Introduction: As Earth’s population is rapidly aging, the question of how best to care for its older adults suffering from psychiatric disorders is becoming a constant and growing preoccupation. Depression is one of the most common psychiatric disorders among older adults, and depressed nursing home residents are at a particularly high risk of a decreased quality of life. The complex requirements of supporting and caring for depressed older adults in nursing homes demand the development and implementation of innovative clinical and organizational models that can ensure early identification of the disorder and high-quality multidisciplinary services for dealing with it. This perspective article aims to provide an overview of the literature and the state of the art of and the urgent need for research on the epidemiology and clinical treatment of depression among older adults. Method: In collaboration with a medical librarian, we conducted literature and bibliometric reviews of published articles in Medline Ovid SP from inception until September 30, 2020, to identify studies related to depression, depressive symptoms, mood disorders, dementia, cognitive disorders, and health complications in long-term care facilities and nursing homes. Results: We had 38,777 and 40,277 hits for depression and dementia, respectively, in long-term care facilities or nursing homes. The search equation found 536 and 1,447 studies exploring depression and dementia, respectively, and their related health complications in long-term care facilities or nursing homes. Conclusion: Depression’s relationships with other health complications have been poorly studied in long-term care facilities and nursing homes. More research is needed to understand them better.
Dement Geriatr Cogn Disord Extra 2021;11:38–44

中文翻译：

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抑郁症长期护理机构居民被遗忘的精神病理学：呼吁循证实践

介绍：随着地球人口迅速老龄化，如何最好地照顾患有精神疾病的老年人的问题正在成为一个持续且日益增长的当务之急。抑郁症是老年人中最常见的精神疾病之一，抑郁的疗养院居民生活质量下降的风险特别高。在疗养院支持和照顾抑郁老年人的复杂要求要求开发和实施创新的临床和组织模式，以确保及早发现疾病并提供高质量的多学科服务来处理它。方法：我们与一名医学图书馆员合作，对 Medline Ovid SP 上发表的文章进行了文献和文献计量回顾，从开始到 2020 年 9 月 30 日，以确定与抑郁症、抑郁症状、情绪障碍、痴呆、认知障碍和健康相关的研究长期护理设施和疗养院的并发症。结果：在长期护理机构或疗养院，我们分别有 38,777 和 40,277 次抑郁症和痴呆症。搜索方程分别发现了 536 项和 1,447 项研究，分别探讨了长期护理机构或疗养院中的抑郁症和痴呆症及其相关的健康并发症。结论：抑郁症与其他健康并发症的关系在长期护理机构和疗养院中的研究很少。需要更多的研究来更好地理解它们。
Dement Geriatr Cogn Disord Extra 2021；11：38–44