Depressive Symptoms and Nine‐Year Survival of 1,001 Male Veterans Hospitalized With Medical Illness
作者:
Harold Koenig,
Linda George,
David Larson,
Michael McCullough,
Patricia Branch,
Maragatha Kuchibhatla,
期刊:
American Journal of Geriatric Psychiatry
(OVID Available online 1999)
卷期:
Volume 7,
issue 2
页码: 124-131
ISSN:1064-7481
年代: 1999
出版商: OVID
关键词: Depression;Medical Comorbidity;Inpatients
数据来源: OVID
摘要:
Authors examined effects of depressive symptoms on after-discharge survival of hospitalized medically ill male veterans. Psychosocial and physical health evaluations were performed on a consecutive sample of 1,001 patients ages 20–39 (16%) and 65–102 years (84%). Subjects or surviving family members were later contacted by telephone, and Cox proportional-hazards regression modeled the effects of depressive symptoms on time-to-death, controlling for demographics and social, psychiatric, and physical health. Follow-up was obtained on all 1,001 patients (average observation time, 9 years), during which 667 patients died (67%). Patients with depressive symptoms were significantly less likely to survive. For every 1-point increase on the 12-item Brief Carroll Depression Rating Scale (BCDRS), the hazard of dying increased by 10% (P<0.0001). Age did not significantly affect the association between depressive symptoms and mortality. Depressive symptoms during acute hospitalization are a predictor of shortened survival.
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