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首页> 外文期刊>The British journal of psychiatry : >Outcome of hospital-treated depression at 4.5 years
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Outcome of hospital-treated depression at 4.5 years

机译：住院治疗抑郁症4.5年的结果

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Background Direct comparisons of the prognosis for treated depression in adult and elderly cohorts are few, but suggest higher morbidity and mortality in the elderly. Aims To examine outcome in two such groups after 4.5 years and compare results with those reported elsewhere. Method Fifty-six adults (aged under 65) and 54 elderly people (over 65) with primary depression were assessed 4.5 years after receiving hospital treatment, and factors influencing the outcome were explored. Results Recovery rates were higher in the adults than in the elderly (42.8% v . 24%), largely due to higher rates of death (33%) and dementia (14.8%) in the latter group, who also suffered more serious health problems (62.9% v . 28.5%). Survival analysis showed no difference in the recovery time between cohorts, with over 90% recovered after 25 weeks. After deducting the natural deaths, melancholic illness proved a poor outcome predictor in the adults. Conclusions The outlook for elderly depressed patients is poorer than for younger patients because of concurrent physical disease, a higher death rate and the development of dementia.
机译：背景成年人和老年人群治疗抑郁的预后的直接比较很少，但提示老年人的发病率和死亡率较高。目的在4.5年后检查两组中的结果，并将结果与​​其他地方报告的结果进行比较。方法在接受住院治疗4.5年后评估了56名原发性抑郁症的成年人（65岁以下）和54名老年人（65岁以上），并探讨了影响预后的因素。结果成年人的康复率高于老年人（42.8％对24％），这主要是由于后者的死亡率（33％）和痴呆症（14.8％）较高，后者的健康问题也更为严重（62.9％对28.5％）。生存分析显示，各组之间的恢复时间无差异，25周后恢复率超过90％。扣除自然死亡后，忧郁症患者的成年预后指标很差。结论由于并发身体疾病，较高的死亡率和痴呆症的发展，老年抑郁症患者的前景比年轻患者差。

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