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Adelaide Research and Scholarship
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Schools and Disciplines
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School of Population Health & Clinical Practice
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Public Health
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Public Health Publications
Permanent link to this item:
http://hdl.handle.net/2440/52092
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| Type: | Article |
| Title: | Factors associated with persistent risk of depression in older people following discharge from an acute cardiac unit |
| Author: | Hammond, Angela Jane
Yu, S.
Esa, Kamaruzzaman B.
Jabbour, J.
Wakefield, L.
Ryan, Philip
Visvanathan, Renuka |
| Citation: | International Psychogeriatrics, 2008; 20 (4):738-751 |
| Publisher: | Cambridge University Press |
| Issue Date: | 2008 |
| ISSN: | 1041-6102 |
| School/Discipline: | School of Population Health and Clinical Practice : Public Health |
Statement of
Responsibility: | A. J. Hammond, S. Yu, K. Esa, J. Jabbour, L. Wakefield, P. Ryan and R. Visvanathan |
| Abstract: | Background: This longitudinal study aims to describe the prevalence and characteristics associated with persistent risk of depression in a group of older, hospitalized patients.
Methods: We examined patients at two time-points: baseline and one month post-discharge from hospital. Patients in this study comprised those who had been admitted to the cardiology unit, with no cognitive impairment, aged 60 years and over, and those who were followed up at both time points (N=155). Questionnaires administered included risk of depression (Geriatric
Depression Scale-15; GDS-15), cognitive impairment (Mini-mental State Examination), social support (7-Item Subjective Social Support Index), co-morbidity (Charlson’s Comorbidity Index), sociodemographic variables, physical functioning (Modified Barthel’s Index) and clinical variables.
Results: The prevalence of risk of depression (GDS-15 score ≥ 5) among older inpatients at baseline was 34%. At one month post-discharge this had fallen to 17% and this group was identified as those at persistent risk of depression. Factors associated with a risk of persistent depression were: hospitalization
within the last six months; length of stay of four days ormore; discharge diagnosis of angina; and impaired Subjective Social Support Score.
Conclusion: Depression occurs commonly among older hospitalized patients and may resolve spontaneously. The identification of factors associated with persistent risk of depression can be helpful when looking at which patients may
benefit most from screening and treatment for depression after discharge. |
| Keywords: | aged; depression; risk factors; hospitalization |
| Description: | Copyright © 2008 International Psychogeriatric Association |
| RMID: | 0020082732 |
| DOI: | 10.1017/S1041610208007138 |
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| Appears in Collections: | Public Health Publications
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