Τίτλος:
Psychotic (delusional) major depression in late life: a clinical study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background Psychotic (delusional) major depression (PMD) in the elderly
is a common condition in inpatient settings. There is evidence that late
age onset depressives are more likely to be psychotic.
Objectives The aim of this study was to investigate the frequency,
sociodemographic, and clinical characteristics of PMD in hospitalized
elderly depressives.
Methods The sample consisted of 118 elderly patients consecutively
admitted at three different clinics. All patients fulfilled DSM-IV
criteria for major depression disorder and were diagnosed on the basis
of Structured Clinical Interview for DSM-IV (SCID). The subjects were
also assessed using the Hamilton Rating Scale for Depression, the Mini
Mental State Examination (MMSE) and a physical health rating scale.
Results PMD was positively associated with age of onset of depression.
The PMD patients were also more severely depressed, more
psychomotorically retarded and referred more past psychotic depressive
episodes. Furthermore, age at onset influenced the type of delusions, so
that PMD patients with aged over 60 at onset expressed delusions of
hypochondriacal and nihilistic content more frequently.
Conclusions The results of our study demonstrated that PMD in the
elderly has a later age at onset. Copyright (C) 2001 John Wiley & Sons,
Ltd.
Συγγραφείς:
Gournellis, R
Lykouras, L
Fortos, A
Oulis, P
Roumbos, V
and Christodoulou, GN
Περιοδικό:
International Journal of Geriatric Psychiatry
Εκδότης:
John Wiley & Sons, Ltd
Λέξεις-κλειδιά:
depression; psychotic; delusions; elderly
