The prognosis of depression in old age

International Psychogeriatrics
S L Kivelä, K Pahkala

Abstract

A prospective follow-up of depressed elderly patients is described. The subjects, 91 men and 173 women aged 60 years or over, were diagnosed as depressed in an epidemiological study using the DSM-III criteria. One hundred ninety-nine patients suffered from dysthymic disorder. The mean duration of the follow-up was 14.9 +/- 4.3 months. Outcome was not associated with sex and was good in 41% of the cases. In men, poor outcome was associated with low social participation, low frequency of visiting contacts, and poor insight into the depressive disorder. In women, poor outcome was associated with multiple depressive symptoms, depression diagnosed previous to this study, not living alone, low social participation, low self-perceived health, diurnal variation of symptoms, and the occurrence of initial insomnia, loss of libido, and hypochondriacal and compulsive symptoms. Many similarities were found in factors associated with outcome between all depressed patients and the patients whose depression was diagnosed during our epidemiological study.

Citations

Jan 1, 1994·Acta Psychiatrica Scandinavica. Supplementum·S L Kivelä
Aug 14, 2010·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Michel PrévilleUNKNOWN Scientific Committee of the ESA Study
Dec 1, 1994·Aging : Clinical and Experimental Research·P LaukkanenE Heikkinen
May 1, 1995·Social Psychiatry and Psychiatric Epidemiology·K PahkalaS L Kivelä
Dec 14, 2004·European Psychiatry : the Journal of the Association of European Psychiatrists·Georg AdlerAna Jajcevic
Aug 21, 2010·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Michel PrévilleUNKNOWN Scientific Committee of the ESA Study
Apr 23, 2013·Depression Research and Treatment·Djemaa-Samia Mechakra-TahiriJoëlle Brassard
Feb 19, 2000·International Journal of Geriatric Psychiatry·S L KiveläK Pahkala
Jul 1, 1992·Journal of Clinical Epidemiology·K PahkalaP Laippala

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