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Depression and Increased Health Services Utilization Among Elderly Primary Care Patients

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ClinicalTrials.gov Identifier: NCT00279526
Recruitment Status : Completed
First Posted : January 19, 2006
Last Update Posted : May 25, 2007
Information provided by:
Soroka University Medical Center

Brief Summary:
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 or disease

  Show Detailed Description

Study Type : Observational
Estimated Enrollment : 450 participants
Allocation: Random Sample
Observational Model: Natural History
Time Perspective: Cross-Sectional
Time Perspective: Prospective
Study Start Date : April 2006
Study Completion Date : December 2006

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

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

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

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

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

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

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