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Prognosis of depression in the elderly

Published online by Cambridge University Press:  13 June 2014

Aideen Freyne  and
Margo Wrigley
Margo Wrigley
Affiliation:
James Connolly Memorial Hospital, Blanchardstown, Dublin 15, Ireland
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Abstract

Objective: To ascertain the outcome of depression and factors associated with outcome over a minimum followup period of 12 months in patients referred to an Old Age Psychiatry Service.

Method: A retrospective study was performed. All depressed patients assessed by the service between January 1989 and December 1990 were followed up. This included patients seen on domiciliary and consultationliaison visits. Follow up data included information on physical, psychological, cognitive and social parameters using standardised scales where appropriate. Outcome of depression was assessed using a six point scale to enable comparison with other studies.

Results: 86 patients with a primary diagnosis of depression were seen in 1989 and 1990. At follow up, 37% were dead. 50% of patients alive at follow up were well and 7% were demented. Patients seen on domiciliary visits had the best outcome, and those with physical illness or cognitive impairment at presentation the worst outcome.

Conclusion: The association between physical status and outcome highlights the need for close monitoring of both physical and mental status of depressed elderly patients.

Keywords

PrognosisDepressionElderly
Type
Research Article
Information
Irish Journal of Psychological Medicine , Volume 12 , Issue 1 , March 1995 , pp. 6 - 11
Copyright
Copyright © Cambridge University Press 1995

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References

1.Henderson, NS, Kay, DWK. The epidemiology of mental disorders in the aged. In: Handbook of studies in psychiatry and old age. 1984.Google Scholar
2.Post, F, Shulman, K. New view on old age affective disorders. In: Aries, T, editor. Recent advances in psychogeriatrics. London: Livingstone Churchill, 1985.Google Scholar
3.Copeland, JRM, Davidson, IA, Dewey, ME, et al.Alzheimer's disease, other dementias, depression and pseudodementia: prevalence, incidence and three year outcome in Liverpool. Br J Psychiatry 1992; 161: 230–9.CrossRefGoogle ScholarPubMed
4.Post, F. The significance of affective symptoms in old age. London: Oxford University Press, 1962.Google Scholar
5.Post, F. The management and nature of depressive illnesses in late life: a follow through study. Br J Psychiatry 1972; 121: 393–404.CrossRefGoogle ScholarPubMed
6.Murphy, E. The prognosis of depression in old age. Br J Psychiatry 1983; 142: 111–9.CrossRefGoogle ScholarPubMed
7.Millard, PH. Depression in Old Age. BMJ 1983; 287 :375–6.CrossRefGoogle ScholarPubMed
8.Gordon, WC. Elderly depressives: treatment and follow up. Can J Psychiatry. 1981; 26: 110–3.CrossRefGoogle ScholarPubMed
9.Goldberg, C, Rosevinge, H, Wilkinson, D, Smithies, J. Depression in old age: prognosis after ECT. Int J Ger Psychiatry 1987; 2: 25–30.Google Scholar
10.Baldwin, RC, Jolley, DJ. Prognosis of depression in old age. Br J Psychiatry 1986; 149: 574–83.CrossRefGoogle ScholarPubMed
11.Burvill, PW, Hall, WD, Stampfer, HG, Emmerson, J. The prognosis of depression in old age. Br J Psychiatry 1991; 158: 64–71.CrossRefGoogle ScholarPubMed
12.Meats, P, Timol, M, Jolley, D. Prognosis of depression in the elderly. Br J Psychiatry 1991; 159: 659–63.CrossRefGoogle ScholarPubMed
13.Murphy, E, Smith, R, Lindesay, J, Slattery, J. Increased mortality rates in late-life depression. Br J Psychiatry 1998; 152: 347–53.CrossRefGoogle Scholar
14.Burvill, P, Hall, W. Predictions of increased mortality in elderly depressed patients. Int J Ger Psychiatry 1994; 9: 219–27.CrossRefGoogle Scholar
15.Wrigley, M, Gannon, M. The North Dublin Old Age Psychiatry Service - survey of patients referred in the first six months. Ir J Psychol Med 1990; 7: 135–7.CrossRefGoogle Scholar
16.Folstein, MF, Folstein, SE, McHugh, PK. Mini Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189–98.CrossRefGoogle Scholar
17.Pattie, AH. A survey version of the Clifton Assessment Procedures for the Elderly (CAPE). Br J Clin Psychiatr 1981; 20: 173–8.CrossRefGoogle ScholarPubMed
18.Hamilton, M. A rating scale for depression. J Neurol Neurosurgery Psychiatry. 1960; 23: 56–62.CrossRefGoogle ScholarPubMed
19.Yesavage, JA, Brink, TL. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17: 37–49.CrossRefGoogle Scholar
20.ICD 9 Classification of mental and behavioural disorders. WHO: Geneva, 1978.Google Scholar
21.ICD-10 Classification of mental and behavioural disorders. WHO: Geneva, 1992.Google Scholar
22.Department of Health. Vital Statistics 1993. Central Statistics Office.Google Scholar
23.Baldwin, RC, Benbow, SM, Marriott, A, Tomenson-B, . Depression in old age: a reconsideration of cerebral disease in relation to outcome. Br J Psychiatry 1993; 163: 82–90.CrossRefGoogle ScholarPubMed
24.Cole, MG. The prognosis of depression in the elderly. Can Med Assoc J 1990; 143: 633–9.Google ScholarPubMed