High prevalence rate of depression among community-dwelling Japanese frail elderly

Masafumi Kuzuya, Yuichiro Masuda, Yoshihisa Hirakawa, Mitsunaga Iwata, Hiromi Enoki, Jun Hasegawa, Akihisa Iguchi

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Aim: We examined the prevalence of depression and identified the factors associated with depression among community-dwelling Japanese frail elderly eligible for long-term care insurance. Methods: A cross-sectional study of the baseline data of 1,409 elderly from the Nagoya Longitudinal Study for Frail Elderly was conducted. The data, which were collected at the patients' homes or from care-managing center records, included the clients' demographic characteristics, care levels, depression as assessed by the short version of the Geriatric Depression Scale (GDS-15), a rating for basic activities of daily living (ADL), prescribing medications, and physician-diagnosed chronic diseases. The participants were considered to be in depression or severe depression if their GDS-15 score was 6≦ or 10≦a, respectively. Results: Although 57.2% or 23.1% of the participants had a GDS-15 score of 6 or higher, or 10 or higher, only 4.2% of sever depressive participants were taking an antidepressant. The higher prevalence of depression was associated with a higher care level in the long-term care insurance program. The depression was associated with 3 or more eligible care level, poor nutritional status, 3 or more prescribed medications, and nonuse of day-care/service. Conclusion: We observed a high prevalence of depression among community-dwelling Japanese frail elderly eligible for long-term care insurance. However, very few depressed elderly were taking an antidepressant.

Original languageEnglish
Pages (from-to)512-517
Number of pages6
JournalJapanese Journal of Geriatrics
Volume43
Issue number4
DOIs
Publication statusPublished - 01-01-2006

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Long-Term Care Insurance
Independent Living
Frail Elderly
Antidepressive Agents
Home Care Services
Activities of Daily Living
Nutritional Status
Geriatrics
Longitudinal Studies
Chronic Disease
Cross-Sectional Studies
Demography
Physicians

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

Kuzuya, Masafumi ; Masuda, Yuichiro ; Hirakawa, Yoshihisa ; Iwata, Mitsunaga ; Enoki, Hiromi ; Hasegawa, Jun ; Iguchi, Akihisa. / High prevalence rate of depression among community-dwelling Japanese frail elderly. In: Japanese Journal of Geriatrics. 2006 ; Vol. 43, No. 4. pp. 512-517.
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Kuzuya, M, Masuda, Y, Hirakawa, Y, Iwata, M, Enoki, H, Hasegawa, J & Iguchi, A 2006, 'High prevalence rate of depression among community-dwelling Japanese frail elderly', Japanese Journal of Geriatrics, vol. 43, no. 4, pp. 512-517. https://doi.org/10.3143/geriatrics.43.512

High prevalence rate of depression among community-dwelling Japanese frail elderly. / Kuzuya, Masafumi; Masuda, Yuichiro; Hirakawa, Yoshihisa; Iwata, Mitsunaga; Enoki, Hiromi; Hasegawa, Jun; Iguchi, Akihisa.

In: Japanese Journal of Geriatrics, Vol. 43, No. 4, 01.01.2006, p. 512-517.

Research output: Contribution to journalArticle

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N2 - Aim: We examined the prevalence of depression and identified the factors associated with depression among community-dwelling Japanese frail elderly eligible for long-term care insurance. Methods: A cross-sectional study of the baseline data of 1,409 elderly from the Nagoya Longitudinal Study for Frail Elderly was conducted. The data, which were collected at the patients' homes or from care-managing center records, included the clients' demographic characteristics, care levels, depression as assessed by the short version of the Geriatric Depression Scale (GDS-15), a rating for basic activities of daily living (ADL), prescribing medications, and physician-diagnosed chronic diseases. The participants were considered to be in depression or severe depression if their GDS-15 score was 6≦ or 10≦a, respectively. Results: Although 57.2% or 23.1% of the participants had a GDS-15 score of 6 or higher, or 10 or higher, only 4.2% of sever depressive participants were taking an antidepressant. The higher prevalence of depression was associated with a higher care level in the long-term care insurance program. The depression was associated with 3 or more eligible care level, poor nutritional status, 3 or more prescribed medications, and nonuse of day-care/service. Conclusion: We observed a high prevalence of depression among community-dwelling Japanese frail elderly eligible for long-term care insurance. However, very few depressed elderly were taking an antidepressant.

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