liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Depression and use of antidepressants in Swedish nursing homes: a 12-month follow-up study
Lund University, Sweden .
Lund University, Sweden .
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Primary Health Care in Motala.
Lund University, Sweden .
2014 (English)In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 26, no 4, 669-675 p.Article in journal (Refereed) Published
Abstract [en]


The prescription of antidepressants in nursing homes has increased markedly since the introduction of SSRIs, while at the same time depressive symptoms often go unrecognized and untreated. The aim of this study was to examine whether depression among residents in nursing homes is treated adequately.


A sample of 429 participants from 11 Swedish nursing homes was selected and was assessed with the Cornell Scale for Depression in Dementia (CSDD) and using medical records and drug prescription data. For 256 participants a follow-up assessment was performed after 12 months.


The prevalence of depression, according to medical records, was 9.1%, and the prevalence of CSDD score of ≥8 was 7.5%. Depression persisted in more than 50% of cases at the 12-month follow-up. Antidepressants were prescribed to 33% of the participants without a depression diagnosis or with a CSDD score of <8. 46.2% of all participants were prescribed antidepressants. 14% of the participants without a depression diagnosis or with a CSDD score of <8 had psychotropic polypharmacy. 15.2% of all participants had psychotropic polypharmacy, which persisted at the 12-month follow-up in three-quarters of cases.


The prescription of antidepressants in frail elderly individuals is extensive and may be without clear indication. The clinical implication is that there is a need for systematic drug reviews at nursing homes, paying special attention to the subjects which are on antidepressants.

Place, publisher, year, edition, pages
Cambridge University Press, 2014. Vol. 26, no 4, 669-675 p.
Keyword [en]
depression; antidepressants; nursing homes; Sweden; dementia
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-107857DOI: 10.1017/S1041610213002354ISI: 000332926900017PubMedID: 24331291OAI: diva2:727679
Available from: 2014-06-23 Created: 2014-06-23 Last updated: 2014-08-13Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Östgren, Carl Johan
By organisation
Division of Community MedicineFaculty of Health SciencesPrimary Health Care in Motala
In the same journal
International psychogeriatrics
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 42 hits
ReferencesLink to record
Permanent link

Direct link