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Prevalenza dei disturbi affettivi (DSM-IIIR) nei pazienti di un reparto di medicina geriatrica. Uno studio epidemiologico con controlli della popolazione generale

Published online by Cambridge University Press:  07 August 2014

Cesare Turrina ,
Maria Steinmayr ,
Orazio Piasere  and
Orazio Siciliani
Cesare Turrina*
Affiliation:
Istituto di Psichiatria, Università di Verona, Verona
Maria Steinmayr
Affiliation:
Istituto di Psichiatria, Università di Verona, Verona
Orazio Piasere
Affiliation:
Istituto di Psichiatria, Università di Verona, Verona
Orazio Siciliani
Affiliation:
Istituto di Psichiatria, Università di Verona, Verona
*
Indirizzo per la corrispondenza: Dr. C. Turrina, Istituto di Psichiatria, Ospedale Policlinico, 37134 Verona. Fax ( + 039) 045-500.873.
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Summary

Objective - To investigate the rate of DSM-IIIR main affective disorders in a sample (52) of elderly medical patients consecutively admitted to a geriatric ward; to look for risk factors associated with depression; to compare the rate of depression with the one detected in community controls (117 subjects). Design - All consecutive patients admitted during January-February 1990 were assessed with a standardized psychiatric interview (Geriatric Mental State Examination) and with the Mini-Mental State Examination. Setting - The IV Geriatric Division (ward and day-hospital), Ospedale Civile Maggiore of Verona, which cares for elderly affected by medical illnesses. Main outcome measures - Depression was diagnosed according to the main DSM-IIIR categories for mood disorders. Results - Overall, an affective disorder was diagnose in 25% of the subjects (major depression 5,7%, dysthymic disorder 3,8%, n.o.s. depression 13,4%, adjustment disorder with depressive mood 1,9%). This rate was significantly higher when compared with the prevalence detected in community controls (25% vs. 11,1%). Older age, female sex, physical disability and distressing events were not associated with affective illness, while the lack of social support was significantly associated with depression. Conclusions - Elderly medical patients turned out to be an high risk group for depression, which deserves psychiatric screening and specific treatment.

Keywords

elderlydepressiondementiamedical illnesscommunityanzianodepressionedemenzamalattia fisicapopolazione generale.
Type
Articoli
Information
Epidemiology and Psychiatric Sciences , Volume 2 , Issue 1 , April 1993 , pp. 47 - 52
Copyright
Copyright © Cambridge University Press 1993

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References

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