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Psychosocial and clinical predictors of unipolar depression outcome in older adults
- Authors:
- BOSWORTH Hayden B., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(3), March 2002, pp.238-246.
- Publisher:
- Wiley
Depression in old age is widespread, affecting at least one in six patients' in general medical practice and even higher percentage in nursing homes and hospitals. Impairment and disability associated with depression is equal to that attribute to cardiovascular disease, and greater than that due to other chronic physical disorders such as hypertension, diabetes, and arthritis. Response to treatment among depressed individuals may vary greatly. While some of the treatment variation can be explained in terms of differences in the severity of the depression, much of it remains to be explained. Because of the significant personal, clinical, and societal implications associated with depression, it is important to understand what factors, especially those amenable to clinical intervention, are associated with better outcomes. This article focuses on a variety of psychosocial, demographic, and clinical factors to identify those that predict better depression outcome among initially depressed elderly adults.