OBJECTIVE: Studies in primary care settings have shown that depression is often chronic and associated with negative outcomes among patients with medical illness. The stability of depression among home care recipients has not been investigated. The authors examined the 1-month stability of major depression in a representative sample of elderly adults shortly after their admission to home care. METHODS: A group of 539 subjects over age 65, newly admitted to home care for skilled nursing, were interviewed with the Structured Clinical Interview for DSM-IV (SCID-IV). Depression severity, medical comorbidity, pain, functional status, cognitive status, and recent life events were also assessed. Of 84 subjects who met criteria for major depression (MDD) at baseline, 74 were available for 1-month follow-up interview. RESULTS: At 1-month follow-up, 31 subjects (42%) continued to meet MDD criteria; 20 (27%) achieved partial remission; and 23 (31%) were in full remission. Fewer instrumental activity limitations at baseline, experiencing "a great deal" of pain, and absence of a recent stressful life event were associated with full remission at 1-month follow-up. CONCLUSION: Nearly one-half of newly admitted elderly home care patients who meet criteria for MDD continue to meet full criteria 1 month later. Functional and psychosocial factors affect the short-term course.
OBJECTIVE: Studies in primary care settings have shown that depression is often chronic and associated with negative outcomes among patients with medical illness. The stability of depression among home care recipients has not been investigated. The authors examined the 1-month stability of major depression in a representative sample of elderly adults shortly after their admission to home care. METHODS: A group of 539 subjects over age 65, newly admitted to home care for skilled nursing, were interviewed with the Structured Clinical Interview for DSM-IV (SCID-IV). Depression severity, medical comorbidity, pain, functional status, cognitive status, and recent life events were also assessed. Of 84 subjects who met criteria for major depression (MDD) at baseline, 74 were available for 1-month follow-up interview. RESULTS: At 1-month follow-up, 31 subjects (42%) continued to meet MDD criteria; 20 (27%) achieved partial remission; and 23 (31%) were in full remission. Fewer instrumental activity limitations at baseline, experiencing "a great deal" of pain, and absence of a recent stressful life event were associated with full remission at 1-month follow-up. CONCLUSION: Nearly one-half of newly admitted elderly home care patients who meet criteria for MDD continue to meet full criteria 1 month later. Functional and psychosocial factors affect the short-term course.
Authors: Namkee G Choi; Mark T Hegel; Mary Lynn Marinucci; Leslie Sirrianni; Martha L Bruce Journal: Int J Geriatr Psychiatry Date: 2011-06-02 Impact factor: 3.485
Authors: Martha L Bruce; Thomas Sheeran; Patrick J Raue; Catherine F Reilly; Rebecca L Greenberg; Judith C Pomerantz; Barnett S Meyers; Mark I Weinberger; Christine L Johnston Journal: Home Healthc Nurse Date: 2011 Jul-Aug
Authors: Martha L Bruce; Patrick J Raue; Catherine F Reilly; Rebecca L Greenberg; Barnett S Meyers; Samprit Banerjee; Yolonda R Pickett; Thomas F Sheeran; Angela Ghesquiere; Diane M Zukowski; Vianca H Rosas; Jeanne McLaughlin; Lori Pledger; Joan Doyle; Pamela Joachim; Andrew C Leon Journal: JAMA Intern Med Date: 2015-01 Impact factor: 21.873
Authors: Suzanne Meeks; Kimberly Van Haitsma; Ben Schoenbachler; Stephen W Looney Journal: J Gerontol B Psychol Sci Soc Sci Date: 2014-04-01 Impact factor: 4.077