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Factors predicting the relapse of depression in old age
- Authors:
- KIVELA Sirkka-Liisa, VIRAMO Petteri, PAHKULA Kimmo
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(2), February 2000, pp.112-119.
- Publisher:
- Wiley
Studies in mixed-aged populations show differences between the predictors of a relapse and those of a long term course of depression, supporting the hypothesis about similar differences among the aged. The aim of this study was to identify the factors predicting or related to a relapse of depression among the Finnish elderly having recovered from depression during treatment. The logistic regression model showed major depression and psychomotor retardation to be independent predictors. Relapses were not related to stressors in life or psychical illnesses occurring the follow up. Major depressive elderly patients have a high risk for relapses without the occurrence of the stressors or the physical illnesses. Concludes that in clinical practice, major depressive elderly patients should be followed up in order to detect and treat potential relapses as soon as possible.
Health, health behaviour and functional ability predicting depression in old age: a longitudinal study
- Authors:
- KIVELA Sirkka-Liisa, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(10), October 1996, pp.871-877.
- Publisher:
- Wiley
The predictive value of health, health behaviour and functional ability for the occurrence of depression in elderly Finns is described using a longitudinal design. The persons determined as not being depressed in an epidemiological study in 1984-85 were interviewed and examined in a follow-up study in 1989-90. Describes the symptoms indicating depression for men and women and identifies factors likely to result in a greater risk of depression occurring in old age. The risk factors were analysed by contrasting the persons depressed in 1989-90 with those not depressed. The results support the hypotheses of a multifactorial aetiology and a relapsing and episodic course of depression in old age.