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Preventing major depression in older medical inpatients: innovation or flight of fancy?

  • Martin G. Cole (a1)
Abstract

Major depression in older medical inpatients is frequent, persistent, and disabling (Cole and Bellavance, 1997). The incidence is 20.5%–30.2% during the 12 months following admission to hospital (Fenton et al., 1997; Cole et al., 2008). Up to 73% of patients have a protracted course (Koenig et al., 1992; Cole et al., 2006; Koenig, 2006). Moreover, major depression in older medical inpatients appears to be associated with decreased function (Covinsky et al., 1997), increased use of health care services (Koenig et al., 1989; Büla et al., 2001), increased caregiver burden (McCusker et al., 2007), and possibly increased mortality (Cole, 2007).

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C. J. Büla , V. Wietlisbach , B. Burnand and B. Yersin (2001). Depressive symptoms as a predictor of 6-month outcomes and services utilization in elderly medical inpatients. Archives of Internal Medicine, 161, 26092615.

M. Cepoiu , J. McCusker , M. G. Cole , M. Sewitch and A. Ciampi (2007). Recognition of depression in older medical inpatients. Journal of General Internal Medicine, 22, 559564.

M. G. Cole (2007). Does depression in older medical inpatients predict mortality? A systematic review. General Hospital Psychiatry, 29, 425430.

M. G. Cole (2008). Brief interventions to prevent depression in older subjects: a systematic review of feasibility and effectiveness. American Journal of Geriatric Psychiatry, 16, 435443.

M. G. Cole , J. McCusker , A. Ciampi , S. Windholz , E. Latimer and E. Belzile (2006). The prognosis of major and minor depression in older medical inpatients. American Journal of Geriatric Psychiatry, 14, 966975.

K. E. Covinsky , R. H. Fortinsky , R. M. Palmer , D. M. Kresevic and C. S. Landefeld (1997). Relation between symptoms of depression and health status outcomes in acutely ill hospitalized older persons. Annals of Internal Medicine, 126, 417425.

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J. McCusker , E. Latimer , M. G. Cole , A. Ciampi and M. Sewitch (2007). Major depression among medically ill elders contributes to sustained poor mental health in their informal caregivers. Age and Ageing, 36, 400406.

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J. W. Williams , C. D. Mulrow , E. Chiquette , P. Hitchcock-Noël , C. Aguilar and J. Cornell (2000). A systematic review of newer pharmacotherapies for depression in adults: evidence report summary. Annals of Internal Medicine, 132, 743756.

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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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