Depression and Increased Health Services Utilization Among Elderly Primary Care Patients
1 other identifier
observational
450
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2006
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 18, 2006
CompletedFirst Posted
Study publicly available on registry
January 19, 2006
CompletedStudy Start
First participant enrolled
April 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2006
CompletedMay 25, 2007
May 1, 2007
January 18, 2006
May 24, 2007
Conditions
Keywords
Eligibility Criteria
You may qualify if:
- Age 65 or older,
- Clalit health organization client
- Outpatient
- Hebrew or English or Russian speaker
- Living in Beer Sheva
You may not qualify if:
- Known diagnosis of depression, major depression, bipolar disorder, psychosis, dementia or substance abuse
- Current acute illness
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Family Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev
Beersheba, Israel
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yan Press, MD
Ben-Gurion University of the Negev
Study Design
- Study Type
- observational
- Observational Model
- NATURAL HISTORY
- Time Perspective
- OTHER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 18, 2006
First Posted
January 19, 2006
Study Start
April 1, 2006
Study Completion
December 1, 2006
Last Updated
May 25, 2007
Record last verified: 2007-05