Association Between Depressive Symptoms and Mortality in Medical Inpatients

The authors interviewed a consecutive series of medical inpatients ( N = 241) using the Schedule for Affective Disorders and Schizophrenia to determine which depressive symptoms are associated with in-hospital mortality. Fifteen depressive symptoms, pain, and physical discomfort were assessed along...

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Bibliographic Details
Published in:Psychosomatics (Washington, D.C.) D.C.), 2000-09, Vol.41 (5), p.426-432
Main Authors: Furlanetto, Leticia M., Von Ammon Cavanaugh, Stephanie, Bueno, Joao Romildo, Creech, Steven D., Powell, Lynda H.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Aged
Biological and medical sciences
Brazil
Cause of Death
Chronic Disease - mortality
Chronic Disease - psychology
Depression
Depression - mortality
Depression - psychology
Depressive Disorder, Major - mortality
Depressive Disorder, Major - psychology
Female
Fundamental and applied biological sciences. Psychology
Hospital Mortality
Humans
Illness and personality
Illness, stress and coping
Male
Medical sciences
Middle Aged
Mood disorders
Prognosis
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Sick Role
Survival Analysis
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Summary:The authors interviewed a consecutive series of medical inpatients ( N = 241) using the Schedule for Affective Disorders and Schizophrenia to determine which depressive symptoms are associated with in-hospital mortality. Fifteen depressive symptoms, pain, and physical discomfort were assessed along with medical comorbidity. Twenty patients died in-hospital (8.3%). Logistic regression showed that anhedonia, hopelessness, worthlessness, indecisiveness, and insomnia predicted in-hospital death after adjusting for physical comorbidity and age. Clinicians should be aware that these depressive symptoms may predict mortality in medical inpatients. Future studies should address which treatment modalities lead to better outcomes.
ISSN:0033-3182
1545-7206
DOI:10.1176/appi.psy.41.5.426