Elders with first psychiatric hospitalization for depression.
Elders with first psychiatric hospitalization for depression.
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DOI：
10.1002/gps.2064
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发表时间：
2009-01
影响因子：
4
通讯作者：
Proctor, Enola
中科院分区：
文献类型：
--
作者：
Choi, Sunha;Rozario, Philip;Morrow-Howell, Nancy;Proctor, Enola
对于患有抑郁症的老年人第一次精神病住院的情况知之甚少。本研究的目的是描述首次因晚年抑郁症住院的患者的比例和特征。在网络情节模型和安徒生模型的指导下，本研究使用逻辑回归识别并比较了之前有（N = 108）和没有（N = 77）精神病住院史的抑郁老年人的特征。从患者的医疗记录和自我报告中获得了住院精神病治疗的终生史、临床特征、人口统计、社会资源和社会心理/医疗服务使用的数据。与之前入院精神科的患者相比，首次住院的患者与以下因素相关：(1) 迟发性抑郁症 (OR = 14.99)； (2) 终生无精神病症状（OR = 0.21）； (3) 入院时简明精神病评定量表（BPRS）得分较低（OR = 0.96）； (4) 就诊的医生数量较多（OR = 1.46）； (5) 入院前 6 个月老年人中心的使用率较低（OR = 0.12）。抑郁老年人之前的精神科住院服务利用情况与其过去和当前的精神科需求密切相关。此外，两组在精神科住院之前的健康和社会服务使用方面也存在显着差异。然而，入院时抑郁的严重程度并无不同。
Little is known about the first psychiatric hospitalization episode of older adults with depression. The purpose of this study is to describe the proportion and characteristics of first-time inpatients admitted for late-life depression. Guided by the Network Episode Model and the Andersen model, this study identifies and compares the characteristics of depressed older adults with (N = 108) and those without (N = 77) prior psychiatric hospitalization, upon admission into the geropsychiatric unit, using logistic regression. Data on a lifetime history of inpatient psychiatric treatment, clinical characteristics, demographics, social resources, and psychosocial/medical service use were obtained from patients' medical records and self-reports. Compared with patients who had prior psychiatric admission, first-time inpatients were associated with having (1) late-onset depression (OR = 14.99); (2) no lifetime psychotic symptoms (OR = 0.21); (3) lower scores on the Brief Psychiatric Rating Scale (BPRS) at admission (OR = 0.96); (4) higher numbers of doctors seen (OR = 1.46); and (5) lower use of senior centers 6 months prior to the admission (OR = 0.12). Depressed older adults' prior psychiatric inpatient service utilization is closely related to their past and current psychiatric needs. Also, the two groups show significant differences in health and social service use prior to the psychiatric hospitalization. However, severity of depression at admission was not different.
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DOI：
10.1097/01.jgp.0000225084.16636.ec
发表时间：
2006-09-01
影响因子：
7.2
作者：
Erlangsen, Annette;Zarit, Steven H.;Conwell, Yeates
通讯作者：
Conwell, Yeates
影响因子：
3.4
作者：
Morrow-Howell, NL;Proctor, EK;Thompson, S
通讯作者：
Thompson, S
影响因子：
6.9
作者：
Naz, Bushra;Craig, Thomas J.;Carlson, Gabrielle A.
通讯作者：
Carlson, Gabrielle A.
影响因子：
2.6
作者：
Burke, W J;Roccaforte, W H;Wengel, S P
通讯作者：
Wengel, S P
影响因子：
1.9
作者：
Carpentier, N;White, D
通讯作者：
White, D