Objective
The association between depressive symptoms and mortality was assessed in a 7-year
longitudinal follow-up of subjects referred for geropsychiatric consultation.
Methods
The medical records of 89 referrals were reviewed. Survival analysis was performed
on subjects stratified by Geriatric Depression Scale (GDS) and residential status.
Results
Fifty percent of subjects with GDS > 6 (n = 28) died by 19 months versus 54 months
for subjects with GDS < 7 (n = 61) (χ2 = 13.2, df = 1, P < .001). GDS, medical burden, age, and gender were independently associated with
survival.
Conclusions
GDS scores greater than 6 are associated with increased risk of mortality in elders
referred for geropsychiatric consultation.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Can depression and depressive symptoms predict mortality at 18-month follow-up in acutely medically ill inpatients over the age of 80 years?.Int J Geriatr Psychiatry. 1998; 13: 240-243
- Depressive symptoms and mortality in elderly persons.J Gerontol. 1992; 47: S80-S87
- The association between depressive symptoms and mortality among older participants in the Epidemiologic Catchment Area-Piedmont Health Survey.J Gerontol. 1989; 44: S149-S156
- Depressive symptoms and 3-year mortality in older hospitalized medical patients.Ann Intern Med. 1999; 130: 563-569
- Are older people dying of depression?.J Am Geriatr Soc. 2005; 53: 1128-1132
- Validation of the Geriatric Depression Scale–Short Form among inpatients.J Clin Psychol. 1994; 50: 256-260
- Depression and mortality in nursing homes.JAMA. 1991; 265: 993-996
- Psychological adjustment variables as predictors of mortality among nursing home residents.Psychol Aging. 1998; 13: 368-374
- Psychiatric consultation in the nursing home: Referral patterns and recognition of depression.J Psychosom Res. 2002; 53: 783-787
- “Mini Mental State.” A practical method for grading the cognitive state of patients for clinician.J Psychiatr Res. 1975; 12: 189-198
- Bedside assessment of executive cognitive impairment: The executive interview.J Am Geriatr Soc. 1992; 40: 1221-1226
- Cumulative illness rating scale.J Am Geriatr Soc. 1968; 16: 622-626
- Systat 11. Systat Software, Inc, Port Richmond, CA2004
- Depressive symptoms and risk of functional decline and death in patients with heart failure.J Am Coll Cardiol. 2001; 38: 199-205
- Does depression in old age increase only cardiovascular mortality?.Int J Geriatr Psychiatry. 2004; 19: 852-857
- Is depression in old age fatal only when people feel lonely?.Am J Psychiatry. 2005; 162: 178-180
- Performance of case-finding tools for depression in the nursing home: Influence of clinical and functional characteristics and selection of optimal threshold scores.J Am Geriatr Soc. 1994; 42: 1101-1109
- Depression and increased risk of mortality in the nursing home patient.Am J Med. 1993; 94: 19S-22S
Article info
Publication history
Published online: May 10, 2007
Footnotes
This work was supported by the Julia and Vann Buren Parr Professorship in Psychiatry Endowment, San Antonio, TX. There are no conflicts of interest.
Identification
Copyright
© 2007 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.