Unmet care needs, care provision and patient satisfaction in patients with a late life depression: a cross-sectional study

Figures & data

Table 1. Patient characteristics.

Demographic characteristics
Total sample		N = 99
Gender	Male	33.3%
	Female	66.7%
Age	Mean (SD)	72.2 (7.7)
	Mean age Male (SD)	71.2 (8.2)
	Mean age Female (SD)	73.4 (7.4)
Geographical environment	Rural	37.3%
	Urban	62.7%
Education	Only primary education	56.6%
	Secondary education	26.2%
	Bachelor's degree and higher	17.2%
Marital status	Married	47.5%
	Single	14.1%
	Widow	38.4
MADRS score	Mean (SD)	19.46 (10.64)
	Mean Male (SD)	18.34 (10.86)
	Mean Female (SD)	20.02 (10.58)

Table 2. Overview of the care provided for unmet care needs.

	Unmet Needs	Unmet needs and received no care		Unmet needs with only formal care		Unmet needs with only informal care		Unmet needs with both types of care
Item on the CANE	N	n	%	N	%	n	%	n	%
Environmental needs (total)	39	13	33.3	6	15.4	16	41	4	10.3
Accommodation	7	0		2		4		1
Household skills	5	2		0		3		0
Food	10	5		2		3		0
Money/budgeting	3	0		0		2		1
Financial benefits	6	3		0		2		1
Caring for someone else	8	3		2		1		1
Physical needs (total)	44	10	22.7	10	22.7	6	13.6	18	40.9
Physical health	9	1		1		1		6
Medication	4	1		1		1		1
Eyesight/hearing/communication	16	5		3		2		6
Mobility/falls	9	2		2		1		4
Self-care	4	1		2		1		0
Continence	2	0		1		0		1
Psychological needs (total)	71	4	5.6	16	22.5	10	14.1	41	57.7
Psychological distress	31	1		8		2		20
Memory	13	0		3		6		4
Disruptive behavior	7	0		1		1		5
Alcohol	5	2		1		1		1
Deliberate self-harm	3	0		0		0		3
Inadvertent self-harm	5	1		2		0		2
Psychotic symptoms	7	0		1		0		6
Social needs (total)	78	22	28.2	13	16.7	12	15.4	31	39.7
Company	15	1		3		1		10
Intimate relationships	24	7		4		4		9
Daytime activities	27	7		2		6		12
Information	11	6		4		1		0
Abuse/neglect	1	1		0		0		0

Table 3. Satisfaction with received care and differences with MADRS score.

Item on the CANE		Satisfied with provided care		Not satisfied with provided care		Difference MADRS scores and satisfied/not satisfied
	n	n	%	n	%	Differences	P^a (2-tailed)
Environmental needs			88		12
Accommodation	24	21	87.5	3	12.5	7.14^b	0.15
Household skills	58	51	87.9	7	12.1	9.04	0.04
Food	36	29	80.6	7	19.4	7.42	0.11
Money/budgeting	34	34	100	0	0	–	–
Financial benefits	22	18	81.8	4	18.2	17.22	0.02
Caring for someone else	17	15	88.2	2	11.8	0.70	0.94
Physical needs			88		12
Physical health	68	64	94.1	4	5.9	3.52	0.54
Medication	43	38	88.4	5	11.6	6.64	0.09
Eyesight/hearing/communication	54	42	77.8	12	22.2	6.38	0.052
Mobility/falls	45	40	88.9	5	11.1	4.08	0.44
Self-care	20	17	85	3	15	14.77	0.06
Continence	22	21	95.5	1	4.5	−1.48	0.75
Psychological needs			81.7		18.3
Psychological distress	77	63	81.6	14	18.2	4.52	0.14
Memory	45	38	84.4	7	15.6	10.93	0.01
Behavior	20	16	80	4	20	13.38	0.05
Alcohol	11	6	54.5	5	45.5	18.17	0.04
Deliberate self-harm	34	30	88.2	4	11.8	4.65	0.47
Inadvertent self-harm	17	13	76.5	4	23.5	5.56	0.34
Psychotic symptoms	30	26	86.7	4	13.3	12.60	0.06
Social needs			67.3		32.7
Company	32	25	75	8	25	4.63	0.34
Intimate relationships/loneliness	44	28	63.6	16	36.4	4.50	0.14
Daytime activities	64	39	60.9	25	39.1	9.27	0.00
Information	48	36	75	12	25	−0.50	0.84
Abuse/neglect	11	9	81.2	2	18.8	2.83	0.81

^a Calculated with a Mann–Witney U test.

^b A positive score means that patients who are not satisfied have a higher score on the MADRS.