Depression in older people living in residential homes

Dow, Briony; Lin, Xiaoping; Tinney, Jean; Haralambous, Betty; Ames, David

doi:10.1017/s1041610211000494

Cited by 14 publications

(10 citation statements)

References 120 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prieto-Flores et al (2011) indicated that a lack of companionship is the most common factor related to depression and loneliness in LTC. The clinical environment of residential settings and lack of alternative approaches to care have been identified as depression risk factors (Dow et al, 2011). Since a LTC often has limited funding and staff resources, these may impede the introduction of individual and innovative interventions for older adults.…”

Section: Discussionmentioning

confidence: 99%

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

Chen

Moyle

Jones

et al. 2020

Int. Psychogeriatr.

View full text Add to dashboard Cite

Objectives: To investigate the effect of a social robot intervention on depression, loneliness, and quality of life of older adults in long-term care (LTC) and to explore participants’ experiences and perceptions after the intervention. Design: A mixed-methods approach consisting of a single group, before and after quasi-experimental design, and individual interview. Participants: Twenty older adults with depression from four LTC facilities in Taiwan were recruited. Intervention: Each participant participated in 8 weeks of observation and 8 weeks of intervention. In the observation stage, participants received usual care or activities without any research intervention. In the intervention stage, each participant was given a Paro (Personal Assistive RobOt) to keep for 24 hours, 7 days a week. Measurements: The Geriatric Depression Scale, the UCLA Loneliness Scale Version 3, and the World Health Organization Quality of Life Questionnaire for older adults were administered at four time points. Individual qualitative interviews with thematic analysis followed. Results: A repeated multivariate analysis of variance and Friedmanʼs test showed no significant changes during the observation stage between T1 and T2 for depression and quality of life (p >.5). For the intervention stage, statistically significant changes in decreasing depression and loneliness and improving quality of life over time were identified. Three themes emerged from the interviews: (i) humanizing Paro through referring to personal experiences and engagement; (ii) increased social interaction with other people; and (iii) companionship resulting in improved mental well-being. Conclusions: There were significant improvements in mental well-being in using Paro. Further research may help us to understand the advantages of using a Paro intervention as depression therapy.

show abstract

Section: Discussionmentioning

confidence: 99%

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

Chen

Moyle

Jones

et al. 2020

Int. Psychogeriatr.

View full text Add to dashboard Cite

show abstract

“…More importantly, in a regression analysis study, depression was identified as a predictor of HRQOL rather than ADL in older adults (Chan et al ., ). It is possible that depression impacts many aspects of nursing home residents' lives, such as poor physical health, decreased function, lower levels of social engagement, and more behavioral and vocal disturbances (Dow et al ., ).…”

Section: Introductionmentioning

confidence: 97%

Quality of life of nursing home residents in China: A mediation analysis

Xiao

Yoon

Bowers

2016

Nursing & Health Sciences

View full text Add to dashboard Cite

We examined whether the relationship between activities of daily living and quality of life was mediated by depression, and identified differences of the mediating effects by age group. In this cross-sectional survey, 231 older adults were recruited from eight nursing homes. The path analysis indicated that depression played an important mediating role in the relationship between activities of daily living and quality of life. Depression appeared to be more significant for the mental health component as an outcome compared to the physical health component of quality of life. The impact of depression as a mediator for the older old group was greater than the young-middle group. This finding increases our understanding of the impact of age on the mediating effect of depression on the relationship between activities of daily living and quality of life. Healthcare providers should consider older adults' age differences when integrating physical or depression programs into clinical practice to enhance quality of life.

show abstract

“…Depression is an important psychiatric disorder in long-term care populations, because of its high prevalence and negative impact on quality of life. 1,2 The Minimum Data Set (MDS) 3.0 is a standardized resident assessment in all Medicare and Medicaid certified US nursing homes (NHs). It was implemented in 2010 to replace version 2.0 and represents a resource to examine health outcomes and quality indicators among NH residents.…”

Section: Introductionmentioning

confidence: 99%

Measurement validity of the Patient‐Health Questionnaire‐9 in US nursing home residents

Bélanger

Thomas

Jones

et al. 2019

Int J Geriat Psychiatry

View full text Add to dashboard Cite

Objectives The objective of this study was to assess the measurement properties of the self‐reported Patient Health Questionnaire‐9 (PHQ‐9) and its 10‐item observer version (PHQ‐10OV) among nursing home residents. Methods We conducted a retrospective study of Minimum Data Set 3.0 assessments for national cohorts of Medicare Fee‐for‐Service beneficiaries who were newly admitted or incident long‐stay residents in 2014‐2015 at US nursing homes (NHs) certified by the Center for Medicare and Medicaid Services. Statistical analyses included examining internal reliability with McDonald's omega, structural validity with confirmatory factor analysis, and hypothesis testing for expected gender differences and criterion validity with descriptive statistics. The Chronic Condition Warehouse depression diagnoses were used as an administrative reference standard. Results Both the PHQ‐9 and PHQ‐10OV had good internal reliability with omega values above 0.85. The self‐reported scale yielded good model fit for a one‐factor solution, while the PHQ‐10OV had slightly poorer fit and a lower standardized factor loading on the additional irritability item. Both scales appear sufficiently one‐dimensional given that somatic items had higher factor loading on a general depression factor than on a somatic subfactor. We were unable to obtain expected gender differences on the PHQ‐10OV scale. The PHQ‐9 and PHQ‐10OV were both highly specific but had poor sensitivity compared with an administrative reference standard. Conclusions The PHQ‐9 appears to be a valid and promising measurement instrument for research about depression among NH residents, while the validity of the PHQ‐10OV should be examined further with a structured psychiatric interview as a stronger criterion standard.

show abstract

Depression in older people living in residential homes

Abstract: Prevalence of depression in residential care homes is high, ranging from 4% to 25% for major depressive disorder and 29% to 82% for minor https://www.cambridge.org/core/terms. https://doi

Cited by 14 publications

References 120 publications

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

Quality of life of nursing home residents in China: A mediation analysis

Measurement validity of the Patient‐Health Questionnaire‐9 in US nursing home residents

Contact Info

Product

Resources

About