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Prevalence and symptomatology of depression in older people living in institutions in England and Wales

McDougall, F. A.; Matthews, F. E.; Kvaal, K.; Dewey, M. E.; Brayne, C.

Authors

F. A. McDougall

K. Kvaal

M. E. Dewey

C. Brayne



Abstract

Background: Epidemiological studies have shown that depression is common in institutional settings. However, the symptomatology of depression in this group has not been compared to those living in the community. Aims: To estimate the prevalence of depression and depressive symptomatology in participants living in institutions and compare these to people living in other settings. Method: The Medical Research Council Cognitive Function and Ageing Study (MRC CFAS) is a population-based cohort comprising 13,004 individuals aged 65 and above, from five sites across England and Wales. Following screening, a stratified random sub-sample of 2,640 participants received the Geriatric Mental State (GMS) examination of whom 340 resided in institutions. Diagnoses of depression were made using the Automated Geriatric Examination for Computer-assisted Taxonomy system (AGECAT; [1]). Results: The prevalence of depression in those living in institutions was 27.1% (95% CI 17.8-36.3) compared to 9.3% (95% CI 7.8-10.9) in those living at home. Symptoms relating to depressed mood, severity of illness (e.g. wishing to be dead, future looking bleak) and some non-specific symptoms were more common in those living in residential homes. Depression was significantly associated with younger age (P = 0.002) and high functional disability (P = 0.009) in those living in institutions. Conclusions: Consistent with previous estimates, depression was highly prevalent in institutions, particularly in younger individuals with severe functional impairment. Those in institutions report considerably more symptoms of depression. Finding interventions which address these symptoms might improve quality of life for people in institutions, irrespective of formal diagnoses. © The Author 2007. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.

Citation

McDougall, F. A., Matthews, F. E., Kvaal, K., Dewey, M. E., & Brayne, C. (2007). Prevalence and symptomatology of depression in older people living in institutions in England and Wales. Age and ageing, 36(5), 562-568. https://doi.org/10.1093/ageing/afm111

Journal Article Type Article
Publication Date Sep 1, 2007
Deposit Date Dec 8, 2023
Journal Age and Ageing
Print ISSN 0002-0729
Electronic ISSN 1468-2834
Publisher Oxford University Press
Volume 36
Issue 5
Pages 562-568
DOI https://doi.org/10.1093/ageing/afm111
Public URL https://hull-repository.worktribe.com/output/4455413