Findley Patricia A, Shen Chan, Sambamoorthi Usha
School of Social Work, Rutgers University, New Brunswick, NJ 08901, USA.
Depress Res Treat. 2012;2012:676784. doi: 10.1155/2012/676784. Epub 2012 Aug 27.
Little is known about cancer treatment patterns among the elderly as depression and cancer in this older population have not been well explored. This study seeks to fill a gap in the literature by using data from the Medicare Current Beneficiary Survey from years 2000-2005 to examine depression treatment patterns among elderly diagnosed with both cancer and depression. Depression treatments examined include antidepressants with and without psychotherapy. We found that of those with both cancer and depression, 57.7% reported antidepressant use only, 19.7% received psychotherapy with or without antidepressants, and 22.6% had no depression treatment. We found those with greater comorbidity, of a minority race, with lower levels of education, and living in rural areas were less likely to receive treatment for depression. These findings highlight the need to address disparities in the treatment of depression in the elderly population with cancer.
由于老年人群中的抑郁症和癌症尚未得到充分研究,因此对于老年人的癌症治疗模式知之甚少。本研究旨在通过使用2000年至2005年医疗保险当前受益人调查的数据来填补文献空白,以研究同时患有癌症和抑郁症的老年人的抑郁症治疗模式。所研究的抑郁症治疗方法包括使用或不使用心理治疗的抗抑郁药。我们发现,在同时患有癌症和抑郁症的人群中,57.7%的人仅报告使用了抗抑郁药,19.7%的人接受了有或没有抗抑郁药的心理治疗,22.6%的人未接受抑郁症治疗。我们发现,合并症较多、属于少数种族、教育程度较低且生活在农村地区的人接受抑郁症治疗的可能性较小。这些发现凸显了解决老年癌症患者抑郁症治疗差异问题的必要性。