitz et al, 1997;Roberts et al, 1997;Steffens et al, 1999;Ceroni et al, 2002;Doraiswamy et al, 2002;Taylor and Lynch, 2004).…”

Section: Introductionmentioning

confidence: 99%

Improvement of quality of life in hospitalized depressed elderly

Lapid

Piderman

Ryan

et al. 2010

Int. Psychogeriatr.

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“…En este sentido Wells, Golding y Burnam 17 mostraron que la prevalencia en 6 meses de trastornos psiquiátricos fue el doble en pacientes con enfermedades neurológicas o cardiacas (35-38%) que en pacientes sin procesos orgánicos. Además, cuando la depresión o la ansiedad van asociadas a una patología crónica, el pronóstico en la recuperación a un año suele ser menor que cuando se presenta sola 18 .…”

Section: Infradiagnósticounclassified