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Depression and Increased Health Services Utilization Among Elderly Primary Care Patients

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00279526
First Posted: January 19, 2006
Last Update Posted: May 25, 2007
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
Soroka University Medical Center
  Purpose
The increase in life expectancy in the 21st century has resulted in a major growth in the prevalence of age-related diseases and conditions. Depression has been found to be the most prevalent among the various mental disorders in later life. It was emphasized that depression in the elderly is a persistent or recurrent disorder resulting from psychosocial stress or physiologic effects of disease and can lead to disability, cognitive impairments, intensified symptoms of other medical conditions and increased utilization of health care services. Due to the rapidly aging population, depression is a serious public health concern that has a great impact on quality of life and may lay a considerable burden on the health care systems. However depression among the elderly may prove to be hard to diagnose since in aged persons depressive symptoms are often masked by somatic complaints or by cognitive impairments. Consequently depression is often under diagnosed and the patients continue to visit constantly the nurse or the physician without getting an adequate answer to their problem. For that reason over utilization of health care services may be an indicator to the presence of undiagnosed depression. The purpose of this study is to examine the relationships between socio-demographic variables, high primary care utilization and depressive symptomatology among aged patients.

Condition
Depression

Study Type: Observational
Study Design: Allocation: Random Sample
Observational Model: Natural History
Time Perspective: Cross-Sectional
Time Perspective: Prospective

Further study details as provided by Soroka University Medical Center:

Estimated Enrollment: 450
Study Start Date: April 2006
Study Completion Date: December 2006
  Show Detailed Description

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:-

  • Age 65 or older,
  • Clalit health organization client
  • Outpatient
  • Hebrew or English or Russian speaker
  • Living in Beer Sheva

Exclusion Criteria:

  • Known diagnosis of depression, major depression, bipolar disorder, psychosis, dementia or substance abuse
  • Current acute illness
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00279526


Locations
Israel
Department of Family Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev
Beer- Sheva, Israel
Sponsors and Collaborators
Soroka University Medical Center
Investigators
Principal Investigator: Yan Press, MD Ben-Gurion University of the Negev
  More Information

ClinicalTrials.gov Identifier: NCT00279526     History of Changes
Other Study ID Numbers: sor417105ctil
First Submitted: January 18, 2006
First Posted: January 19, 2006
Last Update Posted: May 25, 2007
Last Verified: May 2007

Keywords provided by Soroka University Medical Center:
Depression
Health services utilization
Elderly
Primary Care

Additional relevant MeSH terms:
Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders