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A Comparison of Early-Onset and Late-Onset Depressive Illness in the Elderly

Published online by Cambridge University Press:  02 January 2018

P. W. Burvill ,
W. D. Hall ,
H. G. Stampfer  and
J. P. Emmerson
P. W. Burvill*
Affiliation:
University of Western Australia, Royal Perth Hospital, GPO Box X2213, Perth, Western Australia 6001
W. D. Hall
Affiliation:
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW
H. G. Stampfer
Affiliation:
University of Western Australia, Sir Charles Gairdner Hospital, Nedlands, Western Australia
J. P. Emmerson
Affiliation:
Department of Psychiatry, University of Western Australia, Nedlands, Western Australia
*
∗Correspondence
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Abstract

Elderly patients with early-onset and late-onset depressive illness presenting to psychiatrists for treatment were compared for social, demographic, and clinical measures. For most factors measured no statistically significant differences were found. In the early-onset cases, patients were significantly more severely depressed. There was some evidence for the hypotheses that family history is less important and biological factors more important in late-onset depression. It is suggested that the latter hypothesis should be tested by a range of the newer neuroanatomical and neurophysiological laboratory investigations. The findings indicate that neuroticism is an important underlying factor in both early-onset and late-onset depression in the elderly.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 5 , November 1989 , pp. 673 - 679
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Baldwin, R. C. & Jolley, D. J. (1986) The prognosis of depression. British Journal of Psychiatry, 149, 574–583.Google Scholar
Brown, G. W., Sklair, F., Harris, T. O., et al (1973) Life events and psychiatric disorders. Part I. Some methodological issues. Psychological Medicine, 3, 74–87.Google Scholar
Brown, G. W., & Harris, T. (1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar
Burvill, P. W., Stampfer, H. & Hall, W. (1986) Does depressive illness in the elderly have a poor prognosis? Australian and New Zealand Journal of Psychiatry, 20, 422–427.Google Scholar
Burvill, P. W., Mowry, B. & Hall, W. D. (1988) Assessment of physical illness in psychiatric research in the elderly. International Journal of Geriatric Psychiatry (in press).Google Scholar
Carney, M. W. P., Roth, M. & Garside, R. F. (1965) The diagnosis of depressive syndromes and the prediction of ECT response. British Journal of Psychiatry, 111, 659–674.Google Scholar
Cole, M. G. (1983) Age, age of onset and course of primary depressive illness in the elderly. Canadian Journal of Psychiatry, 28, 102–104.Google Scholar
Duke University Centre for the Study of Ageing and Human Development (1978) Multidimensional Functional Assessment: The OARS Methodology. Durham, NC: Duke University.Google Scholar
Emmerson, J., Burvill, P. W., Finlay-Jones, R. A., et al (1988) The role of life events and confidants in the onset of depressive illness in the elderly. British Journal of Psychiatry (in press).Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1974) “Mini-Mental State”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.Google Scholar
Harris, R. (1985) A Primer of Multivariate Statistics. Orlando, Florida: Academic Press.Google Scholar
Henderson, A. S., Duncan-Jones, P. & Finlay-Jones, R. A. (1983) The reliability of the Geriatric Mental State Examination. Acta Psychiatrica Scandinavica, 67, 281–289.Google Scholar
Hopkinson, F. J. (1964) A genetic study of affective illness in patients over 50. British Journal of Psychiatry, 110, 244–254.Google Scholar
House, A. (1987) Depression after stroke. British Medical Journal, 294, 76–78.Google Scholar
Jacoby, R. J. (1981) Dementia, depression and the CT scan. Psychological Medicine, 11, 673–676.CrossRefGoogle ScholarPubMed
Jacoby, R. J. Levy, R. & Dawson, J. M. (1980) Computerised tomography in the elderly. 3. Affective disorders. British Journal of Psychiatry, 136, 270–275.Google Scholar
Kay, D. W. K. (1959) Observations on the natural history and genetics of old age psychoses: a Stockholm material, 1931–37 (abridged). Proceedings of the Royal Society of Medicine, 52, 791–794.Google Scholar
Kay, D. W. K. & Roth, M. (1955) Physical accompaniments of mental disorder in old age. Lancet, ii, 740–745.Google Scholar
Kay, D. W. K., Roth, M. & Hopkins, B. (1955) Affective disorders arising in the senium. I. Their association with organic cerebral degeneration. Journal of Mental Science, 101, 302–316.Google Scholar
Kay, D. W. K., Beamish, P. & Roth, M. (1964) Old age mental disorders in Newcastle-upon-Tyne. 1. A study of prevalence. British Journal of Psychiatry, 110, 146–158.Google Scholar
Kay, D. W. K. & Bergmann, K. (1966) A follow-up of a random sample of elderly people seen at home. Journal of Psychomatic Research, 13, 3–12.Google Scholar
Klerman, G. L. (1983) The scope of depression. In The Origin of Depression: Current Concepts and Approaches, Dahlem Conference (ed. J. Angst). New York: Springer-Verlag.Google Scholar
Lipsey, J. R., Robinson, R. G., Pearlson, G. D., et al (1984) Nortriptyline treatment of post-stroke depression: a double-blind study. Lancet, i, 297–300.Google Scholar
Mann, A. H., Jenkins, R. & Belsey, E. (1981) The twelve-month outcome of patients with neurotic illness in general practice. Psychological Medicine, 11, 535–550.Google Scholar
Murphy, E. (1982) Social origins of depression in old age. British Journal of Psychiatry, 136, 326–338.Google Scholar
Murphy, E. (1983) The prognosis of depression in old age. British Journal of Psychiatry, 142, 111–119.Google Scholar
Paykel, E. S., Myers, J. K., Diemelt, M. N., et al (1969) Life events and depression: a controlled study. Archives of General Psychiatry, 21, 753–776.Google Scholar
Post, F. (1972) The management and nature of depressive illnesses in late life: a follow-through study. British Journal of Psychiatry, 121, 393–404.Google Scholar
Post, F. (1978) The functional psychoses. In Studies in Geriatric Psychiatry (eds A. D. Isaacs & F. Post). Chichester: John Wiley.Google Scholar
Roth, M. (1983) Depression and affective disorder in later life. In The Origins of Depression: Current Concepts and Approaches (ed. J. Angst). Berlin: Springer-Verlag.Google Scholar
Roth, M. & Kay, D. W. K. (1956) Affective disorder arising in the senium. II. Physical disability as an aetiological factor. Journal of Mental Science, 102, 141–150.Google Scholar
Robinson, R. G., Starr, L. B. & Price, T. R. (1984) A two-year longitudinal study of mood disorders following stroke. Prevalence and duration at six months follow-up. British Journal of Psychiatry, 144, 256–262.Google Scholar
Winokur, G., Cadoret, R., Baker, M., et al (1975) Depression spectrum disease versus pure depressive disease: some further data. British Journal of Psychiatry, 127, 75–77.Google Scholar
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