Evidence map›Paper›PMID 29884541›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2018

Major Depression and Subthreshold Depression among Older Adults Receiving Home Care.

Xiaoling Xiang, Amanda Leggett, Joseph A Himle, Helen C Kales

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 68 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Xiaoling XiangSchool of Social Work, University of Michigan, Ann Arbor, MI.
Amanda LeggettProgram for Positive Aging, Department of Psychiatry, University of Michigan, Ann Arbor, MI.
Joseph A HimleSchool of Social Work, University of Michigan, Ann Arbor, MI.
Helen C KalesProgram for Positive Aging, Department of Psychiatry, University of Michigan, Ann Arbor, MI. Electronic address: xiangxi@umich.edu.
University of Michigan–Ann Arbor · US

Funding

Michigan Center for Urban African American Aging Research - RESEARCH CORE (REC)P30AG015281 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Briana Mezuk · 1997 to 2026
$19.3M
Style and Substance: Characterizing Dementia Caregiving Styles and Associated Biopsychosocial and Health Services Utilization OutcomesK01AG056557 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEGGETT, AMANDA NOEL · 2017 to 2021
$664k
NIA NIH HHS K01 AG056557NIA NIH HHS P30 AG015281
6 · The paper itself

Abstract

objectiveThis study aims to estimate the prevalence and correlates of major and subthreshold depression and the extent of treatment utilization in older adults receiving home care.

methodsThe study sample included 811 community-dwelling adults aged 60 and over who received paid home care during the 2008-2014 waves of the Health and Retirement Study. Depression was assessed using short forms of the Composite International Diagnostic Interview and the Center for Epidemiologic Studies Depression Scale. Logistic regression was used to examine correlates of depression type and treatment utilization.

resultsOne in two older home care recipients suffered from probable depression; 13.4% of the sample suffered from major depression and an additional 38.7% met study criteria for subthreshold depression. The majority (72.7%) of participants with major depression and almost half (44.5%) of participants with subthreshold depression reported taking medication for anxiety or depression. One-third (33.2%) of older home care recipients with major depression and 14.2% of those with subthreshold depression reported receiving formal psychiatric or psychological treatment. Males as compared with females and persons with pain problems as compared with no pain complaints had a higher risk of subthreshold and major depression. The receipt of medication or psychiatric treatment declined with age. African Americans were less likely to receive medication for anxiety or depression compared with non-Hispanic whites.

conclusionDepression affects a substantial proportion of older adults receiving home care and may be inappropriately treated. Future research is needed to develop optimal strategies for integrating depression assessment and treatment into home care.

Indexed as

AgingActivities of Daily LivingAgedAged, 80 and overDepressionFemaleHealth SurveysHome Care ServicesHumansIndependent LivingMajor Depressive DisorderMaleMiddle AgedPatient Acceptance of Health CarePrevalenceDepressiondepression treatmenthealth and retirement studyhomeboundhome care

Identifiers

PMID29884541
PMCPMC6108943
OpenAlexW2802644207

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.