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Effect of Age on the Outcome of Hospital Treated Depression

Published online by Cambridge University Press:  02 January 2018

T. A. Tuma
T. A. Tuma*
Affiliation:
Brighton Clinic, Newcastle General Hospital
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Abstract

Background

Depression affects a significant proportion of the expanding elderly population in the UK. Reports of a poorer prognosis for older than for younger adult patients have been challenged by recent papers.

Method

The casenotes of 56 adults (mean age 47.8 years) and 54 elderly (mean age 72.9 years) patients with primary depression were assessed one year after receiving hospital treatment. Outcome measures were compared with earlier reported findings and factors possibly influencing outcome were explored.

Results

The pattern of outcome in both age groups was broadly similar, thus: adults v. elderly: recovered 44.6% v. 44.4%; relapsed and recovered 23.2% v. 24%; residual symptoms 19.6% v. 13% and chronic depression 7.1% v. 5.5%. In the adults there were two natural deaths and one suicide. In the elderly there were two cases of dementia and five natural deaths, which was double the expected death rate. Predictors of poor outcome were melancholic depression in adults and longer duration of illness at intake and an increasing number of previous episodes of affective disorder in the elderly.

Conclusion

The outcome of treated depressive illnesses appears similar in elderly and adult patients. Associated physical ill health did not adversely affect outcome in the elderly group.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 1 , January 1996 , pp. 76 - 81
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III–R). Washington, DC: APA.Google Scholar
Arib, T. & Jolley, D. (1982) Making services work: organisation and style of psychogeriatric services. In The Psychiatry of Late Life (eds Levy, R. & Post, F.). Oxford: Blackwell Scientific.Google Scholar
Baldwin, R. C. & Jolley, D. J. (1986) The prognosis of depression in old age. British Journal of Psychiatry, 149, 574–583.Google Scholar
Bergmann, K., Kay, D. W. K., Footer, E. M., et al (1971) A follow-up study of randomly selected community residents to assess the effect of chronic brain syndrome and cerebrovascular disease. Psychiatry, Paper II, Excepta Medica Congress Series, 274, 856–865.Google Scholar
Brodaty, H., Harris, L., Peters, K., et al (1993) Prognosis of depression in the elderly. British Journal of Psychiatry, 163, 589–596.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.CrossRefGoogle ScholarPubMed
Godber, C., Rosenvinge, H., Wilkinson, E., et al (1987) Depression in old age: prognosis after ECT. International Journal of Geriatric Psychiatry, 2, 19–24.Google Scholar
Kiloh, L. G., Andrews, G. & Neilson, M. (1988) The long term outcome of depressive illness. British Journal of Psychiatry, 153, 752–757.Google Scholar
Lee, A. S. & Murray, R. M. (1988) The long term outcome of Maudsley depressives. British Journal of Psychiatry, 153, 741–751.Google Scholar
Meats, P., Timol, M. & Jolley, D. (1991) Prognosis of depression in the elderly. British Journal of Psychiatry, 159, 659–663.Google Scholar
Minitab Inc. (1993) Release 8. 3081 Interprise Drive, State College, PA 16801–3008, USA.Google Scholar
Murphy, E. (1983) The prognosis of depression in old age. British Journal of Psychiatry, 142, 111–119.Google Scholar
OPCS (1980–1982) (Office of Population Censuses and Surveys) Series DS No. 7. English Life Table No. 14. HMSO: London.Google Scholar
Post, F. (1972) The management and nature of depressive illness in late life: a follow-through study. British Journal of Psychiatry, 121, 393–404.Google Scholar
Robinson, J. R. (1989) The natural history of mental disorder in old age: a long term study. British Journal of Psychiatry, 154, 783–789.Google Scholar
Computing Resource Centre (1992) Stata Reference Manual, Release 3 (Vol. 25th edn). Computing Resource Centre, 100–104 Santa Monica, CA, USA.Google Scholar
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