Dark side of the town: Depressive symptoms in disadvantaged senior citizens

June 2010
Journal of Nutrition, Health & Aging;Jun2010, Vol. 14 Issue 6, p483
Academic Journal
Depression is frequently overlooked in older adults. Detection of depressive symptoms (DS) is important in primary care. This study aimed to detect the rate, risk factors and effects of DS in a disadvantaged older population. Descriptive study. Community based rehabilitation centers and Sehzadebasi medical center of Istanbul Metropolitan Municipality (IMM). 1163 Consecutive patients at least 60 years old, and applied to IMM; mostly poor and/or without health insurance. Detailed history and geriatric scales were obtained. Depressive symptoms (DS) were defined as 14 or more points in 30 item Geriatric Depression Scale. Relations of DS and ordinal variables were tested by Chi-square; DS and numeric variables by T-test. Multiple regressions followed. Younger old and women subjects were in majority. The rate of DS was 52%, while 9,1 % have depression diagnosis in their history. After multiple regressions, lack of health insurance was found to be the strongest independent risk factor for DS (p<0,0001). Other variables that remained significant were: Limited mobility, lower Instrumental Activities of Daily Living and Tinetti Balance scores, onset insomnia, nightly awakenings and reported dizziness (p values= 0,008; 0,021; 0,005; 0,022; 0,04 and 0,03 respectively). These results indicate the need for comprehensive geriatric assessment in primary care to detect DS, in addition to negative effect of DS on sleep and independency. Health insurance coverage of the senior citizens also is an important challenge.


Related Articles

  • Requirements for depression, cognitive function screenings. STANTZ, RENEE // Medical Economics;10/10/2012, Vol. 89 Issue 19, p80 

    The article presents questions and answers related to healthcare including ways on how primary care physicians perform screening for mental depression and cognitive functions and the amount that Medicare pay for the G0447 code.

  • Fine-tuning coding for depression.  // Patient Care;Jun2005, Vol. 39 Issue 6, p64 

    Discusses how to code counseling sessions to reimburse for treating depression. Prevalence of patients presenting with clinically significant depressive symptoms to primary care physicians; Examples of expert-approved coding solutions.

  • Improving depression outcomes in community primary care practice: a randomized trial of the quEST intervention. Quality Enhancement by Strategic Teaming. Rost, Kathryn; Nutting, Paul; Smith, Jeffrey; Werner, James; Naihua Duan; Rost, K; Nutting, P; Smith, J; Werner, J; Duan, N // JGIM: Journal of General Internal Medicine;Mar2001, Vol. 16 Issue 3, p143 

    Objective: To determine whether redefining primary care team roles would improve outcomes for patients beginning a new treatment episode for major depression.Design: Following stratification, 6 of 12 practices were randomly assigned to the intervention condition....

  • Depression in primary care: It's prevalent, it's mild, and most is undetected.  // Modern Medicine;Sep94, Vol. 62 Issue 9, p48 

    Presents an abstract of the article entitled `Prevalence, nature, and comorbidity of depressive disorders in primary care,' written by J.C. Coyne, S. Fechner-Bates and T.L. Schwenk which was published in the July 1994 issue of `General Hospital Psychiatry.'

  • Combining Patient-Provided and EHR Data Can Improve Depression Care.  // American Family Physician;11/1/2012, Vol. 86 Issue 9, p804 

    This article discusses a study published in the "Journal of the American Board of Family Medicine" which revealed that gathering data in the primary care clinical setting may help family physicians improve the care they provide for patients with depression.

  • Comparison between self-assessments with MADRS-S and BDI-II instruments in patients with depression in Primary Care. Wikberg, Carl C.; Bj√∂rkelund, Cecilia; Petersson, Eva-Lisa; Nejati, Shabnam; Ariai, Nashmil; Larsson, Maria E. H. // International Journal of Integrated Care (IJIC);Nov2013 Supplement, Vol. 13, p1 

    Purpose: The aim was to study the correspondence between MADRS-S and BDI-II self-assessment tools regarding outcome, among patients with depression within primary care. Theory: Symptoms of depression are common in primary care. A variety of self-assessment instruments are used in primary care in...

  • Managing depression in primary care: it's not only what you do it's the way that you do it. Boardman, Jed; Walters, Paul // British Journal of General Practice;Feb2009, Vol. 59 Issue 559, p76 

    The article introduces a series of articles on the management of depression in primary care in Great Britain.

  • Case-finding instruments may help identify depression in primary care. Williams, J.; Pignone, M.; Ramirez, G.; Stellato, C. // Evidence Based Mental Health;May2003, Vol. 6 Issue 2, p63 

    Examines the effectiveness of case-finding instruments in identifying depression in primary care. Design of the study; Data sources; Study selection; Data extraction; Evidence that there are few differences in sensitivity and specificity between instruments.

  • How PCO waiting times compare.  // Pulse;3/9/2006, Vol. 66 Issue 10, p15 

    A chart is presented which compares primary care organization waiting times for depression assessment and treatment in Great Britain.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics