The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients

Tetsu Tomita,1 Shuhei Kudo,2 Norio Sugawara,3 Akira Fujii,4 Koji Tsuruga,5 Yasushi Sato,1 Masamichi Ishioka,6 Kazuhiko Nakamura,1 Norio Yasui-Furukori1 1Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan; 2Department of Psychiatry, Tsugaru General Hospi...

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Autores principales:	Tomita T, Kudo S, Sugawara N, Fujii A, Tsuruga K, Sato Y, Ishioka M, Nakamura K, Yasui-Furukori N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	depression psychoeducation older patients younger patients Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/da29a182ee864dafab7402eb2196793f
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spelling	oai:doaj.org-article:da29a182ee864dafab7402eb2196793f2021-12-02T07:30:02ZThe characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients1178-2021https://doaj.org/article/da29a182ee864dafab7402eb2196793f2018-05-01T00:00:00Zhttps://www.dovepress.com/the-characteristics-of-understanding-of-depression-among-older-patient-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Tetsu Tomita,1 Shuhei Kudo,2 Norio Sugawara,3 Akira Fujii,4 Koji Tsuruga,5 Yasushi Sato,1 Masamichi Ishioka,6 Kazuhiko Nakamura,1 Norio Yasui-Furukori1 1Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan; 2Department of Psychiatry, Tsugaru General Hospital, Goshogawara, Japan; 3Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Japan; 4Department of Mental Health, Mutsu General Hospital, Mutsu, Japan; 5Department of Psychiatry, Aomori Prefectural Tsukushigaoka Hospital, Aomori, Japan; 6Department of Psychiatry, Minato Hospital, Hachinohe, Japan Background: To reveal characteristics of understanding of depression among older patients, we reanalyzed the data from a previous study of patients who were administered antidepressants.Methods: A total of 424 outpatients were enrolled in this study. We used an original self-administered questionnaire consisting of eight items: depressive symptoms, the course of depression, the cause of depression, the treatment plan, the duration of antidepressant use, how to discontinue antidepressants, the side effects of antidepressants, and psychotherapy. Each item consisted of the following two questions: “Have you received an explanation from the doctor in charge?” and “How much do you understand about your treatment?”. The level of understanding was rated on a scale of 0–10 (11 anchor points). Subjects were divided into two groups: younger patients who were <65 years of age and older patients who were ≥65 years of age. Results: Older patients with depression showed lower levels of understanding of depression and did not receive sufficient psychoeducation from their physicians, but their understanding of depression might not be associated with their remission. In the younger group, the scores of understanding of the course of depression, the treatment plan, how to discontinue antidepressants, and psychotherapy items, and the total understanding score of remitters, were significantly higher than those of non-remitters. In contrast, there were no significant differences in the items score or total score between remitters and non-remitters in the older group.Conclusion: Older patients showed lower levels of understanding of depression and did not appear to receive sufficient psychoeducation, but their understanding of depression might not be associated with their remission. Keywords: depression, psychoeducation, older patients, younger patientsTomita TKudo SSugawara NFujii ATsuruga KSato YIshioka MNakamura KYasui-Furukori NDove Medical Pressarticledepressionpsychoeducationolder patientsyounger patientsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1319-1327 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	depression psychoeducation older patients younger patients Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	depression psychoeducation older patients younger patients Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Tomita T Kudo S Sugawara N Fujii A Tsuruga K Sato Y Ishioka M Nakamura K Yasui-Furukori N The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
description	Tetsu Tomita,1 Shuhei Kudo,2 Norio Sugawara,3 Akira Fujii,4 Koji Tsuruga,5 Yasushi Sato,1 Masamichi Ishioka,6 Kazuhiko Nakamura,1 Norio Yasui-Furukori1 1Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan; 2Department of Psychiatry, Tsugaru General Hospital, Goshogawara, Japan; 3Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Japan; 4Department of Mental Health, Mutsu General Hospital, Mutsu, Japan; 5Department of Psychiatry, Aomori Prefectural Tsukushigaoka Hospital, Aomori, Japan; 6Department of Psychiatry, Minato Hospital, Hachinohe, Japan Background: To reveal characteristics of understanding of depression among older patients, we reanalyzed the data from a previous study of patients who were administered antidepressants.Methods: A total of 424 outpatients were enrolled in this study. We used an original self-administered questionnaire consisting of eight items: depressive symptoms, the course of depression, the cause of depression, the treatment plan, the duration of antidepressant use, how to discontinue antidepressants, the side effects of antidepressants, and psychotherapy. Each item consisted of the following two questions: “Have you received an explanation from the doctor in charge?” and “How much do you understand about your treatment?”. The level of understanding was rated on a scale of 0–10 (11 anchor points). Subjects were divided into two groups: younger patients who were <65 years of age and older patients who were ≥65 years of age. Results: Older patients with depression showed lower levels of understanding of depression and did not receive sufficient psychoeducation from their physicians, but their understanding of depression might not be associated with their remission. In the younger group, the scores of understanding of the course of depression, the treatment plan, how to discontinue antidepressants, and psychotherapy items, and the total understanding score of remitters, were significantly higher than those of non-remitters. In contrast, there were no significant differences in the items score or total score between remitters and non-remitters in the older group.Conclusion: Older patients showed lower levels of understanding of depression and did not appear to receive sufficient psychoeducation, but their understanding of depression might not be associated with their remission. Keywords: depression, psychoeducation, older patients, younger patients
format	article
author	Tomita T Kudo S Sugawara N Fujii A Tsuruga K Sato Y Ishioka M Nakamura K Yasui-Furukori N
author_facet	Tomita T Kudo S Sugawara N Fujii A Tsuruga K Sato Y Ishioka M Nakamura K Yasui-Furukori N
author_sort	Tomita T
title	The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
title_short	The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
title_full	The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
title_fullStr	The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
title_full_unstemmed	The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
title_sort	characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/da29a182ee864dafab7402eb2196793f
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The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients

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