Clarissa Giebel1, Caroline Sutcliffe1, Hilde Verbeek2, Adelaida Zabalegui3, Maria Soto4, Ingalill Rahm Hallberg5, Kai Saks6, Anna Renom-Guiteras7, Riitta Suhonen8, David Challis1. 1. Personal Social Services Research Unit,The University of Manchester,Manchester,UK. 2. Department of Health Services Research,Maastricht University,Maastricht,the Netherlands. 3. Hospital Clinic of Barcelona,Nursing,Barcelona,Spain. 4. Department of Geriatric Medicine,Gerontopole,INSERM 1027,University Hospital de Toulouse,Toulouse,France. 5. Department of Health Sciences,Lund University,Lund,Sweden. 6. Department of Internal Medicine,University of Tartu,Tartu,Estonia. 7. School of Nursing Science,Faculty of Health,University of Witten/Herdecke,Germany. 8. Department of Nursing Science,University of Turku,Turku,Finland.
Abstract
BACKGROUND: This study forms part of a larger European programme investigating the transition from home care to long-term care (LTC) facility in people with dementia (PwD) at the margins of LTC. The aim of this study was to explore the factors associated with depressive symptomatology in PwD in different settings. METHODS: A total of 1,538 PwD, of which 957 received home care and 581 lived in a LTC facility, and their carers were interviewed. The Cornell Scale for Depression in Dementia (CSDD) measured depressive symptomatology. PwD completed measures of cognition and quality of life (QoL), and informal or formal carers completed measures on the PwD' QoL, neuropsychiatric behavior, activities of daily living, comorbidities, pain, and falls. Logistic regression was used to assess which factors contributed to depressive symptomatology in the two settings. RESULTS: Those receiving home care, living in Germany, and with severe dementia, showed the highest prevalence of depressive symptomatology. In the home care group, high levels of pain, neuropsychiatric behavior, and comorbidity, as well as low self- and proxy-rated QoL were factors associated with depressive symptomatology. In the LTC group, low proxy-rated QoL, more severe neuropsychiatric behavior, being a male informal carer and living in Germany were associated with depressive symptomatology. CONCLUSIONS: Evidence highlights the need for targeting different aspects in the management of depression in dementia, including offering improved pain management for those living in the community. Further research needs to explore cultural variations and carer gender factors associated with higher levels of depressive symptomatology.
BACKGROUND: This study forms part of a larger European programme investigating the transition from home care to long-term care (LTC) facility in people with dementia (PwD) at the margins of LTC. The aim of this study was to explore the factors associated with depressive symptomatology in PwD in different settings. METHODS: A total of 1,538 PwD, of which 957 received home care and 581 lived in a LTC facility, and their carers were interviewed. The Cornell Scale for Depression in Dementia (CSDD) measured depressive symptomatology. PwD completed measures of cognition and quality of life (QoL), and informal or formal carers completed measures on the PwD' QoL, neuropsychiatric behavior, activities of daily living, comorbidities, pain, and falls. Logistic regression was used to assess which factors contributed to depressive symptomatology in the two settings. RESULTS: Those receiving home care, living in Germany, and with severe dementia, showed the highest prevalence of depressive symptomatology. In the home care group, high levels of pain, neuropsychiatric behavior, and comorbidity, as well as low self- and proxy-rated QoL were factors associated with depressive symptomatology. In the LTC group, low proxy-rated QoL, more severe neuropsychiatric behavior, being a male informal carer and living in Germany were associated with depressive symptomatology. CONCLUSIONS: Evidence highlights the need for targeting different aspects in the management of depression in dementia, including offering improved pain management for those living in the community. Further research needs to explore cultural variations and carer gender factors associated with higher levels of depressive symptomatology.
Entities:
Keywords:
dementia; depression; home care; long-term care; neuropsychiatric behavior; pain
Authors: Norma B Coe; R Tamara Konetzka; Melissa Berkowitz; Emily Blecker; Courtney H Van Houtven Journal: Annu Rev Public Health Date: 2021-01-04 Impact factor: 21.981
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