Five-Year Prognosis for Depression in Old Age
| Autor: | Päivi Köngäs-Saviaro, Kimmo Pahkala, Erkki Kesti, Pekka Laippala, Sirkka-Liisa Kivelä |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Poor prognosis Primary health care Physical exercise Disease Activities of Daily Living Health Status Indicators Humans Medicine Geriatric Assessment Socioeconomic status Finland Depressive symptoms Depression (differential diagnoses) Aged Aged 80 and over Psychiatric Status Rating Scales Depressive Disorder Dysthymic Disorder business.industry Sick Role Middle Aged Combined Modality Therapy Survival Rate Psychiatry and Mental health Clinical Psychology Treatment Outcome Dementia Female Geriatrics and Gerontology business Gerontology Follow-Up Studies |
| Zdroj: | International Psychogeriatrics. 6:69-78 |
| ISSN: | 1741-203X 1041-6102 |
| DOI: | 10.1017/s1041610294001638 |
| Popis: | The 5-year prognosis for 264 depressed elderly Finns (60 years or older) living in the community and treated through the primary health care service is described. The majority of the patients were suffering from dysthymic disorder. It was found that 25% of the men and 35% of the women had recovered, 29% of the men and 24% of the women were still suffering from depression after the five-year period, 9% of the men and 11% of the women had become demented, 33% of the men and 26% of the women had died, and 4% of the cases were not contacted. The prognosis did not differ between the sexes, neither was it associated with age.Poor psychic health and pronounced depressive symptoms at the beginning of the treatment, and the occurrence of a serious disease or a decline in functional capacities during the follow-up were related to a poor prognosis in both sexes. The specific disease group related to a poor prognosis in women was that of cardiovascular diseases. A close connection between a poor prognosis and a low socioeconomic status was found in the depressed men, while a favorable prognosis was shown for relatively healthy, even widowed, depressed women who moved to live alone during the follow-up period, women who increased their amount of physical exercise, and men and women whose hobby activities increased. |
| Databáze: | OpenAIRE |
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