ArticleJournal of affective disorders2012
Under-treatment of depression in older persons.
Article in Journal of affective disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.
- Pooled it
- Longitudinal associations of pain and cognitive decline in community-dwelling older adults.Psychology and aging · 2022Trial
- Ten-year antidepressant medication trajectories among people who exit paid work when aged 66-76 years: a population-based cohort study.Social psychiatry and psychiatric epidemiology · 2026Article
- Article
- Temporal depressive symptom networks in older adults during the COVID-19 pandemic.Journal of mood and anxiety disorders · 2025Article
- Vitamin D deficiency, fatigue, and persistent cough as independent predictors of depressive symptoms in sarcoidosis patients.Journal of medical biochemistry · 2025Article
- Use of multicomponent structured exercise to improve depression in older adults: A systematic review and meta-analysis.Journal of exercise science and fitness · 2025Review
- Profiles of physician follow-up care, correlates and outcomes among patients affected by an incident mental disorder.BMC primary care · 2025Observational
- The Effect of Reminiscence Therapy on the Assessment of Depression, Anxiety and Self-Esteem in Community-Dwelling Older Adults: An Intervention Study.International journal of older people nursing · 2025Article
- Negative wealth shocks and subsequent depressive symptoms and trajectories in middle-aged and older adults in the USA, England, China, and Mexico: a population-based, multinational, and longitudinal study.Psychological medicine · 2024Article
- Differences in Depressive Symptom Profile by Age Group in Koreans With Major Depressive Disorder: Results From Nationwide General Population Surveys.Psychiatry investigation · 2024Article
- Research status and global trends of late-life depression from 2004 to 2023: bibliometric analysis.Frontiers in aging neuroscience · 2024Article
- Associations of depressive symptoms with lower extremity function and balance in Korean older adults.Epidemiology and health · 2024Article
- Article
- The development of depressive symptoms in older adults from a network perspective in the English Longitudinal Study of Ageing.Translational psychiatry · 2023Article
- Article
- Major depressive disorder.Nature reviews. Disease primers · 2023Review
- Managing depression in frail older people; too little too late or pathologising loss?Future healthcare journal · 2023Article
- The burden of pre-admission pain, depression, and caregiving on palliative care needs for seriously ill trauma patients.Journal of the American Geriatrics Society · 2023Article
- Clinical profile of trazodone users in a multisetting older population: data from the Italian GeroCovid Observational study.European geriatric medicine · 2023Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDue to the cross-sectional design of most existing studies, longitudinal characterization of treatment for depression in older persons is largely unknown.
methodSeven hundred fifty-four men and women (aged 70+ years) underwent monthly assessments of mental health professional use and 18-month assessments of antidepressant medication use and depressive symptoms over 9 years. Scores of ≥20 on the Center for Epidemiological Studies-Depression (CES-D) scale denoted depression. We evaluated trends in depression treatment over time in the entire sample and among the depressed participants. Using generalized linear models, we determined characteristics associated with receiving treatment for depression in these groups and among those with persistent depression.
resultsDuring the 9-year follow-up period (1998-2007), 339 (45.0%) of the participants reported depression treatment. Over time, antidepressant use alone decreased (p trend<0.001) while treatment with both antidepressants and a mental health professional increased (p trend=0.002). Of the 286 (27.9%) depressed participants, between 43% and 69% did not receive depression treatment during any 18-month interval. 30.5% of the 121 participants with persistent depression did not receive treatment during the study period. Increasing number of years of education, decreasing cognitive status score, and being physically frail were associated with a higher likelihood of receiving treatment in all models. LIMITATIONS: Pre-baseline depression, pre-baseline treatment, and indication for treatment were unavailable.
conclusionsOur findings indicate that the profile of treatment for depression in older persons has changed over time, that depressed older persons, including those with persistent depression, are under-treated, and that patient characteristics influence receipt of treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.