Depressive symptoms in elderly medical-surgical patients hospitalized in community settings.

The authors examined the rates and correlates of depressive symptoms in adults over age 60 admitted to community hospital settings and compared them with patients admitted to a tertiary-care medical center. Rates of depressive symptoms in patients admitted to five different community hospitals in North Carolina were compared with each other and with a sample of 542 elderly medical patients admitted to Duke University Medical Center (DUMC). Compared with patients at DUMC, community-hospital patients were older and had more cognitive impairment, but had less severe medical illness and shorter hospital stays. The proportion of depressed community patients was significantly higher than among patients admitted to DUMC. In four of the five community hospitals, rates of significant depressive symptoms exceeded 50%. Health correlates of depression were admitting diagnoses other than cardiovascular disease, poor cognitive functioning, and severe medical illness.

[1]  L. George,et al.  Use of antidepressants by nonpsychiatrists in the treatment of medically ill hospitalized depressed elderly patients. , 1997, The American journal of psychiatry.

[2]  L. George,et al.  Depression in medically ill hospitalized older adults: prevalence, characteristics, and course of symptoms according to six diagnostic schemes. , 1997, The American journal of psychiatry.

[3]  I. Katz.  On the Inseparability of Mental and Physical Health in Aged Persons: Lessons From Depression and Medical Comorbidity. , 1996, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[4]  G. Alexopoulos,et al.  Disability in geriatric depression. , 1996, The American journal of psychiatry.

[5]  H. Koenig.  AN ABBREVIATED MINI‐MENTAL STATE EXAM FOR MEDICALLY ILL OLDER ADULTS , 1996, Journal of the American Geriatrics Society.

[6]  F. Wolinsky,et al.  The Effect of Gender and Race on the Measurement Properties of the CES‐D in Older Adults , 1994, Medical care.

[7]  C. O'connor,et al.  Depressive Disorder in Older Medical Inpatients on General Medicine and Cardiology Services at a University Teaching Hospital. , 1993, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[8]  D. Blazer,et al.  Epidemiology of geriatric affective disorders. , 1992, Clinics in geriatric medicine.

[9]  D. Blazer,et al.  Self-Rated Depressive Symptoms in Medical Inpatients: Age and Racial Differences , 1992, International journal of psychiatry in medicine.

[10]  J Ormel,et al.  Disability and depression among high utilizers of health care. A longitudinal analysis. , 1992, Archives of general psychiatry.

[11]  D. Blazer,et al.  Major depression in hospitalized medically ill older men: Documentation, management, and outcome , 1992 .

[12]  H. Cohen,et al.  Major Depressive Disorder in Hospitalized Medically Ill Patients: An Examination of Young and Elderly Male Veterans , 1991, Journal of the American Geriatrics Society.

[13]  G. Kennedy,et al.  Persistence and remission of depressive symptoms in late life. , 1991, The American journal of psychiatry.

[14]  B. A. Husaini,et al.  Arthritis disability, depression, and life satisfaction among black elderly people. , 1990, Health & social work.

[15]  Stephen R. Rapp,et al.  Psychological dysfunction and physical health among elderly medical inpatients. , 1988, Journal of consulting and clinical psychology.

[16]  L. Mion,et al.  Severe Illness in Older Patients: The Association Between Depressive Disorders and Functional Dependency During the Recovery Phase , 1988, Journal of the American Geriatrics Society.

[17]  H. Cohen,et al.  Depression in elderly hospitalized patients with medical illness. , 1988, Archives of internal medicine.

[18]  B. Gurland,et al.  Depression and disability in the elderly: Reciprocal relations and changes with age , 1988 .

[19]  M. Weissman,et al.  Affective disorders in five United States communities , 1988, Psychological Medicine.

[20]  N. Krause.  Satisfaction with social support and self-rated health in older adults. , 1987, The Gerontologist.

[21]  M. Raskind,et al.  Screening for Depression in Hospitalized Geriatric Medical Patients , 1982, Journal of the American Geriatrics Society.

[22]  M. W. Linn,et al.  Characteristics of High and Low Self-Esteem in the Elderly , 1982, International journal of aging & human development.

[23]  B. Neugarten,et al.  Time, age, and the life cycle. , 1979, The American journal of psychiatry.

[24]  R. C. Lewis.  Religious Encounters with Death: Insights from the History and Anthropology of Religions , 1978 .

[25]  L. Radloff.  The CES-D Scale , 1977 .

[26]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[27]  P. Volpitto,et al.  Flammability of Fluoromar in the Circle Absorption System , 1963, Anesthesiology.

[28]  P. Bijur,et al.  Hierarchy of characteristics associated with depressive symptoms in an urban elderly sample. , 1989, The American journal of psychiatry.

[29]  C. Mackenzie,et al.  Assessing illness severity: does clinical judgment work? , 1986, Journal of chronic diseases.

[30]  Rd Dripps,et al.  New classification of physical status , 1963 .