- Maternal Mental Health During Pregnancy and Postpartum
- Mental Health Treatment and Access
- Bipolar Disorder and Treatment
- Electroconvulsive Therapy Studies
- Cardiac Health and Mental Health
- Dialysis and Renal Disease Management
- Family Caregiving in Mental Illness
- Insurance, Mortality, Demography, Risk Management
- Schizophrenia research and treatment
- Treatment of Major Depression
- Mental Health Research Topics
- Nursing Roles and Practices
- Health, Environment, Cognitive Aging
- Health disparities and outcomes
MetroHealth
2024
MetroHealth Medical Center
2019-2022
Case Western Reserve University
2019-2022
Background Screening for depression can be challenging among hemodialysis patients due to the overlap of depressive symptoms with dialysis or kidney disease related symptoms. The aim this study was understand these overlapping and develop a screening tool better clinical assessment in patients.
The antidepressant medication fluoxetine at 90 mg dosed weekly is as effective and safe standard formulation 20 daily in patients with major depressive disorder. Weekly has not been well studied hemodialysis patients, doses beyond mg/week have described this population. This case series, derived from a larger study on depression describes the use of dosages mg/week.Hemodialysis symptom severity scored ≥10 9-item Patient Health Questionnaire disorder confirmed Mini International...
BACKGROUND: This study examined interview data from the National Health and Nutrition Examination Survey 2005 to 2016. AIM: To determine national trends in self-reported depressive symptoms. METHOD: Depressive symptoms were assessed using on nine-item Patient Questionnaire (PHQ-9), with a total score ≥10 an individual item of 2 or 3, indicating greater severity. RESULTS: A 31,191 individuals contributed PHQ-9 The absolute proportion increased 6.2% 8.1%. After adjustment for participant...
Rationale & ObjectiveMajor depressive disorder (MDD) is common among hemodialysis patients, but treatment can add to their pill burden and may be limited by nonadherence. We sought investigate the value of directly observed, once-weekly fluoxetine dosing in MDD.Study DesignFeasibility trial adult patients with untreated MDD. The diagnosis MDD was determined using Mini International Neuropsychiatric Interview.Setting Participants16 at 15 facilities Northeast Ohio.InterventionPatients were...
In epidemiology, gerontology, human development and the social sciences, age-period-cohort (APC) models are used to study variability in trajectories of change over time. A well-known issue exists simultaneously identifying age, period birth cohort effects, namely that three characteristics comprise a perfectly collinear system. That is, since age = period-cohort, only two these effects estimable at this paper, we introduce an alternative framework for considering relating cohort....