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Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management

Research output: Contribution to journalArticle

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Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management. / Mansour, Rand; Tsamakis, Konstantinos; Rizos, Emmanouil; Perera, Gayan Surendrajith; Das-Munshi, Jayati; Stewart, Robert James; Mueller, Christoph.

In: Journal of Affective Disorders, 23.12.2019.

Research output: Contribution to journalArticle

Harvard

Mansour, R, Tsamakis, K, Rizos, E, Perera, GS, Das-Munshi, J, Stewart, RJ & Mueller, C 2019, 'Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management', Journal of Affective Disorders.

APA

Mansour, R., Tsamakis, K., Rizos, E., Perera, G. S., Das-Munshi, J., Stewart, R. J., & Mueller, C. (2019). Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management. Journal of Affective Disorders.

Vancouver

Mansour R, Tsamakis K, Rizos E, Perera GS, Das-Munshi J, Stewart RJ et al. Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management. Journal of Affective Disorders. 2019 Dec 23.

Author

Mansour, Rand ; Tsamakis, Konstantinos ; Rizos, Emmanouil ; Perera, Gayan Surendrajith ; Das-Munshi, Jayati ; Stewart, Robert James ; Mueller, Christoph. / Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management. In: Journal of Affective Disorders. 2019.

Bibtex Download

@article{7814da51c39540f183f1c29d1a860fc3,
title = "Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management",
abstract = "Background: An elevated risk of late-life depression has been suggested in older adults from minority ethnic groups, but little is known about ethnic group differences in symptom and treatment profiles. The current study aimed to compare symptoms and types of treatment between ethnic groups in patients with late-life depression.Methods:Data were extracted from the Clinical Record Interactive Search (CRIS) system for a large mental health care provider in South London. In total 5,546 individuals aged 65 and older diagnosed with late-life depression between 2006 and 2017 were included. Patients from ethnic minority backgrounds were compared to the White British individuals on the following features recorded at depression diagnosis: Mental and physical wellbeing as well as functional scales, individual depressive symptoms recorded, and treatments administered.Results:Black Africans and Black Caribbeans more frequently presented with psychotic problems and were significantly less likely to have antidepressant treatment prescribed post diagnosis compared to White British. White Irish had higher rates of substance use and sleep disturbance. Depressive symptoms of hopelessness, guilt feelings and suicidal thoughts were less common in Black Caribbeans, Black Africans and South Asians compared to White British. Limitations:Only patients with depression under a specialist mental health care provider were included in the study. Conclusions:Ethnic minority elders have significantly different presentations and undertake different types of treatment both across groups and relative to their White British counterparts. These differences need to be taken into consideration to optimise pathways into care and to personalise treatment.",
author = "Rand Mansour and Konstantinos Tsamakis and Emmanouil Rizos and Perera, {Gayan Surendrajith} and Jayati Das-Munshi and Stewart, {Robert James} and Christoph Mueller",
year = "2019",
month = "12",
day = "23",
language = "English",
journal = "Journal of Affective Disorders",
issn = "0165-0327",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Late-life depression in people from ethnic minority backgrounds: Differences in presentation and management

AU - Mansour, Rand

AU - Tsamakis, Konstantinos

AU - Rizos, Emmanouil

AU - Perera, Gayan Surendrajith

AU - Das-Munshi, Jayati

AU - Stewart, Robert James

AU - Mueller, Christoph

PY - 2019/12/23

Y1 - 2019/12/23

N2 - Background: An elevated risk of late-life depression has been suggested in older adults from minority ethnic groups, but little is known about ethnic group differences in symptom and treatment profiles. The current study aimed to compare symptoms and types of treatment between ethnic groups in patients with late-life depression.Methods:Data were extracted from the Clinical Record Interactive Search (CRIS) system for a large mental health care provider in South London. In total 5,546 individuals aged 65 and older diagnosed with late-life depression between 2006 and 2017 were included. Patients from ethnic minority backgrounds were compared to the White British individuals on the following features recorded at depression diagnosis: Mental and physical wellbeing as well as functional scales, individual depressive symptoms recorded, and treatments administered.Results:Black Africans and Black Caribbeans more frequently presented with psychotic problems and were significantly less likely to have antidepressant treatment prescribed post diagnosis compared to White British. White Irish had higher rates of substance use and sleep disturbance. Depressive symptoms of hopelessness, guilt feelings and suicidal thoughts were less common in Black Caribbeans, Black Africans and South Asians compared to White British. Limitations:Only patients with depression under a specialist mental health care provider were included in the study. Conclusions:Ethnic minority elders have significantly different presentations and undertake different types of treatment both across groups and relative to their White British counterparts. These differences need to be taken into consideration to optimise pathways into care and to personalise treatment.

AB - Background: An elevated risk of late-life depression has been suggested in older adults from minority ethnic groups, but little is known about ethnic group differences in symptom and treatment profiles. The current study aimed to compare symptoms and types of treatment between ethnic groups in patients with late-life depression.Methods:Data were extracted from the Clinical Record Interactive Search (CRIS) system for a large mental health care provider in South London. In total 5,546 individuals aged 65 and older diagnosed with late-life depression between 2006 and 2017 were included. Patients from ethnic minority backgrounds were compared to the White British individuals on the following features recorded at depression diagnosis: Mental and physical wellbeing as well as functional scales, individual depressive symptoms recorded, and treatments administered.Results:Black Africans and Black Caribbeans more frequently presented with psychotic problems and were significantly less likely to have antidepressant treatment prescribed post diagnosis compared to White British. White Irish had higher rates of substance use and sleep disturbance. Depressive symptoms of hopelessness, guilt feelings and suicidal thoughts were less common in Black Caribbeans, Black Africans and South Asians compared to White British. Limitations:Only patients with depression under a specialist mental health care provider were included in the study. Conclusions:Ethnic minority elders have significantly different presentations and undertake different types of treatment both across groups and relative to their White British counterparts. These differences need to be taken into consideration to optimise pathways into care and to personalise treatment.

M3 - Article

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

ER -

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