期刊论文详细信息
BMC Geriatrics
A preliminary study of aged care facility staff indicates limitations in awareness of the link between depression and physical morbidity
Ian B Hickie4  Georgina M Luscombe2  Sharon L Naismith3  Joanna Atkins1 
[1] Brain & Mind Research Institute, University of Sydney, 94 Mallett Street, Camperdown, NSW, 2050, Australia;Department of Obstetrics & Gynaecology, Sydney Medical School, University of Sydney, Sydney, Australia;Clinical Research Unit, Brain & Mind Research Institute, University of Sydney, Sydney, Australia;Brain & Mind Research Institute, University of Sydney, Sydney, Australia
关键词: Physical illness;    Depression;    Elderly;   
Others  :  857809
DOI  :  10.1186/1471-2318-13-30
 received in 2012-07-19, accepted in 2013-03-28,  发布年份 2013
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【 摘 要 】

Background

It is important to understand the complex inter-relationship between depression and physical illness in order to plan and provide quality health care services for older persons and reduce suffering and early mortality. This study assessed the awareness and knowledge of age-care staff of the link between physical morbidity and depression.

Methods

One hundred and nineteen staff from both residential (high and low care) and community aged care facilities were surveyed on their awareness and knowledge of the relationship between physical morbidity and symptoms of depression. Predictors of levels of knowledge were assessed using multiple regression analysis.

Results

Awareness of the link between physical morbidity and symptoms of depression was generally high. However, while nearly eighty percent of respondents said they had had training in mental health, they were only able to answer an average of six out of ten of the knowledge questions correctly. Predictors of knowledge were: higher age, higher educational status and working in a high care facility.

Conclusions

Responses to the survey questions demonstrated gaps in knowledge about the relationship between depression and physical health. The need for regular ongoing training to improve knowledge and awareness of this relationship is indicated. Treatment of physical health issues which is essential in reducing the risk for depression in older persons in aged care environments could be optimized by improved staff training.

