| Autor: |
López-Torres Hidalgo J, Escobar Rabadán F, Boix Gras C, Galdón Blesa P, del Campo del Campo JM, López Verdejo MÁ |
| Zdroj: |
Primary Care & Community Psychiatry; 2006, Vol. 11 Issue 3, p107-111, 5p |
| Abstrakt: |
Objective: To ascertain the mental health diagnosis of elderly patients with suspected depression and to describe morbidity or sociodemographic factors associated with an accurate diagnosis of major depressive disorder (MDD).Design: Cross-sectional study.Setting: Primary care and mental health care in Spain.Subjects: Patients 65 years or older, suspected of suffering from a mood disorder; 258 elderly patients were selected from primary care consultations and then referred to mental health care to be assessed by means of a psychiatric interview.Main outcome measures: Mental health diagnosis, sociodemographic factors, primary health care utilization, comorbidity and consumption of medications.Results: The existence of isolated MDD was verified in 22.2% of subjects (CI 95%: 16.7-27.8) and MDD associated with other mental disorders in 15.3% (CI 95%: 10.5-20.1). The average age of subjects with MDD was significantly lower (72.3+/-5.9 SD) compared to that of other sample patients (74.3+/-5.1 SD) (P = 0.01), as can be observed by a linear relationship (P = 0.02) between younger age and proportion of the elderly suffering from MDD. Rates of MDD were significantly higher in subjects presenting with multiple pathology.Conclusion: More than one-third of the elderly who visit the general practitioner and express a down or depressed feeling meet the criteria for major depression. MDD appears more frequently in younger elderly patients and in those presenting with multiple pathology, but has no apparent relationship to other sociodemographic variables or to primary health care utilization. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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