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The relationship of depression to medical illness in an older community population
Authors:J D Kinzie  P Lewinsohn  R Maricle  L Teri
Affiliation:1. University of California, Los Angeles, Department of Psychology, United States;2. University of California, Los Angeles, Department of Psychiatry and Biobehavioral Sciences, United States;3. University of California, San Diego, Department of Psychiatry, United States;4. University of Arkansas for Medical Sciences, Department of Psychiatry, United States;5. RAND Corporation, Santa Monica, CA, United States;6. University of Washington at Harborview Medical Center, Center for Healthcare, United States;7. University of California, San Diego, Department of Family & Preventive Medicine, United States
Abstract:
This report is on medically associated depression in a depressed sample of middle-aged and older community subjects. The 50 subjects represent 14 men and 36 women who met RCD criteria for depression (major, minor, and intermittent). Depression tended to be recurrent and to be quite lengthy. Thirty-eight were taking at least one medication, 19 of which could have been depressogenic. Forty-four had at least one medical diagnosis or problem determined by the history or the laboratory data. It was determined that depression was associated with a medical illness in 22, with a medication in four, and with both an illness and medication in seven. Thus, out of the 50, 52% were having depressions definitely or probably associated with a medical illness or medicine. Medical illness and medication use are commonly present in the elderly population, are often unrecognized, and can contribute to depression.
Keywords:
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