Background: depression is the most frequent affective disorder in the elderly and deeper knowledge of this disorder would seem to be required. The aims of the present study were twofold: firstly, to quantify the presence of depressive manifestations and secondly, to evaluate the factors associated with depression in 2 settings: a hospice and a home care programme. Patients and method: we performed a cross sectional study. Depressive manifestations were assessed using the Geriatric Depression Scale. Cognitive and physical function, co-morbidity and sociodemographic variables were also evaluated. Results: when moderate and severe symptoms were combined, the presence of depressive manifestations affected 60.3% of institutionalised patients and 77.5% of those who received home care. In patients admitted to the hospice, cognitive failure, functional dependance, comorbidity and years of education were associated with the presence of depressive manifestations. In patients attended by the home care team, the only associated factor was cognitive failure. Conclusions: the presence of depressive manifestations in institutionalised patients found in the present study is similar to that found in other studies. Because of the special characteristics of patients receiving home care, no comparable studies exist.
|Journal||Revista Espanola de Geriatria y Gerontologia|
|Publication status||Published - 1 Jan 2004|
- Depressive disorder
- Risk factors
- The elderly