ArticleJournal of the American Geriatrics Society2018
Burden of Depressive Symptoms Over 2 Decades and Risk of Nursing Home Placement in Older Women.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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Who cites it
5 citing papers in PubMed.
- Contribution of Involuntary Job Loss to the Burden of Depressive Symptoms Over Two Decades in a National Study of Aging Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Identifying Predictors of Nursing Home Admission by Using Electronic Health Records and Administrative Data: Scoping Review.JMIR aging · 2023Article
- The influence of multiple frailty profiles on institutionalization and all-cause mortality in community-living older adults.Journal of cachexia, sarcopenia and muscle · 2022Article
- Is well-being prior to receiving rehabilitation services associated with postrehabilitation mental health and functioning?Aging & mental health · 2021Article
- Defining and Measuring Nursing Home Placement.Journal of the American Geriatrics Society · 2018Article
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7 authors.
Funding
Abstract
objectivesTo determine the association between cumulative burden of depressive symptoms and risk of nursing home (NH) placement over 2 decades.
designProspective cohort study with data linked to Medicare claims files.
settingClinic sites in Baltimore, Maryland; Minneapolis, Minnesota; and the Monongahela Valley near Pittsburgh, Pennsylvania.
participantsInitially community-dwelling women aged 65 and older (N=3,646). MEASUREMENTS: Depressive symptom burden was determined using the Geriatric Depression Scale measured over 18 years to calculate accumulation of burden. NH placement was determined using Medicare claims data.
resultsIn Fine-Gray proportional hazards analyses including demographic characteristics, medical comorbidities, functional impairment, and recent depression exposure and accounting for competing risk of death, women with low depressive symptom burden were twice as likely to experience NH placement as those with minimal burden (hazard ratio (HR) = 1.92, 95% confidence interval (CI) = 1.16-3.20), women with moderate burden were more than twice as likely (HR = 2.62, 95% CI = 1.59-4.31), and women with high burden (HR = 3.08, 95% CI = 1.87-5.08) were three times as likely. The addition of antidepressant use to this model attenuated the risk only slightly.
conclusionIn older women, cumulative burden of depressive symptoms over nearly 2 decades is associated with greater risk of transitioning from community-living to a NH irrespective of recent depression exposure, medical comorbidities, functional impairment, and the competing risk of death. This work supports the need for improving recognition, monitoring, and treatment of depressive symptoms early, which may reduce or delay NH placement.
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