Table 4 Pharmacologic and Non-Pharmacologic treatment for those with depressive symptoms
From: Depressive symptoms in long term care facilities in Western Canada: a cross sectional study
| Â | Cognitive impairment | Health region | Â | Â | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No | Yes | Â | Calgary Zone | Edmonton Zone | Fraser Health | Interior Health | Winnipeg Health | Â | Total | |||||||||
N | % | N | % | Pa | N | % | N | % | N | % | N | % | N | % | Pa | N | % | |
Overall sample of residents with depressive symptoms* | 424 | 13.7 | 2671 | 86.3 | < 0.0001 | 1102 | 35.1 | 922 | 29.8 | 382 | 12.3 | 375 | 12.1 | 314 | 10.2 | < 0.0001 | 3095 | 100.0 |
Use of antidepressants | ||||||||||||||||||
 1–6 days in last week | 2 | 0.5 | 26 | 1.0 | 0.1478 | 9 | 0.8 | 5 | 0.5 | 9 | 2.4 | 3 | 0.8 | 2 | 0.6 | 0.0892 | 28 | 0.9 |
 7 days in last week | 231 | 54.6 | 1566 | 58.8 | 639 | 58.1 | 551 | 59.8 | 217 | 57.1 | 224 | 60.1 | 166 | 52.9 | 1797 | 58.2 | ||
 No antidepressants with a diagnosis of depression | 35 | 8.3 | 182 | 6.8 | 0.3052 | 68 | 6.2 | 82 | 8.9 | 17 | 4.5 | 25 | 6.7 | 25 | 8.0 | 0.0342 | 217 | 7.0 |
Use of antipsychotics** | ||||||||||||||||||
 1–6 days in last week | 4 | 0.9 | 67 | 2.5 | < 0.0001 | 21 | 1.9 | 25 | 2.7 | 14 | 3.7 | 9 | 2.4 | 2 | 0.6 | < 0.0001 | 71 | 2.3 |
 7 days in last week | 84 | 19.9 | 895 | 33.6 | 324 | 29.5 | 242 | 26.3 | 120 | 31.6 | 166 | 44.5 | 127 | 40.4 | 979 | 31.7 | ||
 Antipsychotic use with no diagnosis of psychosis | 63 | 14.9 | 777 | 29.2 | < 0.0001 | 278 | 25.3 | 203 | 22.0 | 115 | 30.3 | 141 | 37.8 | 103 | 32.8 | < 0.0001 | 840 | 27.2 |
Use of antianxieties** | ||||||||||||||||||
 1–6 days in last week | 9 | 2.1 | 107 | 4.0 | < 0.0001 | 18 | 1.6 | 42 | 4.6 | 27 | 7.1 | 24 | 6.4 | 5 | 1.6 | < 0.0001 | 116 | 3.8 |
 7 days in last week | 84 | 19.9 | 328 | 12.3 | 100 | 9.1 | 144 | 15.6 | 67 | 17.6 | 58 | 15.5 | 43 | 13.7 | 412 | 13.3 | ||
 No antianxieties with a diagnosis of anxiety | 22 | 5.2 | 114 | 4.3 | 0.3727 | 30 | 2.7 | 38 | 4.1 | 8 | 2.1 | 14 | 3.8 | 46 | 14.6 | < 0.0001 | 136 | 4.4 |
No analgesics with pain** | 13 | 3.1 | 47 | 1.8 | 0.0853 | 34 | 3.1 | 14 | 1.5 | 5 | 1.3 | 5 | 1.3 | 2 | 0.6 | 0.0192 | 60 | 1.9 |
Non-pharmacological treatments** | ||||||||||||||||||
 Psychological therapy | 1 | 0.2 | 21 | 0.8 | 0.3480 | 17 | 1.5 | 3 | 0.3 | 1 | 0.3 | 1 | 0.3 | 0 | 0.0 | 0.0043 |  |  |
 Special behaviour symptom evaluation program | 126 | 29.8 | 661 | 24.8 | 0.1012 | 324 | 29.5 | 220 | 23.9 | 100 | 26.3 | 106 | 28.4 | 37 | 11.8 | < 0.0001 | 787 | 25.5 |
 Licensed mental health specialist evaluation in last 90 days | 25 | 5.9 | 97 | 3.6 | 0.0312 | 71 | 6.5 | 24 | 2.6 | 7 | 1.8 | 11 | 2.9 | 9 | 2.9 | < 0.0001 | 122 | 4.0 |
 Group therapy | 20 | 4.7 | 99 | 3.7 | 0.3397 | 67 | 6.1 | 28 | 3.0 | 10 | 2.6 | 7 | 1.9 | 7 | 2.2 | 0.0003 | 119 | 3.9 |
 Resident specific deliberate changes in environments | 10 | 2.4 | 123 | 4.6 | 0.0380 | 11 | 1.0 | 98 | 10.6 | 1 | 0.3 | 6 | 1.6 | 17 | 5.4 | < 0.0001 | 133 | 4.3 |
2003Reorientation | 34 | 8.0 | 531 | 19.9 | < 0.0001 | 108 | 9.8 | 228 | 24.8 | 27 | 7.1 | 23 | 6.2 | 179 | 57.0 | < 0.0001 | 565 | 18.3 |