Depression in Older Patients in Residential CareSignificance of Dysphoria and Dimensional Assessment
作者:
Ira Katz,
Patricia Parmelee,
Joel Streim,
期刊:
American Journal of Geriatric Psychiatry
(OVID Available online 1995)
卷期:
Volume 3,
issue 2
页码: 161-169
ISSN:1064-7481
年代: 1995
出版商: OVID
数据来源: OVID
摘要:
To investigate the significance of subsyndromal depressive states in geriatric patients, the authors used data from ongoing studies of depression in older patients in residential care to evaluate the clinical correlates of dysphoria. They find that dysphoria is, in general, a persistent state associated with increased medical illness, pain, self-care deficits, and mortality relative to euthymic subjects; thus it is clinically significant. Differences between dysphoria and major depression in the extent of associated disability and mortality, but not in measures of medical illness, pain, or persistence, remain significant after controlling for self-ratings of depression from the Geriatric Depression Scale. This finding suggests that dimensional assessments can account for some of the correlates of depression, but that categorical diagnoses are required for others.
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