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ORIGINAL ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 96-101

Short-term course and outcome of late-life depression


1 Department of Geriatric Mental Health, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Psychiatry, Pandit BD Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India

Correspondence Address:
Shrikant Srivastava
Department of Geriatric Mental Health, King George's Medical University, Lucknow - 226 003, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-9995.174275

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Introduction: Despite a plethora of prevalence studies, research on the course and outcome of late-life depression (LLD) have received little attention in India. Thus, the present study was undertaken to explore the course and outcome of LLD. Materials and Methods: A retrospective case note review of outpatient clinic was undertaken. Only those patients having completed the baseline Mini-Mental State Examination (MMSE) and Hamilton Rating Scale for Depression (HAMD) on the first visit were included in the study. Other relevant information was collected from the case notes. Results: Forty-eight patients fulfilled the selection criteria. The mean age of the sample was 67.3 years, with male preponderance (72%). There was no significant difference in demographic variables between genders, urban/rural domicile, and early/late onset depression (EOD/LOD). The EOD and LOD cases (cut-off age 60 years for the groups) were similar except that the former had more severe illness and longer duration of untreated illness at the baseline. Sixty-five percent patients (n = 31) attended at least one follow-up visit. The mean intervals of the first, second, and third follow-up visits were 3.7 ± 5.1 weeks, 5.1 ± 4.5 weeks, and 8.4 ± 5.7 weeks, and >50% improvement on HAMD was noted in 19%, 21% and 21% patients respectively. However, those who responded at earlier times either dropped out or showed recrudescence of symptoms. While those who responded at later times maintained the benefit. Conclusions: This is the first study to look at short-term outcome of LLD in India. The response rates were low and patients showed a fluctuating degree of improvement.


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