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Titolo:
Day-clinic treatment of late-life depression
Autore:
Bramesfeld, A; Adler, G; Brassen, S; Schnitzler, M;
Indirizzi:
Zent Inst Seel Gesundheit, D-68159 Mannheim, Germany Zent Inst Seel Gesundheit Mannheim Germany D-68159 159 Mannheim, Germany
Titolo Testata:
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
fascicolo: 1, volume: 16, anno: 2001,
pagine: 82 - 87
SICI:
0885-6230(200101)16:1<82:DTOLD>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; MENTALLY-ILL; MAJOR DEPRESSION; OLD-AGE; PSYCHIATRY; HOSPITALS;
Keywords:
gerontopsychiatric day-clinic; late-life depression; outcome; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Adler, G Zent Inst Seel Gesundheit, Quadrat J5, D-68159 Mannheim, Germany Zent Inst Seel Gesundheit Quadrat J5 Mannheim Germany D-68159 ny
Citazione:
A. Bramesfeld et al., "Day-clinic treatment of late-life depression", INT J GER P, 16(1), 2001, pp. 82-87

Abstract

Background. There are few studies evaluating treatment in gerontopsychiatric day-clinics. Tn this paper, data are presented on the outcome of day-clinic treatment in late-life depression. Method. Forty-four depressed elderly patients (mean Hamilton Depression Score: 17.6) were examined at admission and discharge for psychopathology, functioning in daily living, social situation, burden with medical disease and quality of life. Results. At discharge, the patients showed a significant reduction in depressive symptoms, improvements in cognitive performance, social activities and contacts. However, a more detailed analysis revealed that only patients responding to treatment (n=20) improved in the respective parameters. Patients, who did not recover fully from depression (n=24), did not improve in any of these parameters. At admission, responders and nonresponders did not differ concerning quality of life. At discharge, responders were significantly more satisfied in 11 of 20 domains of life quality. A shorter life timeduration of depressive disease and male sex were predictive for a remission of depression. Thus, it could be shown that a considerable number of patients suffering from late-life depression may be successfully treated in a gerontopsychiatric day-clinic and 45.5% fully recover from depression. Conclusions. The day-clinic setting meets the specific needs of patients suffering from late-life depression by maintaining them in the community, supporting their abilities for sell-care and promoting social contacts. Treatment in a day-clinic may be recommended for many elderly depressed patients. Copyright (C) 2001 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 06:57:26