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Predictors of recovery from major depression among geriatric psychiatry inpatients
 — the importance of caregivers' beliefs
Author(s)Robin J Casten, Barry W Rovner, Yochi Shmuely-Dulitzki
Journal titleInternational Psychogeriatrics, vol 11, no 2, June 1999
Pagespp 149-158
KeywordsDepression ; In-patients ; Informal care ; Attitude ; Family relationships ; United States of America.
AnnotationCaregiver support is an important factor in recovery from depression among older patients. The authors examined whether caregivers' perceptions regarding patients' ability to control depressive symptoms and health were controlled. Depression treatment, demographics, number of depressive symptoms, and health were controlled. The sample comprised 51 geriatric psychiatry inpatients who met DSM-IV criteria for major depression, and who had a primary caregiver. Depression was assessed at admission and discharge. Caregivers were asked to indicate whether they believed their patient-relatives could control their depressive symptoms. At discharge, 33 patients (64.7%) were 'remitted' and 18 (35.5%) were 'non-remitted'. Multivariate analysis indicated that receiving electroconvulsive treatment (ECT), having fewer depressive symptoms caregivers perceived to be within patient control, and being female predicted depression remission at discharge. This study highlights the important relationship between family dynamics and course of depression. (RH).
Accession NumberCPA-990728222 A
ClassmarkENR: LF7: P6: DP: DS:SJ: 7T

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