Abstract
Antidepressant use was examined with samples from long-term care facilities in Toronto (Canada), Sapporo and Naie (Japan), Reykjavik (Iceland) and Prague (Czech Republic). Only in Iceland did the majority of residents with depression receive an antidepressant. Rates of depression and antidepressant use were uniformly low in Japan, and there was a great discrepancy between diagnosed depression and behavioural signs of depression in the Czech Republic. In all countries, about half the recipients of antidepressants have no clear indication of depression present. For some countries, antidepressant use was lower among residents who were female, older and more disabled. Depression is clearly under-diagnosed in the Czech Republic, but low rates of depression in Japan are somewhat more difficult to interpret. Given the widespread consensus that depression is under-detected and under treated, these results suggest that responses to depression could be improved through instruments like the MDS.
| Original language | English |
|---|---|
| Pages (from-to) | 18-37 |
| Number of pages | 20 |
| Journal | Canadian Journal on Aging |
| Volume | 19 |
| Issue number | SUPPL. 2 |
| Publication status | Published - 2000 |
| Externally published | Yes |
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Keywords
- Depression
- Long-Term Care
- Mental Health
ASJC Scopus subject areas
- Ageing
Cite this
Cross-national comparisons of antidepressant use among institutionalized older persons based on the minimum data set (MDS). / Hirdes, J. P.; Ikegami, N.; Jónsson, P. V.; Topinková, E.; Maxwell, C. J.; Yamauchi, Keita.
In: Canadian Journal on Aging, Vol. 19, No. SUPPL. 2, 2000, p. 18-37.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cross-national comparisons of antidepressant use among institutionalized older persons based on the minimum data set (MDS)
AU - Hirdes, J. P.
AU - Ikegami, N.
AU - Jónsson, P. V.
AU - Topinková, E.
AU - Maxwell, C. J.
AU - Yamauchi, Keita
PY - 2000
Y1 - 2000
N2 - Antidepressant use was examined with samples from long-term care facilities in Toronto (Canada), Sapporo and Naie (Japan), Reykjavik (Iceland) and Prague (Czech Republic). Only in Iceland did the majority of residents with depression receive an antidepressant. Rates of depression and antidepressant use were uniformly low in Japan, and there was a great discrepancy between diagnosed depression and behavioural signs of depression in the Czech Republic. In all countries, about half the recipients of antidepressants have no clear indication of depression present. For some countries, antidepressant use was lower among residents who were female, older and more disabled. Depression is clearly under-diagnosed in the Czech Republic, but low rates of depression in Japan are somewhat more difficult to interpret. Given the widespread consensus that depression is under-detected and under treated, these results suggest that responses to depression could be improved through instruments like the MDS.
AB - Antidepressant use was examined with samples from long-term care facilities in Toronto (Canada), Sapporo and Naie (Japan), Reykjavik (Iceland) and Prague (Czech Republic). Only in Iceland did the majority of residents with depression receive an antidepressant. Rates of depression and antidepressant use were uniformly low in Japan, and there was a great discrepancy between diagnosed depression and behavioural signs of depression in the Czech Republic. In all countries, about half the recipients of antidepressants have no clear indication of depression present. For some countries, antidepressant use was lower among residents who were female, older and more disabled. Depression is clearly under-diagnosed in the Czech Republic, but low rates of depression in Japan are somewhat more difficult to interpret. Given the widespread consensus that depression is under-detected and under treated, these results suggest that responses to depression could be improved through instruments like the MDS.
KW - Depression
KW - Long-Term Care
KW - Mental Health
UR - http://www.scopus.com/inward/record.url?scp=0034489486&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034489486&partnerID=8YFLogxK
M3 - Article
VL - 19
SP - 18
EP - 37
JO - Canadian Journal on Aging/La Revue canadienne du vieillissment/Canadian Public Policy/Analyse de Politiques
JF - Canadian Journal on Aging/La Revue canadienne du vieillissment/Canadian Public Policy/Analyse de Politiques
SN - 0714-9808
IS - SUPPL. 2
ER -