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  1. The natural history of depression and the anxiety disorders in older people : the Islington community study.

    Article - En anglais

    Background 

    This study reports the outcome of depression and anxiety disorders in older people.

    Methods 

    Follow-up of 165 subjects age 65 or over, initially identified in a community study in inner London as depressed or having an anxiety disorder.

    Results 

    117 subjects still living in the area ; 25 had died.

    Death was predicted only by activity limitation at first interview and not by other demographic or morbidity variables.

    Eighty-six subjects reinterviewed ; 21 males, 65 females.

    Of the depressed, 34% had recovered, 39% were depressed and 27% were dead.

    Predictors from initial interview of continuing depression were female gender and more severe depression.

    Of those with phobic anxiety, 16% had recovered, 18% died and 66% were still phobic.

    Predictors of continuing phobic anxiety from initial interview were female gender and « stand-alone » phobic anxiety, i.e., not being depressed at initial interview.

    Sixty percent of those with early onset phobias had specific phobias ; 82% of those with late-onset phobias had agoraphobia.

    Twenty-two subjects were prescribed psychotropics.

    The only significant predictor of psychotropic prescription was having sleep disturbance at initial interview.

    A low score on life satisfaction was significantly correlated with depression but not with phobic disorder.

    A high score was correlated with not having a current psychiatric disorder.

    Limitations 

    Some subjects were lost to follow-up. (...)

    Mots-clés Pascal : Etat dépressif, Trouble anxieux, Evolution, Etude longitudinale, Mortalité, Rémission, Epidémiologie, Angleterre, Grande Bretagne, Royaume Uni, Europe, Santé mentale, Vieillard, Homme, Trouble humeur

    Mots-clés Pascal anglais : Depression, Anxiety disorder, Evolution, Follow up study, Mortality, Remission, Epidemiology, England, Great Britain, United Kingdom, Europe, Mental health, Elderly, Human, Mood disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0205108

    Code Inist : 002B18E. Création : 11/09/1998.