OBJECTIVE: To examine the use of antidepressant drugs
over time among community-based older persons.
DESIGN:
A longitudinal community study with four approximately
biennial data collection waves (1987-1996).
SETTING:
A low-socioeconomic status rural older community-based
population in Southwestern Pennsylvania.
PARTICIPANTS:
A total of 1681 individuals with a mean age of 72.9 years at
study entry,
MEASUREMENTS: Antidepressant drug use,
demographics, and health services utilization by
self-report.
RESULTS: Antidepressant use was reported
by less than 5% of the population during all four waves. It
was associated with female gender, use of mental health
services, presence of five or more depressive symptoms, and
use of five or more prescription drugs, but not with age.
During the four waves, tricyclics accounted for 84.6%,
85.3%, 78.4%, and 45.5% of total antidepressants used,
whereas selective serotonin reuptake inhibitors (SSRIs)
accounted for 2.6%, 11.8%, 8.1%, and 36.4%.
CONCLUSIONS:
Overall, our data on antidepressant use in this rural older
population mirror national trends away from tricyclics and
towards SSRIs. Our findings also suggest underutilization of
mental health services and antidepressant drugs in this
population.