The survival of aged Finns suffering from dysthymic disorder (DSM-III criteria) was assessed in two cohorts (60+yrs and 65+yrs) in a longitudinal epidemiological study conducted in Ahtäri in western Central Finland from 1984 onwards.
The mortality of dysthymic persons (N=214 and N=115) was compared to that of the non-depressed population living in the same municipality (N=982 and N=853).
Two follow-up periods (6 yrs and 11.5 yrs) were used for the first cohort, and one (6 yrs) for the second cohort.
The Kaplan-Meier procedure and Mantel-Cox statistics followed by Cox proportional hazards models were used in the analyses.
The occurrence of dysthymic disorder in men was related to higher mortality in both cohorts during all follow-up periods.
In women, the occurrence of dysthymic disorder was related to higher mortality in the first cohort during the follow-up of 11.5 years, and in the second during the follow-up of 6 years.
When age, sex, marital status, education, smoking. physical health and functional abilities were taken into account in the Cox proportional hazards models, high age, male sex, smoking, low educational level, the use of more than two medicines and lowered functional abilities emerged as predictors of mortality in the first cohort during both follow-up periods.
In the second cohort, high age, male sex, smoking, poor physical health and lowered functional abilities emerged as predictors. (...)
Mots-clés Pascal : Dysthymie, Mortalité, Prévalence, Epidémiologie, Santé mentale, Finlande, Europe, Vieillard, Homme, Trouble humeur
Mots-clés Pascal anglais : Dysthymia, Mortality, Prevalence, Epidemiology, Mental health, Finland, Europe, Elderly, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0322516
Code Inist : 002B18C07A. Création : 27/11/1998.