Abstract:
BACKGROUND:There are few studies evaluating treatment in gerontopsychiatric day-clinics. In 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 time duration 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 self-care and promoting social contacts. Treatment in a day-clinic may be recommended for many elderly depressed patients.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Bramesfeld A,Adler G,Brassen S,Schnitzler Mdoi
10.1002/1099-1166(200101)16:1<82::aid-gps281>3.0.csubject
Has Abstractpub_date
2001-01-01 00:00:00pages
82-7issue
1eissn
0885-6230issn
1099-1166pii
10.1002/1099-1166(200101)16:1<82::AID-GPS281>3.0.Cjournal_volume
16pub_type
杂志文章abstract:OBJECTIVE:While activities of daily living are by definition preserved in mild cognitive impairment (MCI), there is evidence of poorer instrumental activities of daily living (IADL) functioning in MCI compared to normal ageing. The aims of the present study were to examine differences in IADL between individuals with M...
journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:International journal of geriatric psychiatry
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journal_title:International journal of geriatric psychiatry
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doi:10.1002/gps.5200
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章,评审
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更新日期:2005-02-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00
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journal_title:International journal of geriatric psychiatry
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doi:
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journal_title:International journal of geriatric psychiatry
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更新日期:1997-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-01-01 00:00:00
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journal_title:International journal of geriatric psychiatry
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更新日期:2013-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/gps.1001
更新日期:2003-11-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.857
更新日期:2003-05-01 00:00:00
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更新日期:2004-12-01 00:00:00
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更新日期:2021-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2018-05-01 00:00:00
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journal_title:International journal of geriatric psychiatry
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更新日期:2002-06-01 00:00:00
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更新日期:2017-12-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.2200
更新日期:2009-09-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章,评审
doi:
更新日期:1997-08-01 00:00:00
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更新日期:1998-12-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章,多中心研究
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更新日期:2009-10-01 00:00:00
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更新日期:2021-02-01 00:00:00