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Related Experiment Videos

Depression and previous alcoholism in the elderly.

B L Cook1, G Winokur, M J Garvey

  • 1University of Iowa College of Medicine, Iowa City.

The British Journal of Psychiatry : the Journal of Mental Science
|January 1, 1991
PubMed
Summary

A history of alcoholism in elderly men with depression is linked to a more chronic illness. This finding suggests alcoholism is a risk factor for long-term depression in older adults.

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Area of Science:

  • Geriatric Psychiatry
  • Addiction Medicine
  • Clinical Psychology

Background:

  • Elderly individuals with depression represent a growing clinical challenge.
  • The impact of a prior history of alcoholism on depression outcomes in older adults is not well-established.
  • Understanding factors influencing depression chronicity is crucial for effective geriatric mental healthcare.

Purpose of the Study:

  • To investigate whether a history of alcoholism influences the presentation and treatment response of non-bipolar depression in elderly men.
  • To determine if alcoholism is a risk factor for chronic depression in this population.

Main Methods:

  • Prospective study design involving male inpatients aged 55 and above.
  • Inclusion criteria: meeting Feighner criteria for non-bipolar depression.

Related Experiment Videos

  • Assessment of alcoholism history, clinical presentation, and follow-up for illness chronicity.

    • Main Results:

    • 16 out of 58 subjects had a history of alcoholism.
    • Patients with a history of alcoholism presented differently at index compared to non-alcoholics.
    • Those with a history of alcoholism exhibited significantly more chronic illness upon follow-up.

    Conclusions:

    • A past history of alcoholism is associated with a more chronic course of depression in elderly men.
    • This finding supports alcoholism as a significant risk factor for long-term depression in the elderly population.
    • Elderly male depressives with a history of alcoholism may resemble 'neurotic-reactive' depressives seen in younger cohorts.