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Depression without sadness: functional outcomes of nondysphoric depression in later life
Author(s)Joseph J Gallo, Peter V Rabins, Constantine G Lyketsos
Journal titleJournal of the American Geriatrics Society, vol 45, no 5, May 1997
Pagespp 570-578
KeywordsDepression ; Anxiety ; Mobility ; Self care capacity ; Death ; Dementia ; Longitudinal surveys ; United States of America.
AnnotationEarlier studies have called attention to a syndrome with anxiety, cognitive disturbance or somatic complaints but without sadness or dysphoria in older patients thought to be depressed, usually in the context of physical illness. This study investigated whether depressive symptoms not meeting the full standard criteria for major depression would be associated with significant functional impairment in a sample of community-dwelling older people in Baltimore during a 13-year follow-up interval. Compared with a group of persons not meeting any criteria for depression, participants who reported depressive symptoms without sadness or dysphoria were at an increased risk for death, impairment in activities of daily living, psychological distress, and cognitive impairment after the 13 year period. The study concluded that nondysphoric depression in older people may be as important as major depression in relation to the development of functional disabilities and other long-term outcomes.
Accession NumberCPA-970812261 A
ClassmarkENR: ENP: C4: CA: CW: EA: 3J: 7T

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