Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS).

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS). Research Abstract Details 

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Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS). Abstract Text:

Lynn Martin,Jeff W Poss,John P Hirdes,Richard N Jones,Michael J Stones,Brant E Fries,Lynn Martin,Jeff W Poss,John P Hirdes,Richard N Jones,Michael J Stones,Brant E Fries,

BACKGROUND: depression is a major disabling condition among older adults, where it may be under-diagnosed for a number of reasons, including a different presentation for younger people with depression. The Minimum Data Set 2.0 (MDS 2.0) assessment system provides a measurement scale for depression, the Depression Rating Scale (DRS), in addition to other items that may represent depressive phenomenology. OBJECTIVE: the ability of the DRS to predict the presence of new depression diagnoses at follow-up, among hospitalised older adults admitted without depression, is examined. METHODS: the study sample consists of all persons aged 65 years or more admitted between 1996 and 2003 to a complex continuing care (CCC) bed in Ontario without a recorded depression diagnosis. The sample was restricted to those who remained in hospital for about 3 months (n = 7,818) in order to obtain follow-up assessment information. Logistic regression was used to explore the relationship between admission characteristics (i.e. DRS scale items, other MDS 2.0 items related to DSM-IV criteria for depression) and receipt of a depression diagnosis on the follow-up assessment. RESULTS: a new depression diagnosis at follow-up was present in 7.5% of the individuals. The multivariate model predicting depression diagnosis included only the DRS scale, sadness over past roles, and withdrawal from activities. CONCLUSIONS: the DRS score at admission was predictive of receiving a depression diagnosis on a follow-up assessment among older adults admitted to the CCC. Further, the predictive ability of the DRS is only modestly improved by the addition of other items related to DSM-IV criteria.

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS). Publishing Authors By Initials

L Martin,JW Poss,JP Hirdes,RN Jones,MJ Stones,BE Fries,L Martin,JW Poss,JP Hirdes,RN Jones,MJ Stones,BE Fries,

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Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS). Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Age and ageing

VOLUME: 37

Page Numbers: 51-6

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ISSN: 1468-2834

DAY: 21

MONTH: 11

YEAR: 2007

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS). Information

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LANGUAGE: eng

NlmUniqueID: 375655

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AFFILIATION: Health Studies and Gerontology, University of Waterloo, Homewood Health Centre, Homewood Research Institute, Waterloo, Ontario, Canada.

Country: England

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MEDLINETA: Age Ageing

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