|
| | |
|
Am J Psychiatry 1994; 151:1592-1599
Copyright © 1994 by American Psychiatric Association
Is dysthymia a different disorder in the elderly?
DP Devanand, MS Nobler, T Singer, JE Kiersky, N Turret, SP Roose and HA Sackeim
Late Life Depression Clinic, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York 10032.
OBJECTIVE: This study evaluated elderly dysthymic patients in a late life
depression clinic and compared their clinical features to previous findings
in young adult dysthymic patients. METHOD: Of 224 consecutive elderly
outpatients, 40 (17.9%) met criteria for dysthymic disorder. A
semistructured interview was used to obtain history, the Structured
Clinical Interview for DSM-III-R--Patient Version and the Structured
Clinical Interview for DSM-III-R Personality Disorders were used to make
DSM-III-R diagnoses, and standard rating instruments for depression were
administered. RESULTS: The gender distribution was equal and major
stressors were common. The mean age at onset of dysthymia was 55.2 years
(SD = 15.4), with an average illness duration of 12.5 years (SD = 14.2).
Early onset (before 21 years of age) and secondary dysthymia were rare. A
history of major depression earlier during the course of dysthymic illness,
comorbid anxiety disorders, and personality disorders were relatively
uncommon. Cross-sectionally, cognitive and functional symptoms were more
prominent than vegetative symptoms. CONCLUSIONS: Dysthymia is not uncommon
among depressed elderly outpatients who present for treatment. Elderly
dysthymic patients differ from young adult dysthymic patients, who are
mostly female with an early onset and who frequently have comorbid axis I
and axis II disorders. Most elderly dysthymic patients do not appear to be
young dysthymic patients who simply grew older, and the DSM-III-R subtyping
of dysthymia into early/late onset and primary/secondary may not apply to
the elderly. Further clinical studies of "pure" dysthymic disorder appear
feasible in the elderly, and these are clearly needed.
This article has been cited by other articles:
|
|
|
|
 
C. F. Hybels, C. F. Pieper, D. G. Blazer, and D. C. Steffens
The Course of Depressive Symptoms in Older Adults With Comorbid Major Depression and Dysthymia
Am J Geriatr Psychiatry,
April 1, 2008;
16(4):
300 - 309.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. F. Hybels, D. G. Blazer, and D. C. Steffens
Predictors of Partial Remission in Older Patients Treated for Major Depression: The Role of Comorbid Dysthymia
Am J Geriatr Psychiatry,
August 1, 2005;
13(8):
713 - 721.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D.P. Devanand, M. S. Nobler, J. Cheng, N. Turret, G. H. Pelton, S. P. Roose, and H. A. Sackeim
Randomized, Double-Blind, Placebo-Controlled Trial of Fluoxetine Treatment for Elderly Patients With Dysthymic Disorder
Am J Geriatr Psychiatry,
January 1, 2005;
13(1):
59 - 68.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. P. Devanand, N. Juszczak, M. S. Nobler, N. Turret, L. Fitzsimons, H. A. Sackeim, and S. P. Roose
An Open Treatment Trial of Venlafaxine for Elderly Patients With Dysthymic Disorder
J Geriatr Psychiatry Neurol,
December 1, 2004;
17(4):
219 - 224.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. M. Lyness
Treatment of Depressive Conditions in Later Life: Real-World Light for Dark (or Dim) Tunnels
JAMA,
April 7, 2004;
291(13):
1626 - 1628.
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. C. Watson, J. M. Garrett, P. D. Sloane, A. L. Gruber-Baldini, and S. Zimmerman
Depression in Assisted Living: Results From a Four-State Study
Am J Geriatr Psychiatry,
October 1, 2003;
11(5):
534 - 542.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. S. Charney, C. F. Reynolds III, L. Lewis, B. D. Lebowitz, T. Sunderland, G. S. Alexopoulos, D. G. Blazer, I. R. Katz, B. S. Meyers, P. A. Arean, et al.
Depression and Bipolar Support Alliance Consensus Statement on the Unmet Needs in Diagnosis and Treatment of Mood Disorders in Late Life
Arch Gen Psychiatry,
July 1, 2003;
60(7):
664 - 672.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. G. Blazer
Depression in Late Life: Review and Commentary
J. Gerontol. A Biol. Sci. Med. Sci.,
March 1, 2003;
58(3):
M249 - 265.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Lavretsky and A. Kumar
Clinically Significant Non-Major Depression: Old Concepts, New Insights
Am J Geriatr Psychiatry,
June 1, 2002;
10(3):
239 - 255.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D.P. Devanand, M. K. Kim, N. Paykina, and H. A. Sackeim
Adverse Life Events in Elderly Patients With Major Depression or Dysthymic Disorder and in Healthy-Control Subjects
Am J Geriatr Psychiatry,
June 1, 2002;
10(3):
265 - 274.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. N. Seidman, A. B. Araujo, S. P. Roose, D.P. Devanand, S. Xie, T. B. Cooper, and J. B. McKinlay
Low Testosterone Levels in Elderly Men With Dysthymic Disorder
Am J Psychiatry,
March 1, 2002;
159(3):
456 - 459.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Hargrave, B. Reed, and D. Mungas
Depressive Syndromes and Functional Disability in Dementia
J Geriatr Psychiatry Neurol,
July 1, 2000;
13(2):
72 - 77.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Kumar, Z. Jin, W. Bilker, J. Udupa, and G. Gottlieb
Late-onset minor and major depression: early evidence for common neuroanatomical substrates detected by using MRI
PNAS,
June 23, 1998;
95(13):
7654 - 7658.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. DasGupta
Treatment of Depression in Elderly Patients: Recent Advances
Arch Fam Med,
June 1, 1998;
7(3):
274 - 280.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. C. Abrams, L. A. Spielman, G. S. Alexopoulos, and E. Klausner
Personality Disorder Symptoms and Functioning in Elderly Depressed Patients
Am J Geriatr Psychiatry,
February 1, 1998;
6(1):
24 - 30.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1994
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
