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Problemen bij het opsporen van depressieve- en angststoornissen bij bewoners van verzorgingshuizen

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Tijdschrift voor Gerontologie en Geriatrie

Screening for depression and anxiety in residential homes for the elderly

Elderly persons in residential homes in the Netherlands are at high risk for developing major depressive and anxiety disorders. A stepped-care protocol being used in a study for vulnerable elderly in the community may also be feasible and effective for this group. A pilot study in a residential home in Amsterdam showed more problems than expected in screening and motivating the inhabitants for this intervention protocol. This article describes the problems in our screening procedure. A personal approach, performed by familiar persons, directed at the more independent inhabitants is most likely to succeed. The need for research on effectiveness and feasibility of evidence based methods in residential care remains evident. However, the more vulnerable inhabitants need something else. For this group of inhabitants we need to look more closely to the needs and possibilities by conducting research using a qualitative design.

Samenvatting

Bewoners van verzorgingshuizen in Nederland vormen een hoogrisicogroep voor het krijgen van een depressieve- of een angststoornis. Een eerder ontwikkeld preventief interventieprotocol voor ouderen die thuis wonen is mogelijk ook goed toepasbaar bij ouderen in verzorgingshuizen. In een verkennende studie in een verzorgingshuis in Amsterdam bleek dat het moeilijker was dan verwacht om bewoners met lichte klachten op te sporen en hen vervolgens te motiveren tot deelname aan een interventieprotocol. In dit artikel bespreken we de aanpak en de problemen rond de screening en de motivering van deze bewoners. Onze ervaring was dat de door ons voorgestelde screeningsprocedure aanpassing behoeft, maar desondanks voor een deel van de bewoners niet haalbaar blijkt. Het blijft wenselijk om te onderzoeken in hoeverre de bestaande “evidence based” strategieën om depressie en angststoornissen te voorkomen toepasbaar en effectief zijn in verzorgingshuizen. De behoeften en mogelijkheden van bewoners voor wie deze methoden niet toerijkend zijn, dienen door middel van kwalitatief onderzoek beter in kaart gebracht te worden.

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    E. Dozeman

Authors
  1. E. Dozeman
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  2. D. J. F. van Schaik
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  3. H. W. J. van Marwijk
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  4. A. E. de Wit
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  5. A. T. F. Beekman
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Corresponding author

Correspondence to E. Dozeman.

Additional information

GGZ verpleegkundig Specialist/promovendus, GGZ Buitenamstel/VUmc, Amsterdam

Psychiater/senior onderzoeker, GGZ Buitenamstel/VUmc, Amsterdam

Huisarts/senior onderzoeker, VUmc Amsterdam

GZ-psycholoog/docent opleiding verpleeghuisarts GERION, VUmc Amsterdam

Psychiater/hoogleraar, GGZ Buitenamstel/VUmc, Amsterdam

Drs. E Dozeman. Afdeling Huisartsgeneeskunde VUmc, van den Boechorststraat 7 1081 BT Amsterdam

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Dozeman, E., van Schaik, D.J.F., van Marwijk, H.W.J. et al. Problemen bij het opsporen van depressieve- en angststoornissen bij bewoners van verzorgingshuizen. GEEG 39, 100–106 (2008). https://doi.org/10.1007/BF03078135

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  • DOI: https://doi.org/10.1007/BF03078135

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