Five-Year Prognosis for Dysthymic Disorder in Old Age
E. Kesti
Bok Engelsk 1993
| Utgitt | SL Kivela Univ Oulu Dept Publ Hlth Sci & Gen P , 1993
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| Omfang | 9 s.
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| Opplysninger | Abstract The 5-year prognosis for 199 elderly patient (60yr+) suffering from dysthymic disorder is described. Twenty-nine per cent of the men and 39% of the women recovered, 26% of both were suffering from depression after 5 years, 9% of both had a possible dementia, 32% of the men and 22% of the women had died and 3% of the men and 5% of the women could not be contacted. The outcome did not differ between the sexes or age groups. A poor prognosis among men was related to a low educational level, a non-independent previous occupation, the occurrence of depression previously, i high number of hobbies and the following depressive symptoms, initial and delayed insomnia, retardation and psychomotor agiation. A poor prognosis was also found for those whose functional capacities, hobbies or emotional relations with their wives had a declined or who had had experienceed a pulmonary disease or few or no social growth events during the follow-up. A poor prognosis among women was related to low self-perceived health, high sum score of the Hamilton Rating Scale for Depression, thyroid disorder and the following depressive symptoms; loss of libido and diurnal variation of symptoms. A poor prognosis was also found for those whose physical health, functional capacities, social participation rate or hobbies had declined or who had experienced a serious disease during the follow-up. A favourable prognosis was found for women who moved to live alone or became more active in taking physical exercise.
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