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Depression in a family practice elderly population

N Freedman, W Bucci, E Elkowitz

    Journal of the American Geriatrics Society
    |June 1, 1982
    PubMed
    Summary

    This study identifies optimal screening for elderly depression in family practice settings. It found distinct symptom clusters and age trends in depression among older adults.

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    Area of Science:

    • Geriatric Medicine
    • Psychiatry
    • Primary Care Research

    Background:

    • Assessing depression in the elderly presents unique methodologic challenges.
    • Existing diagnostic criteria may not fully capture depression subtypes in older adults.
    • The family physician's office is a critical access point for elderly healthcare.

    Purpose of the Study:

    • To address methodologic issues in assessing depression among community-dwelling elderly patients.
    • To identify optimal screening locales and refine depression definitions for the elderly.
    • To investigate age-related trends in depressive illness within the elderly population.

    Main Methods:

    • A pilot study involving 166 chronically ill, community-dwelling elderly patients in a family practice setting.
    • Utilized the Zung Depression Status Inventory for screening.
    • Analyzed symptom clusters and age trends in depression.

    Main Results:

    • A significant proportion of elderly patients without prior psychiatric diagnoses exhibited elevated depression scores.
    • Distinct symptom clusters specific to depression in the aged were identified.
    • Evidence suggested systematic age trends in depression, with varying peaks for men and women.

    Conclusions:

    • The family physician's office is an appropriate setting for screening elderly depression.
    • A specific type of depressive illness affecting the elderly can be distinguished.
    • Aging should be viewed as a dynamic process influencing mental health presentation.

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