+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Prevalence of depressive symptoms and associated factors in elderly primary care patients: a descriptive study



Prevalence of depressive symptoms and associated factors in elderly primary care patients: a descriptive study



Primary Care Companion to the Journal of Clinical Psychiatry 10(6): 462-468



Depressive symptoms are common in older adults. A majority will be seen in primary care. The aim was to study the prevalence of and to explore factors associated with depressive symptoms in elderly primary care patients. In consecutive patients aged 60 years and older attending a Swedish primary care center between February and December of 2003, depressive symptoms were identified as ≥ 13 points on the Montgomery-Asberg Depression Rating Scale-Self-Rated version (MADRS-S). Somatic symptoms measured according to PRIME-MD, age, socioeconomic status, gender, somatic diagnoses, and medication were analyzed in relation to presence of depressive symptoms. Forty-six of 302 patients (15%) rated themselves in the depressed range. There were no differences between depressed and nondepressed patients concerning socioeconomic status, other illnesses, or medication except for use of sedatives/hypnotics being more common (OR = 2.7, 95% CI = 1.3 to 5.6) in depressed patients. Patients in the group scoring ≥ 13 on the MADRS-S were more likely to have become widowed during the last year (OR = 6.0, 95% CI = 1.7 to 20.8) or to have indicated significant life events (OR = 4.3, 95% CI = 2.0 to 9.0), but were less likely to report having leisure time activities (OR = 0.2, 95% CI = 0.08 to 0.41) or perception of good health (OR = 0.1, 95% CI = 0.05 to 0.3). Patients being treated for depression did not have increased depression scores (OR = 1.4, 95% CI = 0.66 to 3.1). In a group of unselected primary care elderly patients, the prevalence of depressive symptoms was high. Use of sedatives/hypnotics was remarkably common in patients with depressive symptoms. Patients with ongoing treatment of depression did not have increased depression scores, indicating the good prognosis for treated depression in the elderly.

(PDF emailed within 1 workday: $29.90)

Accession: 055157038

Download citation: RISBibTeXText

PMID: 19287556


Related references

Prevalence of depressive symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community: a cross-sectional study. Community Mental Health Journal 43(6): 583-590, 2007

Prevalence of depressive symptoms and depressive disorder in primary care patients over 65 years of age. Family Practice 11(1): 80-84, 1994

Prevalence of depressive symptoms in elderly cancer patients receiving chemotherapy and influencing factors. Psychogeriatrics 18(5): 365-370, 2018

Depressive symptoms among the elderly in São Paulo city, Brazil: prevalence and associated factors (SABE Study). Revista Brasileira de Epidemiologia 21suppl 02(Suppl 02): E180014, 2019

Depressive symptoms in elderly patients after a somatic illness event: prevalence, persistence, and risk factors. Psychosomatics 47(1): 33-42, 2005

Age- and gender-specific prevalence and risk factors for depressive symptoms in the elderly: a population-based study. International Psychogeriatrics 23(8): 1294-1300, 2012

Depression in primary care. 1: elderly patients' disclosure of depressive symptoms to their doctors. International Psychogeriatrics 13(3): 359-365, 2002

Mild cognitive impairment and depressive symptoms in elderly patients with diabetes: prevalence, risk factors, and comorbidity. Journal of Diabetes Research 2014: 179648, 2015

Prevalence of depressive symptoms and mood disorders in primary care: a Spanish rural study. International Journal of Social Psychiatry 45(3): 180-189, 1999

Depressive symptoms and six-year mortality in elderly primary care patients with impaired systolic function. European Journal of Cardiovascular Nursing 6: S5-S6, 2007

Prevalence of adherence to treatment in homebound elderly people in primary health care: a descriptive, cross-sectional, multicentre study. Drugs and Aging 27(8): 641-651, 2010

Depressive symptoms in the elderly. Prevalence and associated factors. Gaceta Sanitaria 21(1): 37-42, 2007

Depressive symptoms and psychiatric distress in low income Asian and Latino primary care patients: prevalence and recognition. Community Mental Health Journal 39(1): 33-46, 2003

Prevalence, characteristics, and attribution of somatic symptoms in Spanish patients with major depressive disorder seeking primary health care. Psychosomatics 49(6): 520-529, 2009

Prevalence and risk factors of depressive symptoms in a Canadian palliative home care population: a cross-sectional study. Bmc Palliative Care 13(1): 10, 2014