Lundbeck Symposium. Nice, FRA, 1997/06/26.
Older people may have a different pattern of depressive symptoms to that found earlier in life, in particular having more somatic symptoms and less overt low mood symptoms.
Few attempts have been made to relate such differences to more general aspects of cognitive or emotional processing, such as the presence of dysfunctional attitudes or of alexithymia.
Symptom differences within depression in old age have also received relatively little study, as has the ability of individual symptoms to distinguish between depressed and non-depressed elderly populations.
These issues have been examined in two studies.
In the first, a random sample of 700 subjects aged 65 years and over were identified through door-knocking in randomized enumeration districts in Islington, a socially deprived region of inner city London, and evaluated using a shortened version of the Comprehensive Assessment and Referral Evaluation (Short-CARE), which incorporates a depression subscale (DPDS).
All 18 DPDS items distinguished significantly between depressed and non-depressed subjects (P<0.0001).
Depressed men were significantly more pessimistic than depressed women (63 versus 40% ; P<0.05) ; non-significant trends suggested that depressed women are more worried (39 versus 22%) and more restless (50 versus 31%), and depressed men more likely to be'not very happy'or'not happy at all' (53 versus 36%). There were no significant differences between older (age>74 years) and younger subjects. (...)
Mots-clés Pascal : Etat dépressif, Vieillard, Homme, Symptomatologie, Prévalence, Epidémiologie, Angleterre, Grande Bretagne, Royaume Uni, Europe, Santé mentale, Trouble humeur
Mots-clés Pascal anglais : Depression, Elderly, Human, Symptomatology, Prevalence, Epidemiology, England, Great Britain, United Kingdom, Europe, Mental health, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0146688
Code Inist : 002B18E. Création : 21/07/1998.