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The posttreatment illness course of depression in bereaved elders. High relapse/recurrence rates
R E Pasternak1, H Prigerson, M Hall
1Mental Health Clinical Research Center for the Study of Late-Life Mood Disorders, USA.
Abstract:
Losing close attachments through death in late life is common and can lead to depression. Previous work has shown the clinical benefits of treating these depressions. This article describes the 2-year course of 53 elderly subjects with bereavement-related depression after responding to various treatments. Forty-six patients experienced a full response to acute treatment, but 36% experienced relapse or recurrence. This finding suggests that the treatment response in depressed bereaved older patients is more brittle than expected.