Depression at the end of life: Podcast with Elissa Kozlov and Claire Ankuda
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
43 min
6 speakers
6 chapters
transcribed 3 days ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the main focus of the episode and who are the guests?
The JerryPow podcast is brought to you by Archstone Foundation, preparing society and meeting the needs of an aging population. And now, here are your hosts.
Welcome to the Jerry Powell Podcast. This is Eric Quadero. This is Alex Smith. And Mrs. Ann Kelly. And Alex, we have some people on Skype.
From the Skype line joining us from the Garden State in New Jersey. We have Alyssa Kozlov, who is a clinical psychologist, researcher, instructor at Rutgers University. Welcome to the Jerry Pal podcast, Alyssa.
Thank you.
And we have Claire Anku Ancuda. Did I say that right? Did I get the emphasis on the right syllabus?
And
CUDA. Okay. Claire and CUDA. Terrible. He's a palliative care physician researcher at Mount Sinai. Welcome to the JerryPell podcast, Kit Claire and Kuda.
Alex is struggling today. That's because all he had for breakfast was an apple, which he's still eating right now. Well, uh, Claire and Alyssa, we're gonna be talking about um depressive symptoms in the last year of life. You just had a great article published in Jags on this particular subject. But before we talk about depression at the end of life, we always start off with a song request. Do you have a song for Alex?
Yeah, we do. Uh we would like to hear HERT, but not the nine inch nails version, the Johnny Cash version.
Oh, I was hoping Alex would break out all of like the synthesizer stuff for the nine inch nails version. Or
maybe merge them together. Oh, there's a challenge.
Okay, Trent, you ready?
Right.
Yeah.
I hurt myself today. To see if I still feel to focus on the pain, the only thing that's real, the needle tears a hole, the old familiar sting. Try to kill it all away. But I remember everything. What have I become? My sweetest friend. Every one I know goes away. In the And you could have it all. My empire of dirt and I will let you down I will make you hurt. God I love that
song. Uh Alyssa and Claire, why'd you pick that song?
Yeah, so uh we picked this song because we both thought it it really captures um depression and many elements of depression, including the terrible social isolation and how cut off from other people um folks feel when they're depressed. Um, and I think it's it's this experience and this that we see in our patients that really drove us to to do this study.
And it's an awesome song. Let's dive into the kind of article and we we always start off with like, how did you get interested this in a as a subject?
Uh well so as a psychologist, I'm always thinking about the mental health care of those around me. And I trained in geriatrics and palliative care and just saw a lot of um a lot of mental health symptoms that don't always get addressed at end of life, which we understand there's a lot of competing demands and uh you know sometimes a pain crisis might trump a mental health crisis. I get that, but uh we really wanted to explore what the depression trajectory looked like in that last year of life. And Claire had the methodological expertise to help me do that. So it was a great it was a great opportunity for us to work together.
And you guys are at different institutions. Like, how how did you actually do that? Like where where did this um meeting of the minds come from?
So so we met, uh Alyssa wrote an amazing paper about screening for palliative care needs in community um senior senior housing in New York City, uh, that I was really impressed by. And I just moved to New York and we had coffee and really hit it off. And one thing we talked about is as researchers in palliative care, there's often just a few of us in each department or institution, and we're so siloed from each other. Like in New York, I mean And I'm you know, what, thirty thirty blocks uptown from where Alyssa was at Cornell and yet no idea what she was doing. So we actually we started an early researcher network in New York to get together, to get to know each other, to get to know each other's work.
Um and we found that our interests really complemented each other and our skills really complemented each other. And so, you know, like in geriatrics and pal care, we think about multidisciplinary clinical teams.
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Chapters
6 chapters
1
What is the main focus of the episode and who are the guests?
0:01–5:32
2
Why did the hosts choose Johnny Cash’s version of “Hurt” for the episode?
5:32–13:12
3
What motivated the researchers to study depressive symptoms in the last year of life?
13:12–21:58
4
How did the team design the study and what data source did they use?
21:58–29:52
5
What did the study reveal about the prevalence and trajectory of depression near death?
29:52–38:06
6
How should clinicians screen for and differentiate depression from normal end‑of‑life sadness?
38:06–43:37
Speakers
6 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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