The prognosis of undetected depression in older general practice patients. A one year follow-up study.

作者: Els Licht-Strunk , Aartjan T.F. Beekman , Marten de Haan , Harm W.J. van Marwijk

DOI: 10.1016/J.JAD.2008.06.006

关键词: General practiceOne year follow upDifferential diagnosisComorbidityPediatricsSeverity of illnessEpidemiologyMedicineDepression (differential diagnoses)PsychiatryAnxiety

摘要: Abstract Background Late-life depression often remains undetected in primary care. However, as there is evidence that GPs do identify those with the most severe and persistent disorders, it important to know more about prognosis of depressive disorders are not detected by GPs. Methods A one-year follow-up study depressed patients 55 years older consulting their GP The Netherlands. two-stepped screening procedure was used diagnose using GDS-15 PRIME-MD. were informed results. course measured MADRS PRIME-MD, at six twelve months. Remission defined no longer fulfilling DSM-criteria for disorder a MADRS-score below 10. compared detected. Results 73 followed one year. Among 49 (67%) being depressed, 33% had remitted after Of 24 (33%) GP, 37% Detected tended have serious comorbid anxiety than patients. Conclusions Although who need treatment, go poor.

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