The impact of depression and anxiety on well being, disability and use of health care services in nursing home patients

Smalbrugge, Martin; Pot, Anne Margriet; Jongenelis, Lineke; Gundy, Chad M.; Beekman, Aartjan T.F.; Eefsting, Jan A.

doi:10.1002/gps.1466

Cited by 98 publications

(94 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the consequences of depression, such as its impact on well-being and the associated excess mortality, disability and healthcare utilisation (Beekman, Deeg, Braam, Smit, & Van Tilburg, 1997;Beekman et al, 2002;Rovner et al, 1991;Smalbrugge et al, 2006;Wells, Steward, & Hays, 1989), accurate and timely diagnosis and treatment are important. However, both recognition and treatment of depression by nursing home staff is reported to be poor (Bagley et al, 2000;Boyle et al, 2004;Rovner, 1993).…”

Section: Introductionmentioning

confidence: 99%

Screening for depression and assessing change in severity of depression. Is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?

Smalbrugge

Jongenelis

Pot

et al. 2008

Aging & Mental Health

Self Cite

View full text Add to dashboard Cite

The objectives of this study were to determine the ability of the 30-, 15-and 8-item versions of the GDS for screening and assessing change in severity of depression in nursing home patients. The GDS and the MADRS were administered to 350 elderly NH-patients by trained interviewers. The presence of major (MaD) or minor depression (MinD) was evaluated with the Schedules for Clinical Assessment in Neuropsychiatry. Receiver Operator Characteristic (ROC) curves of the GDS-versions were performed to measure the ability to screen on depression. The ability to measure change in severity of depression was measured by differences in mean GDS-scores and mean MADRS-scores between patients with MaD, MinD and no depression, and expressed in terms of effect sizes. It was found that in ROC-curves all three GDS-versions performed well. The MADRS showed larger effect sizes for the differences between MaD, MinD and no depression than the GDS-versions. The effect sizes of the three GDS versions were comparable. We conclude that all three versions of the GDS can be used for screening on depression among NH-patients. The MADRS is superior to the GDS for assessment of (changes in) severity of depression, but the GDS also appears to be an acceptable instrument for this purpose and is less time-consuming.

show abstract

Section: Introductionmentioning

confidence: 99%

Screening for depression and assessing change in severity of depression. Is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?

Smalbrugge

Jongenelis

Pot

et al. 2008

Aging & Mental Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…The association between anxiety and depression and mental health may suggest that more 299 symptoms of both anxiety and depression contribute to worse mental health. Other studies among NH 300 residents (Smalbrugge et al, 2005b(Smalbrugge et al, , 2006b; Rodriguez-Blazquez et al, 2012) reported associations 301 between the presence of depression and/or anxiety symptoms and worse well-being. One explanation 302 for our results could be that most of our respondents were widows or widowers, have multiple 303 diagnoses and were dependent in the activities of daily living.…”

Section: Discussionmentioning

confidence: 97%

Suffering and mental health among older people living in nursing homes - a mixed-methods study

Drageset

Dysvik

Natvig

et al. 2015

Preprint

View full text Add to dashboard Cite

Background. Knowledge about mixed-methods perspectives that examine anxiety, depression, social support, mental health and the phenomenon of suffering among cognitively intact NH residents is scarce. We aimed to explore suffering and mental health among cognitively intact NH residents. Methods. This study used a mixed-methods design to explore different aspects of the same phenomena of interest to gain a more comprehensive understanding. The qualitative core component comprised a qualitative interview from 18 nursing home residents (≥65 years) about experiences related to pain, grief and loss. The supplementary component comprised interview from the same respondents using the SF-36 Health Survey subscales , the Hospital Anxiety and Depression Scale and the Social Provisions Scale. Results. The individual descriptions reveal suffering caused by painful experiences during life. The quantitative results indicated that symptoms of anxiety and depression were related to mental health and symptoms of anxiety were related to bodily pain and emotional role limitations. Attachment and social integration were associated with vitality and social functioning. Discussion. To improve the situation, more attention should be paid to the residents’ suffering related to anxiety, depression and psychosocial relations.

show abstract

“…Among older people living in the community, depression is an independent predictor of both admission to care homes and death. [30][31][32][33] Furthermore, in care home residents, it is an independent predictor of more rapid cognitive decline, 34 increased medical service use 35 and death. 18,27 For people with dementia living in care homes, depressive symptoms are the most important single influence on their quality of life.…”

Section: Depression In Care Home Residentsmentioning

confidence: 99%

“…36 In care homes, the likelihood of persistence of depression has been shown to be between 45% 18 and 63%. 35 Depression is therefore an important target for interventions within care homes.…”

Section: Depression In Care Home Residentsmentioning

confidence: 99%

Exercise for depression in care home residents: a randomised controlled trial with cost-effectiveness analysis (OPERA)

Underwood

Lamb²,

Eldridge³

et al. 2013

Health Technol Assess

View full text Add to dashboard Cite

Reports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 06/02/01. The contractual start date was in February 2008. The draft report began editorial review in January 2012 and was accepted for publication in July 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health.

show abstract

The impact of depression and anxiety on well being, disability and use of health care services in nursing home patients

Abstract: Presence of depression and/or anxiety has a statistically and clinically significant negative impact on well being, but not on disability. Future studies should focus on interventions for improving the detection, diagnosis and treatment of depression and/or anxiety in the nursing home.

Cited by 98 publications

References 25 publications

Screening for depression and assessing change in severity of depression. Is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?

Screening for depression and assessing change in severity of depression. Is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?

Suffering and mental health among older people living in nursing homes - a mixed-methods study

Exercise for depression in care home residents: a randomised controlled trial with cost-effectiveness analysis (OPERA)

Contact Info

Product

Resources

About