Early versus late-onset major depression in the elderly: a comparative study
Aims: This study aims to investigate the distinctive characteristics between elderly with early-onset and late-onset major depression with respect to sociodemographic factors, selfperceived health, cardiovascular risk factors, MMSE scores, family history of depression, depressive symptoms, melanchol...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pontifícia Universidade Católica do Rio Grande do Sul (EDIPUCRS)
2013-01-01
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| Series: | PAJAR - Pan American Journal of Aging Research |
| Subjects: | |
| Online Access: | https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/15790/10400 |
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| Summary: | Aims: This study aims to investigate the distinctive characteristics between elderly with early-onset and late-onset major depression with respect to sociodemographic factors, selfperceived health, cardiovascular risk factors, MMSE scores, family history of depression, depressive symptoms, melancholic features, suicide risk and alcohol abuse/dependence. Methods: Cross-sectional, descriptive and analytic study, with prospective data collection, in an random sample of 348 elderly people (≥60 years old) of the Family Heath Strategy, of which were identified 90 cases of DSM-IV unipolar major depression; subjects were divided according to early or late (≥60) age at onset of depression. Results: The prevalence of major depression in the whole sample was 25. 86%. The elderly subjects with depression were mainly of early-onset (69. 14%) and female (74. 4%); the mean age in years was higher in the late-onset major depression group (p=0. 028); the groups did not differ with respect to the other factors; after multivariate analysis there was a trend toward a negative association between suicide risk and late-onset depression. Conclusion: The early or late age at onset of depressive symptoms was not associated with different profiles. The results of this paper give support to the hypothesis that earlyand late-onset major depressive disorders are clinically undistinguishable and do not represent distinct pathologies or subtypes |
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| ISSN: | 2357-9641 |