Depression in hospitalized older patients with congestive heart failure

摘要: Abstract The objectives of this study were to evamine the prevalence depression in hospitalized, medically ill, older patients with and without congestive heart failure (CHF), examine correlates, course, predictors outcome, treatment CHF. A consecutive sample 542 age 60 or over admitted inpatient services Duke University Medical Center systematically screened by a psychiatrist for using Dignostic Interview Schedule; 342 depressed cases nondepressed controls identified. Of these, 107 had primary secondary diagnosis Among CHF, major was identified 36.5%, rate that significantly higher than CHF (25.5%); difference largely explained low rates cardiac (17.0%) who less severe physical illness. Minor also present 21.5% patients, but not more prevalent (17.0%). Compared those likely have comorbid psychiatric disorder, medical illness, functional impairment. Depressed used outpatient inpatients services, although due severity their health problems. Patients often remained prolonged period, 40% failed remit during year following discharge. Factors predicting slower remission included nonhealth-related, stressful life events social support; factors at baseline effect. majority did receive either antidepressants psychotherapy, see mental specialists any frequently nondepressed. These findings are concern important implications failure.