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Subjective health measures and acute treatment outcomes in geriatric depression.
- Source :
-
International journal of geriatric psychiatry [Int J Geriatr Psychiatry] 2001 Dec; Vol. 16 (12), pp. 1149-55. - Publication Year :
- 2001
-
Abstract
- Background: Prior research suggests that elderly patients are less likely to respond to antidepressant treatment if they have low self-rated health. However, successful treatment for depression has been associated with improvement in self-rated health and other health measures.<br />Objectives: To examine measures of self-rated health, physical disability, and social function as predictors of treatment response in late-life depression, and to assess these same health measures as treatment outcomes. We hypothesized that greater impairment in these measures would predict poorer treatment response, and that these measures would show significant improvements with recovery from depression.<br />Method: Subjects were enrolled in a depression intervention study for people aged 60 and older with recurrent unipolar major depression; they were assessed with measures of self-rated health, physical disability, and social functioning at baseline and at the end of treatment. Baseline measures were compared between the 88 remitters, 11 non-remitters, and seven dropouts. Additionally, changes in the measures were examined in subjects who recovered from the index depressive episode.<br />Results: Subjects with poorer self-rated health at baseline were more likely both to drop out of treatment and to not respond to adequate treatment. This relationship was independent of demographic measures, severity of depression, physical and social functioning, medical illness, personality, hopelessness, overall medication use, and side effects or non-compliance with treatment.<br />Conclusion: Although this finding is preliminary because of the small number of dropouts and non-remitters, it suggests that lower self-rated health may independently predict premature discontinuation of treatment for depression. Additionally, subjects who recovered from depression showed significant improvements in self-rated health, physical disability, and social functioning.<br /> (Copyright 2001 John Wiley & Sons, Ltd.)
- Subjects :
- Activities of Daily Living psychology
Aged
Combined Modality Therapy
Depressive Disorder, Major diagnosis
Depressive Disorder, Major psychology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Personality Inventory
Self-Assessment
Treatment Outcome
Attitude to Health
Depressive Disorder, Major therapy
Geriatric Assessment
Nortriptyline therapeutic use
Psychotherapy
Subjects
Details
- Language :
- English
- ISSN :
- 0885-6230
- Volume :
- 16
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- International journal of geriatric psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 11748774
- Full Text :
- https://doi.org/10.1002/gps.503