J K Djernes1. 1. The Northern Jutland Psychiatry Unit, Department of Old Age Psychiatry, Brønderslev, Psychiatric Hospital, Brønderslev, Denmark. jensdjernes@webspeed.dk
Abstract
OBJECTIVE: To offer an update on prevalence and predictors of old age depression in populations of elderly Caucasians. METHOD: The databases MEDLINE and Psychinfo were searched and relevant literature from 1993 onwards was reviewed. RESULTS: The prevalence of major depression ranges from 0.9% to 9.4% in private households, from 14% to 42% in institutional living, and from 1% to 16% among elderly living in private households or in institutions; and clinically relevant depressive symptom 'cases' in similar settings vary between 7.2% and 49%. The main predictors of depressive disorders and depressive symptom cases are: female gender, somatic illness, cognitive impairment, functional impairment, lack or loss of close social contacts, and a history of depression. CONCLUSION: Depression is frequent in populations of elderly. Methodological differences between the studies hinder consistent conclusions about geographical and cross-cultural variations in prevalence and predictors of depression. Improved comparability will provide a basis for consistent conclusions.
OBJECTIVE: To offer an update on prevalence and predictors of old age depression in populations of elderly Caucasians. METHOD: The databases MEDLINE and Psychinfo were searched and relevant literature from 1993 onwards was reviewed. RESULTS: The prevalence of major depression ranges from 0.9% to 9.4% in private households, from 14% to 42% in institutional living, and from 1% to 16% among elderly living in private households or in institutions; and clinically relevant depressive symptom 'cases' in similar settings vary between 7.2% and 49%. The main predictors of depressive disorders and depressive symptom cases are: female gender, somatic illness, cognitive impairment, functional impairment, lack or loss of close social contacts, and a history of depression. CONCLUSION:Depression is frequent in populations of elderly. Methodological differences between the studies hinder consistent conclusions about geographical and cross-cultural variations in prevalence and predictors of depression. Improved comparability will provide a basis for consistent conclusions.
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