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Major depression in hospitalized medically ill older men: Documentation, management, and outcome

Publication ,  Journal Article
Koenig, HG; Goli, V; Shelp, F; Kudler, HS; Cohen, HJ; Blazer, DG
Published in: International Journal of Geriatric Psychiatry
January 1, 1992

Fifty‐three hospitalized elderly men with medical illness were diagnosed with major depressive disorder and followed up for a mean of 2.3 months. Documentation and management of the depression by medical housestaff during the followup period were examined. There was no note of depression in the medical records of 44% of depressed patients, and depression was on the active problem list of only 32%. Followup and management plans for the depression after discharge were documented in 29%. No form of treatment was prescribed for 44% of depressed patients. Outcomes were determined by psychiatric evaluation at the end of the followup period. Of the 33 patients still alive and evaluated at followup, 64% had persistent depression, 18% improved, and 18% were in complete remission. No baseline patient sociodemographic or health characteristic, including severity of depression, was significantly related to improvement. Likewise, neither extent of documentation nor treatment implemented by housestaff was a significant predictor of outcome. We conclude that serious clinical depression in medically ill older patients may persist for a considerable period after hospital discharge and neither detection nor current management strategies appear to have a major impact on outcome. Copyright © 1992 John Wiley & Sons, Ltd.

Duke Scholars

Published In

International Journal of Geriatric Psychiatry

DOI

EISSN

1099-1166

ISSN

0885-6230

Publication Date

January 1, 1992

Volume

7

Issue

1

Start / End Page

25 / 34

Related Subject Headings

  • Geriatrics
  • 5203 Clinical and health psychology
  • 4203 Health services and systems
  • 3202 Clinical sciences
  • 1702 Cognitive Sciences
  • 1701 Psychology
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Koenig, H. G., Goli, V., Shelp, F., Kudler, H. S., Cohen, H. J., & Blazer, D. G. (1992). Major depression in hospitalized medically ill older men: Documentation, management, and outcome. International Journal of Geriatric Psychiatry, 7(1), 25–34. https://doi.org/10.1002/gps.930070105
Koenig, H. G., V. Goli, F. Shelp, H. S. Kudler, H. J. Cohen, and D. G. Blazer. “Major depression in hospitalized medically ill older men: Documentation, management, and outcome.” International Journal of Geriatric Psychiatry 7, no. 1 (January 1, 1992): 25–34. https://doi.org/10.1002/gps.930070105.
Koenig HG, Goli V, Shelp F, Kudler HS, Cohen HJ, Blazer DG. Major depression in hospitalized medically ill older men: Documentation, management, and outcome. International Journal of Geriatric Psychiatry. 1992 Jan 1;7(1):25–34.
Koenig, H. G., et al. “Major depression in hospitalized medically ill older men: Documentation, management, and outcome.” International Journal of Geriatric Psychiatry, vol. 7, no. 1, Jan. 1992, pp. 25–34. Scopus, doi:10.1002/gps.930070105.
Koenig HG, Goli V, Shelp F, Kudler HS, Cohen HJ, Blazer DG. Major depression in hospitalized medically ill older men: Documentation, management, and outcome. International Journal of Geriatric Psychiatry. 1992 Jan 1;7(1):25–34.

Published In

International Journal of Geriatric Psychiatry

DOI

EISSN

1099-1166

ISSN

0885-6230

Publication Date

January 1, 1992

Volume

7

Issue

1

Start / End Page

25 / 34

Related Subject Headings

  • Geriatrics
  • 5203 Clinical and health psychology
  • 4203 Health services and systems
  • 3202 Clinical sciences
  • 1702 Cognitive Sciences
  • 1701 Psychology
  • 1103 Clinical Sciences