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Prognosis of depression in the elderly
The British Journal of Psychiatry : the Journal of Mental Science
|November 1, 1991
Summary
Elderly patients (65+) with depression showed an excellent prognosis, with 68% well after one year. Younger patients had a poorer outcome, indicating depression prognosis varies significantly by age group.
Area of Science:
- Geriatric Psychiatry
- Clinical Psychology
- Public Health
Background:
- Depression is a significant health concern in the elderly.
- Prognosis for depression in older adults is often debated.
- Previous studies have yielded mixed results regarding elderly depression outcomes.
Purpose of the Study:
- To compare the one-year outcomes of depression in elderly (65+) and younger adult patients.
- To assess mental, physical, and social states influencing depression prognosis.
- To provide updated data on depression outcomes across different age groups.
Main Methods:
- Prospective cohort study design.
- Inclusion of 56 elderly and 24 younger depressed inpatients.
- One-year home follow-up assessments of mental, physical, and social well-being.
Main Results:
- 68% of elderly patients recovered ('well') at one year, compared to 50% of younger patients.
- Younger patients had a higher rate of poor outcome (41%) versus elderly (16%).
- Higher-than-expected mortality rates were observed, particularly in the elderly group.
Conclusions:
- Depression in the elderly (65 and over) demonstrates an excellent prognosis, contrary to some prior research.
- Younger adult patients with depression experienced a less favorable outcome.
- Age is a critical factor influencing depression prognosis and treatment response.