Evid Based Mental Health 8:49 doi:10.1136/ebmh.8.2.49
  • Aetiology

Relocation puts elderly nursing home residents at risk of stress, although the stress is short lived

 Q What are the effects of moving elderly people to a new nursing home?



Randomised controlled trial.


Long term nursing homes in greater Philadelphia and Horsham, Pennsylvania between June 2001 and spring 2002.


77 nursing home residents aged 65 and over.


Participants were divided into two groups: residents moving to a new nursing home, and residents remaining in the Philadelphia nursing home. Baseline measurements were recorded in July and August 2001. Residents were moved during fall 2001, measurements were taken 1 week before moving, and 1 week and 4 weeks after moving.


Mini-Mental State Examination scores, Observed Affect Rating Scale scores, salivary cortisol, blood pressure, and pulse.

GraphicFollow up period:

Outcomes were assessed 1 week before the move, and 1 week and 4 weeks after the move.


1 week before moving: residents moving had a significantly greater increase from baseline in late afternoon cortisol compared with residents remaining …