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Depression Among African American Nursing Home Patients With Dementia

Received April 24,1997; revised June 27, 1997; accepted October 8, 1997. From the SUNY Health Science Center at Brooklyn, New York. Address correspondence to Dr. Cohen, SUNY HSCB, Box 1203, 450 Clarkson Avenue, Brooklyn, NY 11203.

The authors compared 218 black and 68 white nursing home patients with dementia for differences in the prevalence, recognition, and treatment of depression. There were no racial differences in depressive symptoms, but whites were significantly more likely to receive a diagnosis of "possible depression" and there were few racial differences in clinical, social, or demographic factors associated with depression. Depression was often unrecognized and undertreated in both racial groups; several depression instruments developed for use in dementia had good reliability and validity among blacks; and there were no significant differences in depressive symptoms or diagnosis between U.S.-born and Caribbean-born black patients. The absence of any appreciable interracial or intraracial differences in depression symptoms or diagnoses may reflect uniformity in nursing home selection criteria or lessening of mood differences that may have existed before admission.

Key Words: African Americans • Dementia • Depression • Inpatients

This article has been cited by other articles:

				C. I. Cohen, K. Hyland, and D. Kimhy The Utility of Mandatory Depression Screening of Dementia Patients in Nursing Homes Am J Psychiatry, November 1, 2003; 160(11): 2012 - 2017. [Abstract] [Full Text] [PDF]

				C. Magai, G. Kennedy, C. I. Cohen, and D. Gomberg A Controlled Clinical Trial of Sertraline in the Treatment of Depression in Nursing Home Patients With Late-Stage Alzheimer's Disease Am J Geriatr Psychiatry, February 1, 2000; 8(1): 66 - 74. [Abstract] [Full Text]