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A Cross-Sectoral Comparison of Prevalence and Predictors of Symptoms of Depression Over Time Among Older Adults in Ontario, Canada
Journal of Geriatric Psychiatry and Neurology ( IF 2.6 ) Pub Date : 2020-03-05 , DOI: 10.1177/0891988720901790
Eva Neufeld 1 , Shannon Freeman 2 , Lina Spirgiene 3 , Urszula Horwath 4
Affiliation  

Objectives:

Late-life depression, a common mental health issue, poses a significant burden of illness globally. We investigated factors associated with symptoms of depression among older adults across 3 health sectors in Ontario, Canada.

Method:

Electronic health assessment data on older adults aged 60 years+ in home care (HC; N = 359 217), long-term care (LTC; N = 125 496), and palliative care (PC; N = 29 934) were examined. Change in symptoms of depression, measured using the interRAI Depression Rating Scale (DRS), over time was examined, including predictors of the development of depression.

Results:

At baseline, symptoms of depression were observed in 19.1% (HC), 24.2% (LTC), and 11.9% (PC). This increased to 20.6% (HC), 33.8% (LTC), and 13.2% (PC) at follow-up. For most older adults, DRS scores remained the same across sectors over time. Three independent variables emerged consistently across sectors as the main risk and protective factors for symptoms of depression.

Conclusion:

Although variations in the risk and protective factors for late-life depression were demonstrated across each sector, some commonalities emerged including unmanaged pain, symptoms of depression at baseline, social connectedness, and activity.



中文翻译:

加拿大安大略省老年人随时间推移抑郁症状的患病率和预测因素的跨行业比较

目标:

晚年抑郁症是一种常见的心理健康问题,在全球范围内构成了巨大的疾病负担。我们调查了加拿大安大略省3个卫生部门与老年人抑郁症状相关的因素。

方法:

检查了60岁以上老年人在家中护理(HC; N = 359 217),长期护理(LTC; N = 125496)和姑息护理(PC; N = 29934)的电子健康评估数据。研究了使用interRAI抑郁评分量表(DRS)测量的抑郁症状随时间的变化,包括抑郁发展的预测指标。

结果:

基线时,抑郁症状的发生率分别为19.1%(HC),24.2%(LTC)和11.9%(PC)。随访时增加到20.6%(HC),33.8%(LTC)和13.2%(PC)。对于大多数老年人,随着时间的推移,各个部门的DRS得分保持不变。三个独立变量作为抑郁症症状的主要危险因素和保护因素在各个部门不断出现。

结论:

尽管在每个部门都证明了晚期抑郁症的风险和保护因素存在差异,但仍出现了一些共同点,包括未控制的疼痛,基线时的抑郁症症状,社交联系和活动。

更新日期:2020-04-21
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