Antidepressant class and dosing among older Mexican Americans: application of geropsychiatric treatment guidelines

Am J Geriatr Psychiatry. 2006 Jan;14(1):79-83. doi: 10.1097/01.JGP.0000192485.20308.99.

Abstract

Objective: The objective of this study was to characterize patterns and correlates of antidepressant drugs (AD) among older Mexican Americans (MAs).

Methods: This study consisted of a cross-sectional, community-based sample from Northern California. AD class and dosing label information were inventoried and compared with Expert Consensus Guidelines for geriatric depression pharmacotherapy.

Results: Overall, 7.1% had been prescribed an AD, but 4.9% were within starting dose ranges. Fewer ADs (3.9%) were consistent with Consensus class and dose guidelines. Depressive symptoms and diabetes were significant positive predictors of ADs. Recent immigrants had lower odds of AD prescriptions.

Conclusions: AD prescriptions among older MAs are low. Omitting AD class and dosing information may overestimate pharmacotherapy for geriatric depression.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antidepressive Agents / therapeutic use*
  • California
  • Cohort Studies
  • Cross-Sectional Studies
  • Depressive Disorder / drug therapy*
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Male
  • Mexican Americans / psychology
  • Middle Aged
  • Prospective Studies

Substances

  • Antidepressive Agents