✦ LIBER ✦

Incidence, prevalence, and outcomes of depression in residents of a long-term care facility with dementia

✍ Scribed by Jennifer L. Payne; Jeannie-Marie E. Sheppard; Martin Steinberg; Andrew Warren; Alva Baker; Cynthia Steele; Jason Brandt; Constantine G. Lyketsos

Publisher: John Wiley and Sons
Year: 2002
Tongue: English
Weight: 72 KB
Volume: 17
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.589

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background

The course of depression in residents of long‐term care with dementia is not well studied.

Objectives

To estimate the incidence, prevalence, and outcomes of depression in long‐term care residents with dementia.

Method

201 residents of Copper Ridge, a long‐term care facility for the memory impaired, were followed every six months during the first year after their admission.

Results

On admission 19.9% of the residents had depression, the majority (75%) occurring in persons with a prior history of depression. At six months, only 15% of the original 40 depressed patients were still depressed, while at twelve months only 7.5% were depressed. The incidence of depression at six and twelve months was 1.8% and 6.4% respectively. Most persons with new depression at six months were no longer depressed at one year. The annual attack rate (cumulative likelihood of depression over one year) for the total population was 26.4%. The rates for the subgroup of Alzheimer's were similar to the rates of the total population, except for an annual attack rate of 17.5%, reflecting a lower rate of depression on admission. The decline in depression over the year after admission is noteworthy and likely reflects appropriate diagnosis and treatment of depression.

Conclusions

These results indicate that, over the course of one year, depression afflicts a considerable proportion of long‐term care residents with dementia. Admission to a long‐term care facility may actually result in a reduction of depression within the year after admission in part due to rapid recognition, appropriate diagnosis and treatment. Copyright © 2002 John Wiley & Sons, Ltd.

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