Depression in veterans with Parkinson's disease: frequency, co-morbidity, and healthcare utilization
dc.contributor.author | Chen, Peijun | en_US |
dc.contributor.author | Kales, Helen C. | en_US |
dc.contributor.author | Weintraub, Daniel | en_US |
dc.contributor.author | Blow, Frederic C. | en_US |
dc.contributor.author | Jiang, Lan | en_US |
dc.contributor.author | Ignacio, Rosalinda V. | en_US |
dc.contributor.author | Mellow, Alan M. | en_US |
dc.date.accessioned | 2007-09-20T18:46:38Z | |
dc.date.available | 2008-09-08T14:25:13Z | en_US |
dc.date.issued | 2007-06 | en_US |
dc.identifier.citation | Chen, Peijun; Kales, Helen C.; Weintraub, Daniel; Blow, Frederic C.; Jiang, Lan; Ignacio, Rosalinda V.; Mellow, Alan M. (2007)."Depression in veterans with Parkinson's disease: frequency, co-morbidity, and healthcare utilization." International Journal of Geriatric Psychiatry 22(6): 543-548. <http://hdl.handle.net/2027.42/56073> | en_US |
dc.identifier.issn | 0885-6230 | en_US |
dc.identifier.issn | 1099-1166 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/56073 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17133656&dopt=citation | en_US |
dc.description.abstract | Objective To determine the frequency of depression in Parkinson's disease (PD) in routine clinical care, and to examine its association with co-morbid psychiatric and medical conditions and healthcare utilization. Methods Depression diagnoses and healthcare utilization data for all male veterans with PD age 55 or older seen in fiscal year 2002 ( n = 41,162) were analyzed using Department of Veterans Affairs (VA) national databases. Frequencies of co-morbid disorders and healthcare utilization were determined for depressed and non-depressed patients; associations with depression were examined using multivariate logistic regression models. Results A depression diagnosis was recorded for 18.5% of PD patients, including major depression in 3.9%. Depression decreased in frequency and severity with increasing age. In multivariate logistic regression models, depressed patients had significantly greater psychiatric and medical co-morbidity, including dementia, psychosis, stroke, congestive heart failure, diabetes, and chronic obstructive pulmonary disease than non-depressed patients (all p < 0.01). Depressed PD patients were also significantly more likely to have medical (OR = 1.34, 95% CI = 1.25–1.44) and psychiatric hospitalizations (OR = 2.14, 95% CI = 1.83–2.51), and had more outpatient visits ( p < 0.01), than non-depressed PD patients in adjusted models. Conclusion Depression in PD in non-tertiary care settings may not be as common or as severe as that seen in specialty care, though these findings also may reflect under-recognition or diagnostic imprecision. The occurrence of depression in PD is associated with greater psychiatric and medical co-morbidity, and greater healthcare utilization. These findings suggest that screening for depression in PD is important and should be embedded in a comprehensive psychiatric, neuropsychological, and medical evaluation. Copyright © 2006 John Wiley & Sons, Ltd. | en_US |
dc.format.extent | 98955 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | John Wiley & Sons, Ltd. | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Neuroscience, Neurology and Psychiatry | en_US |
dc.title | Depression in veterans with Parkinson's disease: frequency, co-morbidity, and healthcare utilization | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Gay/Lesbian/Bisexual/Transgender Studies | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbsecondlevel | Judaic Studies | en_US |
dc.subject.hlbsecondlevel | Pharmacy and Pharmacology | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbsecondlevel | Social Work | en_US |
dc.subject.hlbsecondlevel | Women's and Gender Studies | en_US |
dc.subject.hlbtoplevel | Humanities | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Division of Geriatric Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA ; Currently at Department of Psychiatry, Case Western Reserve University, Cleveland VA Medical Center, Cleveland, OH, USA ; Cleveland VA Medical Center, Psychiatry Service 116A (B), 10000 Brecksville Road, Brecksville, Oh 44141, USA. | en_US |
dc.contributor.affiliationum | Division of Geriatric Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA ; VA National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA ; Geriatric Research Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Division of Geriatric Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA ; VA National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Division of Geriatric Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA ; VISN 11 Mental Health Service Line, Department of Veterans Affairs, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationother | Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA ; Parkinson's Disease and Mental Illness Research, Education and Clinical Centers (PADRECC and MIRECC), Philadelphia VA Medical Center, Philadelphia, PA, USA | en_US |
dc.contributor.affiliationother | VA National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationother | VA National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA | en_US |
dc.identifier.pmid | 17133656 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/56073/1/1712_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/gps.1712 | en_US |
dc.identifier.source | International Journal of Geriatric Psychiatry | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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