{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T21:41:44Z","timestamp":1793828504504,"version":"4.6.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009727","name":"Hospital Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009727","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Depression is common amongst Australian residential aged care services (RACS) residents. This study aimed to estimate the risk of depression amongst residents and identify factors associated with this risk. In care settings such as RACS, time\u2010efficient screening tools to identify depression risk may be a preferred tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The two\u2010item Patient Health Questionnaire (PHQ\u20102), derived from the nine\u2010item PHQ\u20109 used commonly in the United States (US), was employed in this study. A resident was identified as being at risk of depression where the score was \u22653. Multivariable logistic regression analysis was used to identify independent factors associated with being at risk of depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Residents' mean age was 87.7 (standard deviation: 7.3) years and 73% were female. One\u2010fifth of residents (<jats:italic>n<\/jats:italic>\u2009=\u2009108 or 20%) were at risk of depression. Age (odds ratio [OR] 0.96, 95% confidence interval [CI] 0.93\u20130.99); Pain Assessment in Advanced Dementia (PAINAD) score (OR 1.55, 95% CI 1.11\u20132.16); Epworth Sleepiness Scale (ESS) score (OR 1.08, 95% CI 1.03\u20131.13); and 38\u2010item Frailty Index (FI) score (OR 1.07, 95% CI 1.03\u20131.10) were significantly associated with being at risk of depression, whilst sex, urinary incontinence, polypharmacy,\u00a0Dementia Severity Rating Scale (DSRS) and Nursing Home Life Space Diameter (NHLSD) score were not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>One in five residents were at risk of depression. Younger age, higher pain, higher daytime sleepiness and higher frailty status were associated with depressive risk. Future studies focusing on interventions targeting these factors may contribute to improved health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13358","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T07:30:15Z","timestamp":1722238215000},"page":"811-817","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The prevalence of, and factors associated with, a risk of depression in residential aged care services residents: Findings from the FIRST study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4057-4247","authenticated-orcid":false,"given":"Tomomichi","family":"Sakai","sequence":"first","affiliation":[{"name":"Adelaide Geriatrics Training and Research with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences University of Adelaide  Adelaide South Australia Australia"},{"name":"Department of 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