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The Prognosis of Depression in Old Age

Published online by Cambridge University Press:  29 January 2018

Elaine Murphy
Elaine Murphy*
Affiliation:
Goodmayes Hospital, Ilford, Essex
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Summary

The paper describes a one year prospective study of 124 elderly depressed patients. Only one third of the group had a good outcome. Poor outcome was associated with severity of initial illness, those with depressive delusions having a particularly poor outcome. Outcome was also influenced by physical health problems and severe life events in the follow-up year. Social class differences in outcome were thought to be due to class differences in the experience of severe life events. There was no evidence that an intimate relationship protected against relapse in the face of continuing life stress.

Type
Papers
Information
The British Journal of Psychiatry , Volume 142 , Issue 2 , February 1983 , pp. 111 - 119
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

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References

Bond, J., Brooks, P., Carstairs, V. & Giles, L. (1980) Reliability of a survey psychiatric assessment schedule for the elderly. British Journal of Psychiatry, 137, 148–62.Google Scholar
Brown, G. W. & Harris, T. O. (1978) Social Origins of Depression. London: Tavistock.Google ScholarPubMed
Brown, G. W., Harris, T. O. & Peto, J. (1973) Life events and psychiatric disorders, Part 2: nature of the causal link. Psychological Medicine, 3, 159–76.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–73.Google Scholar
Hunt, A. (1978) The elderly at home. A survey carried out by the Social Survey Division of the Office of Population Censuses and Surveys on behalf of the DHSS. London: HMSO.Google Scholar
Huxley, P. J., Goldberg, D. P., Maguire, G. P. & Kincey, V. A. (1979) Prediction of the course of minor psychiatric disorders. British Journal of Psychiatry, 135, 535–43.CrossRefGoogle ScholarPubMed
Jacoby, R. (1981) Depression in the elderly. British Journal of Hospital Medicine, January, 40–47.Google Scholar
Jolley, D. & Arie, T. (1976) Psychiatric services for the elderly: how many beds? British Journal of Psychiatry, 129, 418–23.Google Scholar
Kay, D. W. K. (1962) Outcome and cause of death in mental disorders of old age: a long term follow-up of functional and organic psychoses. Acta Psychiatrica Scandinavia, 38, 249–76.Google Scholar
Kay, D. W. K. & Bergmann, K. (1966) Physical disability and mental health in old age. Journal of Psychosomatic Research, 10, 3–12.CrossRefGoogle ScholarPubMed
Mann, A. H., Jenkins, R. & Belsey, E. (1981) The twelve month outcome of patients with neurotic illness in general practice. Psychological Medicine, 11, 535–50.CrossRefGoogle ScholarPubMed
Murphy, E. (1982) Social origins of depression in old age. British Journal of Psychiatry, 141, 135–42.CrossRefGoogle ScholarPubMed
Murphy, E. & Brown, G. W. (1980) Life events psychiatric disturbance and physical illness. British Journal of Psychiatry, 136, 326–38.CrossRefGoogle ScholarPubMed
Nie, , Norman, H. et al (1975) SPSS. Statistical Package for the Social Sciences. Englewood Cliffs, New Jersey: McGraw-Hill.Google Scholar
Paykel, E. S. & Tanner, J. (1976) Life events, depressive relapse and maintenance treatment. Psychological Medicine, 6, 481–5.Google Scholar
Paykel, E. S., Klerman, G. L. & Prusoff, B. A. (1974) Prognosis of depression and the endogenous—neurotic distinction. Psychological Medicine, 4, 57–64.CrossRefGoogle ScholarPubMed
Paykel, E. S., Myers, J. K., Dienelt, M. N., Klerman, G. L., Lindenthal, J. J. & Pepper, M. P. (1969) Life events and depression: a controlled study. Archives of General Psychiatry, 21, 753–60.Google Scholar
Post, F. (1962) The Significance of Affective Symptoms in Old Age. London: Oxford University Press.Google Scholar
Post, F. (1972) The management and nature of depressive illnesses in late life: a follow-through study. British Journal of Psychiatry, 121, 393–404.Google Scholar
Roth, M. & Kay, D. W. K. (1956) Affective disorder arising in the senium. ii. physical disability as an aetiological factor. Journal of Mental Science, 102, 141–50.Google Scholar
Stendstedt, A. (1959) Involutional Melancholia. Acta Psychiatrica Scandinavica, Supplement 127.Google Scholar
Surtees, P. G. (1980) Social support, residual adversity and depressive outcome. Social Psychiatry, 15, 71–80.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
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