The goal of this study was to compare the clinical, demographic and social characteristics of psychotic and non-psychotic depression in the elderly and younger age groups.
Depressed patients (n=674) meeting DSM-III-R criteria for major depressive episode were classified into two groups, psychotic and non-psychotic, based on the presence of delusions or hallucinations.
The patients with psychotic and non-psychotic depression were compared on clinical, demographic, and social characteristics.
Bivariate analyses revealed that younger age, psychomotor retardation, guilt, feelings of worthlessness, history of delusions in the past, and increased suicidal ideation and intent were found more commonly in psychotic as compared to non-psychotic depression.
A fully adjusted logistic regression model also confirmed younger age, history of past delusions, and increased feelings of worthlessness to be associated more with psychotic than with non-psychotic depression.
Trends were observed for psychotic depression to be associated with poor subjective social support and with bipolar illness.
Cerebrovascular risk factors and gender composition did not differ significantly in the psychotic vs. non-psychotic groups.
The study confirms previously described findings such as increased guilt, increased psychomotor retardation and increased suicidality in psychotic depression in a large sample of depressed patients. (...)
Mots-clés Pascal : Etat dépressif, Symptomatologie, Psychose, Dépression psychotique, Age, Facteur sociodémographique, Epidémiologie, Facteur risque, Santé mentale, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Symptomatology, Psychosis, Psychotic depression, Age, Sociodemographic factor, Epidemiology, Risk factor, Mental health, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0373171
Code Inist : 002B18C07A. Création : 22/03/2000.