【 授权许可】

   
2013 Atkins et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Chapman DP, Perry GS, Strine TW: The vital link between chronic disease and depressive disorders. Prev Chronic Dis 2005, 2:A14.
  • [2]Australian, Bureau of Statistics: Australian Social Trends, 2006: Older people in cared accommodation. Canberra: Australian Bureau of Statistics; 2006.
  • [3]Fleming R: Challenging Depression in the elderly: making a determined start. Sydney: University of Sydney; 2003.
  • [4]Beekman AT, Deeg DJ, van Tilburg T, Smit JH, Hooijer C, van Tilburg W: Major and minor depression in later life: a study of prevalence and risk factors. J Affect Disord 1995, 36:65-75.
  • [5]Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ: Does growing old increase the risk for depression? Am J Psychiatry 1997, 154:1384-1390.
  • [6]Zheng D, Macera CA, Croft JB, Giles WH, Davis D, Scott WK: Major depression and all-cause mortality among white adults in the United States. Ann Epidemiol 1997, 7:213-218.
  • [7]Wild B, Herzog W, Schellberg D: Association between the prevalence of depression and age in a large representative German sample of people aged 53 to 80 years. Int J Geriatr Psychiatry 2011, 27:375-381.
  • [8]Gurland B: The impact of depression on quality of life of the elderly. Clin Geriatr Med 1992, 8:377-386.
  • [9]Gunn JM, Ayton DR, Densley K: The association between chronic illness, multimorbidity and depressive symptoms in an Australian primary care cohort. Soc Psychiatry Psychiatr Epidemiol 2012, 47:175-184.
  • [10]Celano CM, Huffman JC: Depression and cardiac disease: a review. Cardiol Rev 2011, 19:130-142.
  • [11]Pan A, Sun Q, Okereke OI: Depression and risk of stroke morbidity and mortality: a meta-analysis and systematic review. JAMA 2011, 306:1241-1249.
  • [12]Pratt LA, Ford DE, Crum RM, Armenian HK, Gallo JJ, Eaton WW: Depression, psychotropic medication, and risk of myocardial infarction. Prospective data from the Baltimore ECA follow-up. Circulation 1996, 94:3123-3129.
  • [13]Bair MJ, Robinson RL, Katon W: Depression and pain comorbidity: a literature review. Arch Intern Med 2003, 163:2433-2445.
  • [14]Druss BG, Bradford WD, Rosenheck RA, Radford MJ, Krumholz HM: Quality of medical care and excess mortality in older patients with mental disorders. Arch Gen Psychiatry 2001, 58:565-572.
  • [15]Stubbs B, Zapata-Bravo E, Haw C: Screening for osteoporosis: a survey of older psychiatric inpatients at a tertiary referral centre. Int Psychogeriatr 2009, 21:180-186.
  • [16]Blair EW, Szarek BL, Azhar N: Survey of osteoporosis in an inpatient geriatric psychiatric setting: a pilot study. Issues Ment Health Nurs 2010, 31:403-407.
  • [17]Atlantis E, Browning C, Sims J: Diabetes incidence associated with depression and antidepressants in the Melbourne Longitudinal Studies on Healthy Ageing (MELSHA). Int J Geriatr Psychiatry 2010, 25:688-696.
  • [18]Pfaff JJ, Draper BM, Pirkis JE: Medical morbidity and severity of depression in a large primary care sample of older Australians: the DEPS-GP project. Med J Aust 2009, 190:S75-S80.
  • [19]Chang-Quan H, Xue-Mei Z, Bi-Rong D: Health status and risk for depression among the elderly: a meta-analysis of published literature. Age Ageing 2010, 39:23-30.
  • [20]Eisses A, Kluiter H, Jongenelis K, Pot A, Beekman A, Ormel J: Risk indicators of depression in residential homes. Int J Geriatr Psychiatry 2004, 19:634-640.
  • [21]Penninx BW, Leveille S, Ferrucci L, van Eijk JT, Guralnik JM: Exploring the effect of depression on physical disability: longitudinal evidence from the established populations for epidemiologic studies of the elderly. Am J Public Health 1999, 89:1346-1352.
  • [22]Callahan CM, Wolinsky FD, Stump TE, Nienaber NA, Hui SL, Tierney WM: Mortality, symptoms, and functional impairment in late-life depression. J Gen Intern Med 1998, 13:746-752.
  • [23]Spiegel D, Giese-Davis J: Depression and cancer: mechanisms and disease progression. Biol Psychiatry 2003, 54:269-282.
  • [24]Meyer HA, Sinnott C, Seed PT: Depressive symptoms in advanced cancer. Part 2. Depression over time; the role of the palliative care professional. Palliat Med 2003, 17:604-607.
  • [25]Ramasubbu R, Patten SB: Effect of depression on stroke morbidity and mortality. Can J Psychiatry 2003, 48:250-257.
  • [26]Goldney RD, Ruffin R, Fisher LJ: Asthma symptoms associated with depression and lower quality of life: a population survey. Med J Aust 2003, 178:437-441.
  • [27]Peyrot M, Rubin RR: Levels and risks of depression and anxiety symptomatology among diabetic adults. Diabetes Care 1997, 20:585-590.
  • [28]Romanelli J, Fauerbach JA, Bush DE: The significance of depression in older patients after myocardial infarction. J Am Geriatr Soc 2002, 50:817-822.
  • [29]Kimura M, Robinson RG, Kosier JT: Treatment of cognitive impairment after poststroke depression: a double-blind treatment trial. Stroke 2000, 31:1482-1486.
  • [30]Jorge RE, Robinson RG, Arndt S: Mortality and poststroke depression: a placebo-controlled trial of antidepressants. Am J Psychiatry 2003, 160:1823-1829.
  • [31]Milani RV, Lavie CJ: Prevalence and effects of cardiac rehabilitation on depression in the elderly with coronary heart disease. Am J Cardiol 1998, 81:1233-1236.
  • [32]Barlow JH, Turner AP, Wright CC: A randomized controlled study of the Arthritis Self-Management Programme in the UK. Health Educ Res 2000, 15:665-680.
  • [33]Lin EH, Katon W, Von Korff M: Effect of improving depression care on pain and functional outcomes among older adults with arthritis: a randomized controlled trial. JAMA 2003, 290:2428-2429.
  • [34]Williams JW Jr, Katon W, Lin EH: The effectiveness of depression care management on diabetes-related outcomes in older patients. Ann Intern Med 2004, 140:1015-1024.
  • [35]Liu SI, Lu RB, Lee MB: Non-psychiatric physicians’ knowledge, attitudes and behavior toward depression. J Formos Med Assoc 2008, 107:921-931.
  • [36]Meredith LS, Rubenstein LV, Rost K: Treating depression in staff-model versus network-model managed care organizations. J Gen Intern Med 1999, 14:39-48.
  • [37]Gallo JJ, Meredith LS, Gonzales J: Do family physicians and internists differ in knowledge, attitudes, and self-reported approaches for depression? Int J Psychiatry Med 2002, 32:1-20.
  • [38]Shao WA, Williams JW Jr, Lee S, Badgett RG, Aaronson B, Cornell JE: Knowledge and attitudes about depression among non-generalists and generalists. J Fam Pract 1997, 44:161-168.
  • [39]Karantzas G, Davison T, McCabe M, Mellor D, Beaton P: Measuring carers’ knowledge of depression in aged care settings: The Knowledge of Late Life Depression Scale - Revised. J Affect Disord 2012, 138:417-424.
  • [40]McCabe MP, Russo S, Mellor D: Effectiveness of a training program for carers to recognize depression among older people. Int J Geriatr Psychiatry 2008, 23:1290-1296.
  • [41]McCabe MP, Davison T, Mellor D, George K: Knowledge and skills of professional carers working with older people with depression. Aging Ment Health 2008, 12:228-235.
  • [42]Blumenfield M, Suojanen J, Weiss C: Public awareness about the connection between depression and physical health: specifically heart disease. Psychiatric Quarterly 2012, 83:259-269.
  • [43]Flynn D, Schaik P, van Wersch A: A comparison of multi-item Likert and visual analogue scales for the assessment of transactionally defined coping function. Eur J Psychol Assess 2004, 20:49-58.
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