Detection and treatment of major depression in older medically ill hospitalized patients

International Journal of Psychiatry in Medicine
H G KoenigD G Blazer

Abstract

While major depression is common among medically ill older inpatients, little is known about the frequency of detection or appropriate treatment in this population. In the present study, 171 consecutive men age seventy and over admitted to the medical and neurological services of a VA medical center were screened for major depression. The medical records of all patients identified with this disorder were reviewed for documentation of depression by housestaff 1) prior to our evaluation and 2) throughout the rest of the hospital stay. Relative and absolute contraindications to antidepressant therapy were also sought. Of patients identified with major depression, 20 percent (3/15) had depressive symptoms documented in their charts by housestaff prior to our evaluation. After housestaff were informed of the possibility of major depression, 27 percent (4/15) of these patients eventually received psychiatric consultations, and 13 percent (2/15) had antidepressants initiated. At the time of discharge only 13 percent (2/15) had followup plans documented in their medical record to provide ongoing therapy or any therapy for depression after discharge. While this low detection rate and less than adequate treatment may indicate a lack of s...Continue Reading

References

Dec 1, 1975·The American Journal of Psychiatry·D RaftB F Lewis
Mar 20, 1976·Lancet·A Johnstone, D Goldberg
Jul 1, 1978·Archives of General Psychiatry·J Endicott, R L Spitzer
Dec 1, 1977·Annals of Internal Medicine·E B Knights, M F Folstein
Apr 1, 1975·The British Journal of Psychiatry : the Journal of Mental Science·H S Moffic, E S Paykel
Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
May 16, 1986·JAMA : the Journal of the American Medical Association·C M AllenH J Cohen
Jun 1, 1986·The American Journal of Psychiatry·G M Rodin, K Voshart
Jan 23, 1987·JAMA : the Journal of the American Medical Association·P S GermanB J Burns
Mar 1, 1987·Journal of General Internal Medicine·F B WalkerP Oblinger
Jun 1, 1987·Journal of the American Geriatrics Society·W J BurkeR D Wetzel
Jan 1, 1986·The Hospice Journal·R J Goldberg, L O Cullen
Feb 1, 1986·The British Journal of Psychiatry : the Journal of Mental Science·R Mayou, E B Smith
Aug 1, 1986·Archives of Neurology·M J RedingF H McDowell
Feb 1, 1987·Archives of General Psychiatry·A L Callies, M K Popkin
Jan 1, 1985·Acta Psychiatrica Scandinavica. Supplementum·P MaguireT Howell
Jan 1, 1985·Acta Psychiatrica Scandinavica. Supplementum·D CostaT Toma
Dec 1, 1985·Archives of General Psychiatry·M K PopkinT B Mackenzie
Sep 1, 1971·Journal of Psychosomatic Research·J G BruhnB U Philips
Oct 1, 1972·Journal of Psychosomatic Research·E L CayP Dugard
Mar 6, 1972·JAMA : the Journal of the American Medical Association·J Fawcett
Mar 1, 1971·The American Journal of Psychiatry·H S AbramF B Westervelt
Sep 1, 1969·The American Journal of Psychiatry·C P Kimball
Dec 1, 1967·The British Journal of Social and Clinical Psychology·M Hamilton
Dec 1, 1983·General Hospital Psychiatry·A Stoudemire, T L Thompson
Mar 1, 1982·Journal of the American Geriatrics Society·M A KitchellM A Raskind
Jun 1, 1981·The American Journal of Psychiatry·S J Levitan, D S Kornfeld
Dec 1, 1981·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·G M RodinK Steinhouse
May 1, 1980·The American Journal of Psychiatry·G L Engel
Sep 1, 1980·Archives of General Psychiatry·A C Nielsen, T A Williams

Citations

Nov 1, 1989·Journal of General Internal Medicine·H G KoenigD G Blazer
Jan 1, 1994·Behaviour Research and Therapy·D C Turk, A Okifuji
Feb 21, 1995·Journal of Affective Disorders·R M KokH G Rooijmans
Mar 17, 2000·Journal of Psychosomatic Research·J WancataU Meise
Oct 27, 1998·General Hospital Psychiatry·K K UldallM Krone
Mar 20, 1998·General Hospital Psychiatry·H G Koenig
Nov 28, 2001·Journal of General Internal Medicine·Sidney T BogardusSharon K Inouye
May 25, 2002·Journal of the American Geriatrics Society·Sidney T BogardusSharon K Inouye
Jan 1, 1992·Psychosomatics·D S SchubertW Tamaklo
Jan 1, 1990·Psychosomatics·H G Koenig, J C Breitner
Jan 22, 2008·Archives of Psychiatric Nursing·Jingping ZhangAiyun Yang
Aug 5, 2005·Journal of the American Geriatrics Society·Jane McCuskerMichel Elie
Jun 6, 2003·International Journal of Geriatric Psychiatry·Olukunle O Sokoya, Olusegun Baiyewu
Oct 26, 1999·The American Journal of Emergency Medicine·S W MeldonD S Schubert
May 7, 2002·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Thomas MeyerChristoph Herrmann-Lingen
Apr 15, 2015·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Andrea TopitzMarion Freidl
Oct 1, 1992·Journal of the American Geriatrics Society·H G KoenigD G Blazer
Sep 1, 1991·Journal of the American Geriatrics Society·H G KoenigD G Blazer
Nov 1, 1993·Journal of the American Geriatrics Society·H G KoenigT E Sibert
Jan 1, 1995·Journal of the American Geriatrics Society·D K MillerJ E Morley
May 1, 1995·Journal of the American Geriatrics Society·D K MillerJ E Morley
Jan 1, 1993·International Journal of Psychiatry in Medicine·H G KoenigD G Blazer
Jan 1, 1992·International Journal of Psychiatry in Medicine·H G KoenigD G Blazer
Jan 1, 1989·International Journal of Psychiatry in Medicine·T R Vrobel
Jan 1, 1992·International Journal of Psychiatry in Medicine·H G KoenigR Westlund
Sep 17, 2002·Journal of Geriatric Psychiatry and Neurology·Helen C Kales, Marcia Valenstein
Jul 8, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stuti DangSilvina Levis
Sep 10, 1999·International Journal of Geriatric Psychiatry·M Baheerathan, A Shah
Dec 20, 2002·International Journal of Psychiatry in Medicine·Helen H DorraCharles F Reynolds
May 30, 2006·Journal of Psychiatric Practice·Thierry PepersackIngo Beyer
Feb 16, 2010·Conservation Biology : the Journal of the Society for Conservation Biology·Virginie Maris, Arnaud Béchet
Oct 1, 1996·The Journal of Medical Humanities·George L Murphy
Nov 24, 2005·Family Practice·John BushnellMaGPIe Research Group
Jan 1, 1998·International Journal of Psychiatry in Clinical Practice·A Shah, T De
Dec 17, 2008·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Larissa Conradt, Christian List
Apr 16, 2014·The American Journal of Bioethics : AJOB·Robert Sparrow
Apr 27, 2010·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Marco InnamoratiMaurizio Pompili
May 3, 2005·The British Journal of Psychiatry : the Journal of Mental Science·A M H EissesJ Ormel
Jun 6, 2018·Frontiers in Psychiatry·Anna SzücsAlexandre Y Dombrovski

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