Sixty-four elderly outpatients diagnosed according to the criteria of DSM-III as having affective disorders were submitted to follow-up study for 6–24 months (mean 15 months). Twenty patients (31%) were in good health throughout follow-up, fourty-four patients (69%) remained more or less chronically ill. The prognosis was better in patients diagnosed as having “adjustment disorder with depressed mood” and “dysthymic disorder”; when onset was late, and when there were no signs of organic brain C.N.S. damage.
References
1.
KayDAffective disorders arising in the senium: their association with organic cerebral degeneration.J Ment Sci1955; 101: 302–316.
2.
GordonWFElderly depressives: treatment and follow-up.Can J Psychiatry1981; 26(2): 110–113.
3.
MurphyEThe prognosis of depression in old age.Br J Psychiatry1983; 142: 111–119.
4.
ColeMGAge, age at onset and course of primary depressive illness in the elderly.Can J Psychiatry1983; 28(2): 102–104.
5.
PostFThe significance of affective symptoms in old age. Maudsley Monographs 10.London: Oxford University Press,1962.
6.
PostFThe management and nature of depressive illnesses in late life: a follow-through study.Br J Psychiatry1972; 121: 393–404.
7.
ColeMGThe course of elderly depressed outpatients.Can J Psychiatry1985; 30(3): 217–230.
8.
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders, third edition.Washington, D.C.,1980.
9.
PaykelES, PrusoffBA, UhlenhuthEHScaling of life events.Arch Gen Psychiatry1971; 26: 340–347.
10.
HopkinsonGA genetic study of affective illness in patients over 50.Br J Psychiatry1964; 110: 224–229.
11.
ColeMGFrequency and significance of minor organic signs in elderly depressives.Can Psychiatr Assoc J1976; 21(1): 7–12.
12.
KayD, BergmanKPhysical disability and mental health in old age.J Psychosom Res1966; 10: 3–12.
13.
MagniG, De LeoD, SchifanoFDepression in geriatric and adult medical inpatients.J Clin Psychol1985; 41: 337–344.
14.
BrownGW, HarrisTSocial origins of depression.London: Tavistock Publications,1978.
15.
MannAH, JenkinsR, BelseyEThe twelve-month outcome of patients with neurotic illness in general practice.Psychol Med1981; 11: 535–550.
16.
SurteesPGSocial support, residual adversity and depressive outcome.Soc Psychiatry1980; 15: 71–80.
17.
MurphyEThe impact of depression in old age on close social relationships.Am J Psychiatry1985; 142: 3–9.