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Analyses of nursing home residents with multiple sclerosis and depression using the Minimum Data Set

Department of Health Policy and Management, School of Rural Public Health, The Texas A&M University System Health Science Center, College Station, TX 77843-1266, USA, buchanan{at}srph.tamu.edu

Suojin Wang

Department of Statistics, Texas A&M University, College Station, TX, USA

Ming Tai-Seale

Department of Health Policy and Management, School of Rural Public Health, The Texas A&M University System Health Science Center, College Station, TX, USA

Hyunsu Ju

Department of Statistics, Texas A&M University, College Station, TX, USA

Depression is the most common psychiatric condition among people with multiple sclerosis (MS). A total of 14 009 people with MS at admission to a nursing facility were analyzed using the Minimum Data Set and 36% also had depression. This study developed profiles of nursing home residents with MS who also had depression and compared them with other residents with MS. MS residents with depression were significantly more likely to be female and younger than other MS residents, with significant racial differences as well. MS residents with depression were significantly more likely than other MS residents to have a history of mental health conditions, exhibit mood indicators, and have unsettled relationships. Both groups of MS residents had high levels of physical disability, although MS residents with depression tended to be slightly less disabled. MS residents with depression were more likely than other MS residents to experience daily pain and more likely to have the diseases common to all residents with MS. This research found that most MS residents with depression did not receive mental health services, demonstrating that nursing facilities must improve the mental healthcare provided to residents with MS with depression.

Key Words: depression • Minimum Data Set • multiple sclerosis • nursing homes

Multiple Sclerosis, Vol. 9, No. 2, 171-188 (2003)
DOI: 10.1191/1352458503ms872oa


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