ArticleJournal of the American Geriatrics Society2011
No longer undertreated? Depression diagnosis and antidepressant therapy in elderly long-stay nursing home residents, 1999 to 2007.
Article in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Treatment of depression in nursing home residents without significant cognitive impairment: a systematic review.International psychogeriatrics · 2017Pooled it
- Effects of a smartphone-based videoconferencing program for older nursing home residents on depression, loneliness, and quality of life: a quasi-experimental study.BMC geriatrics · 2020Trial
- Treatment fidelity evidence for BE-ACTIV - a behavioral intervention for depression in nursing homes.Aging & mental health · 2019Trial
- BE-ACTIV for depression in nursing homes: primary outcomes of a randomized clinical trial.The journals of gerontology. Series B, Psychological sciences and social sciences · 2015Trial
- Associations between government-supported institutional long-term care and health outcomes among socioeconomically disadvantaged older adults in China.International journal for equity in health · 2026Article
- Cognitive, physical and emotional determinants of activities of daily living in nursing home residents-a cross-sectional study within the PROCARE-project.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023Article
- Changes in clinical manifestation of fibromyalgia syndromes after Alzheimer's disease diagnosis.Proceedings (Baylor University. Medical Center) · 2021Article
- Adequacy of Prescription Drug Coverage in Long-term Care.Medical care · 2020Article
- Nursing Home Star Ratings and New Onset of Depression in Long-Stay Nursing Home Residents.Journal of the American Medical Directors Association · 2019Article
- Antidepressants in nursing homes for dependent older patients: the cross-sectional associations of institutional factors with prescription conformance.European geriatric medicine · 2019Article
- A retrospective comparison of inappropriate prescribing of psychotropics in three Norwegian nursing homes in 2000 and 2016 with prescribing quality indicators.BMC medical informatics and decision making · 2019Article
- Depression, Anxiety, and Pain among Newly Admitted Nursing Home Residents.The journal of nursing home research sciences · 2019Article
- Persistent use of psychotropic drugs in nursing home residents in Norway.BMC geriatrics · 2017Article
- Non-tricyclic and Non-selective Serotonin Reuptake Inhibitor Antidepressants and Recurrent Falls in Frail Older Women.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016Article
- Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016Review
- Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care.Medical care · 2015Article
- Elderly care recipients' perceptions of treatment helpfulness for depression and the relationship with help-seeking.Clinical interventions in aging · 2015Article
- Depression training in nursing homes: lessons learned from a pilot study.Issues in mental health nursing · 2013Article
- Physicians' detection of late-life depression: the roles of dysphoria and cognitive impairment.Aging & mental health · 2013Article
- The use of antidepressants in Belgian nursing homes: focus on indications and dosages in the PHEBE study.Drugs & aging · 2012Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo examine the evolution of depression identification and use of antidepressants in elderly long-stay nursing home residents from 1999 through 2007 and the associated sociodemographic and facility characteristics.
designAnnual cross-sectional analysis of merged resident assessment data from the Minimum Data Set (MDS) and facility characteristics from the Online Survey Certification and Reporting data.
settingNursing homes in eight states (5,445 facilities).
participantsLong-stay nursing home residents aged 65 and older (2,564,687 assessments). MEASUREMENTS: Physician-documented depression diagnoses recorded in the MDS were used to identify residents with depression; antidepressant use was measured using MDS information about residents' receipt of an antidepressant in the 7 days before assessment.
resultsDiagnosis of depression and antidepressant therapy in residents diagnosed increased at a rapid rate. By 2007, 51.8% of residents were diagnosed with depression, 82.8% of whom received an antidepressant. Adjusted odds of treatment were higher for younger residents, whites, and those with moderate impairment of cognitive function.
conclusionThis study demonstrates striking increases in depression diagnosis and treatment with antidepressant medications, but disparities persist without clear evidence about underlying mechanisms. More research is needed to assess effectiveness of antidepressant prescribing.
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