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Related Experiment Videos

Depression and physical illness in the elderly.

E J Finch1, R Ramsay, C L Katona

  • 1Department of Psychiatry, University College and Middlesex School of Medicine, London, England.

Clinics in Geriatric Medicine
|May 1, 1992
PubMed
Summary

This study found a high prevalence of depressive symptoms in elderly medical inpatients but no link to mortality or hospital use. Routine screening for depression in this population is valuable for detecting psychiatric issues.

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Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Epidemiology

Background:

  • Depression is common in elderly medical inpatients.
  • Previous studies may not have controlled for physical illness severity.
  • The relationship between physical illness and depression requires further investigation.

Purpose of the Study:

  • To determine the relationship between depression and outcomes (mortality, hospital use) in elderly medical inpatients.
  • To assess the utility of routine depression screening in this population.
  • To highlight the need for research into the etiology and treatment of depression in physically ill elderly patients.

Main Methods:

  • The study focused on elderly medical inpatients.
  • Data on depressive symptoms, mortality, and hospital use were collected.

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  • Screening measures for depression were evaluated for acceptability and utility.

    • Main Results:

    • A high prevalence of depressive symptoms was confirmed.
    • No significant relationship was found between depression and mortality or hospital use.
    • Routine screening for depression was found to be acceptable and potentially valuable for identifying psychiatric morbidity.

    Conclusions:

    • Depression is highly prevalent in elderly medical inpatients, but its direct impact on mortality and hospital use may be confounded by physical illness severity.
    • Routine screening for depression in this demographic is a feasible and useful tool for detecting coexisting psychiatric conditions.
    • Further research is needed on the causes and effective treatments for depression in elderly patients with physical illnesses.