Depression in older medical inpatients: One-year course and outcome
F.R. Fenton
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 389- 394
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| Opplysninger | Objectives. This 1-year follow-up survey of 214 medical inpatientsaged 65 and older describes the outcome of major depressive episode(MDE), determines the incidence of new episodes and identifiesfactors associated with outcome and with new episodes of MDE.Method. Follow-up information was obtained from 160 patients, 69 menand 91 women.Results. Of the 48 cases of MDE who were interviewed, 44% improved.Underlying dysthymic disorder strongly influenced outcome: of 21cases of MDE alone, 62% were improved at follow-up; of the 27 casesin which MDE was superimposed on dysthymic disorder initially, only30% were improved. New episodes of MDE occurred in 21% of patients,and were associated with dysthymic disorder initially and with changeof meaning of life.Conclusions. Among older medical inpatients, NIDE, particularly whensuperimposed upon dysthymic disorder, is a persistent condition.Randomized trials are necessary to identify efficacious treatments.((C) 1997 by John Wiley & Sons, Ltd.)
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| Emner |
