Dépression du sujet âgé : données épidémiologiques, aspects cliniques et approches thérapeutiques spécifiques

Limosin, Frédéric; Manetti, Aude; René, Margaux; Schuster, J P

doi:10.1016/j.npg.2014.12.007

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…The relationship between the level of education and the results obtained in the MMSE is verified (Bravo and Hébert, 1997, see Table 1). Assessment of depression with GDS-15 provided similar data to other studies (e.g., Limosin et al, 2015), i.e., up to 40% depression in nursing homes, 30% of which was severe depression (Thomas and Hazif-Thomas, 2013). Regarding the assessment of anxiety, results were consistent with those observed in a similar population (Creighton et al, 2016), up to 20% of the estimated population.…”

Section: Discussionsupporting

confidence: 77%

Assessment of Borderline Personality Disorder in Geriatric Institutions

2021

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Section: Discussionsupporting

confidence: 77%

Assessment of Borderline Personality Disorder in Geriatric Institutions

2021

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“…Additionally, very few older Canadians receiving continuing care receive an evaluation by a licenced mental health specialist (less than 10% for those with a diagnosis of depression and less than 5% for those with symptoms of depression), with even fewer (under 3%) receiving psychological therapy (CIHI, 2010). The predominant treatment for those with symptoms and/or a diagnosis of depression in Canadian continuing care facilities is antidepressant medications (near 80%) (CIHI, 2010), which is not recommended as first-line treatment for depression (e.g., Limosin, Manetti, René & Schuster, 2015). The extensive use of restraints and antipsychotic medications (CIHI, 2010;2018b) within Canadian care facilities to manage aggressive behaviour is additionally problematic.…”

Section: Resultsmentioning

confidence: 99%

Depression and Aggressive Behaviour in Continuing Care: How Cognitive Impairment Might Not Explain the Whole Story

Thériault¹,

Grant

2020

JLTC

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Context: There is currently little research examining the relationship between depression and aggressive behaviour among individuals receiving long-term care. Previous research has focused on older adults with neurocognitive disorders (e.g., Alzheimer's). These studies have found a positive association between aggressive behaviour and depression and are additionally associated with cognitive impairment in older adults. Objectives: The current study aims to better understand the relationship between aggressive behaviour and depression amongst older adults with and without cognitive impairment, as previous studies have not yet examined how these relationships may differ across levels of cognitive functioning. Methods: Data from the Continuing Care Reporting System administered by the Canadian Institute for Health Information was used. At the time of analysis, data for individuals receiving continuing care was available across seven Canadian provinces and one territory. Findings: Data from 2,682,612 individuals were extracted (Mage = 80.42, SD = 11.5). A positive relationship between aggressive behaviour and depressive symptoms was found for those with and without cognitive impairment. There was no evidence of a mediating effect of cognitive impairment on aggressive behaviour. Individuals with symptoms of depression demonstrated more aggressive behaviours. Limitations: A limitation of the current work is the cross-sectional nature of the data examined. This restricts the ability to determine causation, and the questions of "Do depressive symptoms predict aggressive behaviour?" or "Are aggressive behaviours early symptoms of depression?" remain. Implications: These findings indicate that, independent of cognition, those with depressive symptoms are more likely to exhibit aggressive behaviour. Recommendations on identification and treatment of depression in this population are discussed and related policy changes are considered.

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“…The stakes for prevention and management of depression in old age are high: the trouble is more associated with suicide than at any other age of life [19], is correlated with a higher rate of relapse, perpetuation, and evolution into a major depressive episode [16], but also with greater mortality [20] as well as a reduced quality of life [21]. Pharmacotherapeutic options appear to be effective overall [22], but drug treatments are often not specific to this age group and are slower to act than in younger subjects [23].…”

Section: Rumination and Depressionmentioning

confidence: 99%

Rumination after 65: does its association with depression and gender change with age?

Emeline¹,

Carole²,

Raphaële³

2022

Psychiatry Behav Health.

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Context: It is well documented that, in adults, women are more prone to ruminate than men, and rumination and depression are robustly correlated. However, very little is known about how these links evolve as aging. The age-related cognitive and identity evolutions deeply modify the elderly’s overall functioning, legitimizing this issue. Method: Sixty-four participants were recruited by seniors’ networks. The participants had to be over 65 years old, without cognitive impairment or chronic pain. The experiment included the Geriatric Depression Scale (GDS), to assess the presence and severity of depression, and the Mini-CERTS, which evaluates the frequency of both analytic and experiential repetitive thoughts. The Mental Alternation Test (MAT) was used as a preliminary test to help ensure that participants did not have cognitive impairment. Participants were contacted over the phone. A structured interview and a MAT test were used to assess the inclusion criteria. If the participant matched the required profile, the GDS and the mini-CERTS were administered in random order. Results: Results show a negative correlation between frequency of constructive repetitive thoughts and depression (r = -.49; p <.001) and a positive correlation between frequency of rumination and depression (r = .40; p <.001). No significant difference was shown regarding gender and frequency of ruminations (p> .05). Discussion: These results validate the maintenance of the links between repetitive thinking and depression during aging, but not the difference between men and women. These findings encourage the use of rumination-focused therapies in the treatment of depression in the elderly.

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Dépression du sujet âgé : données épidémiologiques, aspects cliniques et approches thérapeutiques spécifiques

Cited by 6 publications

References 29 publications

Assessment of Borderline Personality Disorder in Geriatric Institutions

Assessment of Borderline Personality Disorder in Geriatric Institutions

Depression and Aggressive Behaviour in Continuing Care: How Cognitive Impairment Might Not Explain the Whole Story

Rumination after 65: does its association with depression and gender change with age?

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