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    Prevalence, Patterns, and Predictors of Depression Treatment among Community-Dwelling Elderly Individuals with Dementia in the United States

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    final2.dementia.deprn.pdf
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    Author
    Bhattacharjee, Sandipan
    Oh, Yeum Mok
    Reiman, Eric M
    Burke, William J
    Affiliation
    Univ Arizona, Coll Pharm, Dept Pharm Practice & Sci
    Univ Arizona, Coll Med, Dept Psychiat
    Issue Date
    2017-07-01
    Keywords
    Dementia
    antidepressants
    depression
    psychotherapy
    
    Metadata
    Show full item record
    Publisher
    ELSEVIER SCIENCE INC
    Citation
    Bhattacharjee, S., Oh, Y. M., Reiman, E. M., & Burke, W. J. (2017). Prevalence, patterns, and predictors of depression treatment among community-dwelling elderly individuals with dementia in the United States. The American Journal of Geriatric Psychiatry, 25(7), 803-813.
    Journal
    AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
    Rights
    Copyright © 2017 American Association for Geriatric Psychiatry.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Objectives: Co-occurring dementia and depression exerts a substantial burden on the elderly. This study utilizes data from a nationally representative cohort of community-dwelling individuals 65 years and older to examine the prevalence, patterns, and predictors of depression treatment among elderly individuals with co-occurring dementia and depression. Design: Retrospective, cross-sectional study. Setting: Multiple years of Medical Expenditure Panel Survey (2002, 2004, 2006, 2008, 2010, and 2012) data. Participants: The study sample consisted of elderly (age >= 65 years) individuals who 1) had dementia, 2) were alive during the calendar year, and 3) had cooccurring depression. Measurements: The dependent variable of this study was depression treatment, identified by antidepressant medication with or without psychotherapy use. Individual level factors associated with depression treatment among elderly individuals with dementia and co-occurring depression were evaluated by conducting multinomial logistic regression. Results: Co-occurring depression prevalence among community-dwelling elderly individuals with dementia was approximately 22%. An overwhelming majority (nearly 88%) of the study sample reported receipt of depression treatment. Antidepressants only and combination therapy (antidepressant with psychotherapy) was reported by 75% and 13%, respectively, of the study sample. Age, race/ethnicity, marital status, limitations of instrumental activities of daily living, perceived mental health status, and pain were significantly associated with the reporting of receipt of depression treatment. Conclusions: An overwhelming majority of the study sample received depression treatment and several subgroup differences (such as in terms of age) existed in terms of reporting the use of depression treatment was observed.
    Note
    12 month embargo; published online: 1 July 2017
    ISSN
    1545-7214
    PubMed ID
    28392190
    DOI
    10.1016/j.jagp.2017.03.003
    Version
    Final accepted manuscript
    Additional Links
    https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1064748117302518?returnurl=null&referrer=null
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jagp.2017.03.003
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