title: Prevalence, Patterns, and Predictors of Depression Treatment among Community-Dwelling Elderly Individuals with Dementia in the United States.
abstract: OBJECTIVE
  Co-occurring dementia and depression exerts a substantial burden on the elderly. This study utilizes data from a nationally representative cohort of community-dwelling individuals 65 years and older to examine the prevalence, patterns, and predictors of depression treatment among elderly individuals with co-occurring dementia and depression.
  
  
  METHODS
  Retrospective, cross-sectional study.
  
  
  METHODS
  Multiple years of Medical Expenditure Panel Survey (2002, 2004, 2006, 2008, 2010, and 2012) data.
  
  
  METHODS
  The study sample consisted of elderly (age ≥65 years) individuals who 1) had dementia, 2) were alive during the calendar year, and 3) had co-occurring depression.
  
  
  METHODS
  The dependent variable of this study was depression treatment, identified by antidepressant medication with or without psychotherapy use. Individual level factors associated with depression treatment among elderly individuals with dementia and co-occurring depression were evaluated by conducting multinomial logistic regression.
  
  
  RESULTS
  Co-occurring depression prevalence among community-dwelling elderly individuals with dementia was approximately 22%. An overwhelming majority (nearly 88%) of the study sample reported receipt of depression treatment. Antidepressants only and combination therapy (antidepressant with psychotherapy) was reported by 75% and 13%, respectively, of the study sample. Age, race/ethnicity, marital status, limitations of instrumental activities of daily living, perceived mental health status, and pain were significantly associated with the reporting of receipt of depression treatment.
  
  
  CONCLUSIONS
  An overwhelming majority of the study sample received depression treatment and several subgroup differences (such as in terms of age) existed in terms of reporting the use of depression treatment was observed.
authors.affiliation: Department of Pharmacy Practice and Science, College of Pharmacy, The University of Arizona, Tucson, AZ. Electronic address: bhattacharjee@pharmacy.arizona.edu.
authors.forename: Sandipan
authors.initials: S
authors.lastname: Bhattacharjee
authors.affiliation: Department of Pharmacy Practice and Science, College of Pharmacy, The University of Arizona, Tucson, AZ.
authors.forename: Yeum Mok
authors.initials: YM
authors.lastname: Oh
authors.affiliation: Banner Alzheimer's Institute, Phoenix, AZ; Department of Psychiatry, University of Arizona College of Medicine, Phoenix, AZ; The Biodesign Institute, School of Life Sciences, Arizona State University, Phoenix, AZ; Translational Genomics Research Institute, Phoenix, AZ; Arizona Alzheimer's Consortium, Phoenix, AZ.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Reiman
authors.affiliation: Banner Alzheimer's Institute, Phoenix, AZ; Department of Psychiatry, University of Arizona College of Medicine, Phoenix, AZ; Arizona Alzheimer's Consortium, Phoenix, AZ.
authors.forename: William J
authors.initials: WJ
authors.lastname: Burke
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003704:Dementia / Q000453:epidemiology*; D003863:Depression / Q000188:drug therapy / Q000453:epidemiology* / Q000628:therapy; D004363:Drug Utilization / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D057187:Independent Living; D008297:Male; D010146:Pain / Q000453:epidemiology*; D015995:Prevalence; D011613:Psychotherapy / Q000706:statistics & numerical data; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology
chemical_list: D000928:Antidepressive Agents
keywords: Dementia; antidepressants; depression; psychotherapy