Treatment responses were monitored in 101 depressed patients, ranging in age from 64 to 92 years, hospitalized on a geropsychiatry unit. Forty-six percent of the patients received ECT. Medications were used in the majority of patients. Responses were assessed with both depression inventories (Beck Depression Inventory and Geriatric Depression Scale) and physician-rated global improvement scores. Advanced age was not associated with poor outcome. ECT was the most important variable associated with a good response, regardless of age. (J Geriatr Psychiatry Neurol 1991;4:65-70).
Get full access to this article
View all access options for this article.
References
1.
Post F.: The management and nature of depressive illnesses in late life: A follow-through study. Br J Psychiatry1972; 121:393-404.
2.
Murphy E.: The prognosis of depression in old age. Br J Psychiatry1983;142:111--119.
3.
Cole M.: The course of elderly depressed out-patients. Can J Psychiatry1985;30:217-220.
4.
Baldwin RC, Jolley DJ: The prognosis of depression in old age. Br J Psychiatry1986;149:574-583.
5.
Rosenwaike I. : A demographic portrait of the oldest old. Milbank Mem Fund Q1985;63:187-205.
6.
Butler RN: Psychosocial aspects of aging, in Kaplan HI , Sadock BJ (eds): Comprehensive Textbook of Psychiatry. Baltimore, Williams & Wilkins, 1989, pp 2014-2019.
7.
Rubin EH, Kinscherf DA: Assessments on a geropsychiatry unit. J Geriatr Psychiatry Neurol1990;3:17-20.
8.
Beck AT, Ward CH, Mendelson M., et al: An inventory to measure depression. Arch Gen Psychiatry1961;41:53-63.
9.
Yesavage JA, Brink TL: Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res1983;17:37-49.
10.
Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. Washington, DC, American Psychiatric Assoc, 1980.
11.
McKhann G., Drachman D., Folstein M., et al: Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology1984 ;34:939-944.
12.
Avery D., Winokur G.: The efficacy of electroconvulsive therapy and antidepressants in depression . Biol Psychiatry1977;12:507-523.
13.
Bratfos O., Haug JO: Electroconvulsive therapy and antidepressant drugs in manic-depressive disease, treatment results at discharge and 3 months later. Acta Psychiatr Scand1965;41:588-596.
14.
Greenblatt M., Grosser G., Wechsler H.: Differential response of hospitalized depressed patients to somatic therapy. Am J Psychiatry1964;120:935-943.
15.
Kramer BA: Electroconvulsive therapy use in geriatric depression. J Nerv Ment Dis1987;175:233-235.
16.
Zorumski CF , Rubin EH, Burke W.: Electroconvulsive therapy for the elderly: A review. Hosp Community Psychiatry1988; 39:643-647.
17.
Waite J., Grundy E., Arie T.: A controlled trial of antidepressant medication in elderly inpatients. Int Clin Psychopharmacol1986;1:113-126.
18.
Harris R., Hoelscher W.: Use of a new psychic energizer (Mar-plan) in an old age home: A double blind study. J Am Geriatr Soc1961;9:218-224.
19.
Gerner R., Estabrook W., Steuer J., et al: Treatment of geriatric depression with trazodone, imipramine, and placebo: A double-blind study. J Clin Psychiatry1980;41:216-220.
20.
Feighner JP , Cohn JB: Double-blind comparative trials of fluoxetine and doxepin in geriatric patients with major depressive disorder. J Clin Psychiatry1985;46:20-25.
21.
Meyers BS, Greenberg R.: Last-life delusional depression. J Affective Disord1986;11:133-137.
22.
Rubin EH, Zorumski CF, Burke WJ: Overlapping symptoms of geriatric depression and Alzheimer-type dementia. Hosp Community Psychiatry1988;39:1074-1079.
23.
Wells KB, Stewart A., Hays R., et al: The functioning and well-being of depressed patients. JAMA1989;262:914-919.
24.
Starkstein SE, Preziosi T., Bolduc P., et al: Depression in Parkinson's disease . J Nerv Ment Dis1990;178:27-31.