Prognosis of Depression in the Elderly

The prognosis of depression in the elderly was investigated in a mixed-age sample of 242 consecutive referrals, with DSM-III defined unipolar major depressive episode, to a specialist unit for mood disorders. Subjects were followed up at about 1 and 3.8 years. There was no significant difference in...

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Published in:British journal of psychiatry 1993-11, Vol.163 (5), p.589-596
Main Authors: Brodaty, Henry, Harris, Lynne, Peters, Karin, Wilhelm, Kay, Hickie, Ian, Boyce, Philip, Mitchell, Philip, Parker, Gordon, Eyers, Kerrie
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container_issue 5
container_start_page 589
container_title British journal of psychiatry
container_volume 163
creator Brodaty, Henry
Harris, Lynne
Peters, Karin
Wilhelm, Kay
Hickie, Ian
Boyce, Philip
Mitchell, Philip
Parker, Gordon
Eyers, Kerrie
description The prognosis of depression in the elderly was investigated in a mixed-age sample of 242 consecutive referrals, with DSM-III defined unipolar major depressive episode, to a specialist unit for mood disorders. Subjects were followed up at about 1 and 3.8 years. There was no significant difference in outcome between younger (under 40 years), middle aged (40–59 years) and older (60 years or more) depressed patients. For the 61 elderly subjects with depression, prognosis improved with time, with 25% having a lasting recovery at the first and 41% at the second follow-up. Early onset, recurrence, and poor premorbid personality were associated with a worse prognosis. Three (5%) elderly depressives had committed suicide and seven (11%) had died from natural causes by the second follow-up. Despite some methodological limitations, our findings suggest a more optimistic outlook and the need for longer, more assertive treatment for elderly, depressed patients.
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title Prognosis of Depression in the Elderly
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