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Modelling late-life depression
Author(s)Gordon Parker, John Snowdon, Kay Parker
Journal titleInternational Journal of Geriatric Psychiatry, vol 18, no 12, December 2003
Pagespp 1102-1109
Sourcehttp://www.interscience.wiley.com
KeywordsDepression ; Evaluation ; Australia.
AnnotationThe authors have proposed a three-class hierarchical specificity model for sub-typing the depressive disorders comprising psychotic, melancholic and non-melancholic depression (PD, MEL and NON-MEL), with specificity referring to two clinical features (psychotic symptoms and psychomotor disturbance) separating the first classes from a residual NON-MEL class. Subjects were aged 65+, non-demented and being treated for depression. Extensive clinical assessment was undertaken, while several standardised measures were administered. Of the 123 patients referred, 46 had DSM-defined PD, 46 had MEL and 31 were assigned as NON-MEL. The specificity of PMD to the definition of psychotic and melancholic depression was confirmed in this sample of depressed older people. Clinical features identified as distinguishing psychotic, melancholic and non-melancholic depression were broadly consistent with findings from the authors' previous studies involving younger subjects. (RH).
Accession NumberCPA-040301210 A
ClassmarkENR: 4C: 7YA

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