Late-life depression: clinical features, signs of an unfavorable prognosis
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Pishchikova LE, Smirnov OR, Letnikova ZV, et al. [Late-life depression: clinical features, signs of an unfavorable prognosis]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2023;(5):34-40. Russian
In this single-stage original study, in order to identify the clinical features of late-age depression, to determine the signs of their unfavorable course, a continuous clinical examination was conducted of 61 patients over 55 years old (between 55 and 87 years of age, the average age was 68±6.2 years) with depression that first occurred at a late age (after 50 years) (F06.3, F32, F33 according to ICD-10). Based on a specially designed questionnaire, clinical and social factors that are signs of their unfavorable prognosis were identified. The features of the unfavorable course of late depression were recurrence, therapeutic resistance and incomplete remissions. The disease was accompanied by a decrease in social adaptation and a narrowing of the range of interests of the elderly.
Keywords late-life depression; clinical features; signs of an unfavorable prognosis; cognitive disorders; hypochondria; senestopathies
1. Institute of Health Metrics and Evaluation Global Health Data Exchange (GHDx). URL: https://vizhubhealthdataorg/gbd-results (accessed on: 04.03.2023). 2. Psihicheskoe zdorov'e i pozhilye ljudi Bjulleten' Voz. URL: https://wwwwhoint/ru/news-room/fact-sheets/detail/mental-health-of-older-adults) (accessed on: 23.09.2023). 3. Shternberg EYa. Glossarij psihopatologicheskih sindromov dlja klinicheskoj ocenki bol'nyh psihozami pozdnego vozrasta: Metodicheskoe pis'mo. Moscow; 1971. 42 p. (In Russ.) 4. Polishhuk JuI, Kalinichenko TP, Letnikova ZV. [Vyjavlenie trevozhnyh nepsihoticheskih rasstrojstv u lic pozdnego vozrasta vo vnebol'nichnyh uslovijah]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2016;(5):63–7. (In Russ.) 5. Polishhuk JuI, Kalinichenko TP, Letnikova ZV. [Rasstrojstva depressivnogo spektra u potrebitelej uslug centrov social'nogo obsluzhivanija (sravnitel'no-vozrastnoj aspekt)]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2017;(4):41–6. (In Russ.) 6. Polishhuk JuI, Letnikova ZV. [Mnogofaktornye prichiny vozniknovenija i razvitija nepsihoticheskih depressivnyh i trevozhnyh rasstrojstv v pozdnem vozraste]. Social'naja i klinicheskaja psihiatrija [Social and clinical psychiatry]. 2019;29(2):86–92. (In Russ.) 7. Polishhuk JuI, Gurvich VB, Letnikova ZV, Baskakova SA. [Klinicheskie osobennosti, prichiny i soderzhanie trevozhnyh rasstrojstv nevroticheskogo urovnja v pozdnem vozraste]. Psihicheskoe zdorov'e [Mental health]. 2009;10(41):21–5. (In Russ.) 8. Odarchenko SS. Depressii i komorbidnye rasstrojstva v pozdnem vozraste [PhD thesis]. [Tomsk (Russia)]: Nauchno-issledovatel'skij institut psihicheskogo zdorov'ja Tomskogo nauchnogo centra Sibirskogo otdelenija Rossijskoj akademii medicinskih nauk [Research Institute of Mental Health of the Tomsk Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences]; 2004. 164 p. (In Russ.) 9. Petrova NN, Kruglov LS, Antonova NV. [Jekzogennye i lichnostnye faktory v razvitii i terapevticheskoj dinamike depressij pozdnego vozrasta]. Vestnik Sankt-Peterburgskogo universiteta [Bulletin of St. Petersburg University]. 2013;11(3):72–8. (In Russ.) 10. Zhislin SG. Ocherki klinicheskoj psihiatrii. Moscow: Medicina; 1965. 320 p. (In Russ.) 11. Semke VJa, Ivanova TI, Odarchenko SS. [Vozrastnoj patomorfoz depressivnyh narushenij]. Sibirskij vestnik psihiatrii i narkologii [Siberian Bulletin of Psychiatry and Narcology]. 2010;2(59):30–6. (In Russ.) 12. Vertogradova OP, Voiceh VF, Krasnov VN, et al. [Vozrastnye osobennosti depressij vtoroj poloviny zhizni]. Zh Nevrol Psikhiatr Im SS Korsakova. 1986;86(9):1380–4. (In Russ.) 13. Ivanec NN, Kinkul'kina MA, Avdeeva TI. [Klinicheskij analiz simptomatiki pozdnej depressii i novaja psihometricheskaja shkala ee ocenki]. Zh Nevrol Psikhiatr Im SS Korsakova. 2012;112(9):17–25. (In Russ.) 14. Vinnikova IN, Belova MJu. [Fenomenologija senestalgij u pacientov starshih vozrastnyh grupp]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2017;(4):47–52. (In Russ.) 15. Kinkul'kina MA, Tihonova JuG, Lazareva AV, Sysoeva VP. [Kliniko-psihopatologicheskie osobennosti depressij pri organicheskih zabolevanijah golovnogo mozga v pozdnem vozraste]. DoktorRu. 2021;20(9):54–9. (In Russ.) DOI: https://doiorg/1031550/1727-2378-2021-20-9-54-59 16. Ivanec NN, Shestakova RA, Voronina EO, Antropova EA. [Kliniko-psihopatologicheskie varianty ipohondricheskih rasstrojstv v pozdnem vozraste]. Psihiatrija i psihofarmakoterapija [Psychiatry and psychopharmacology]. 2020;22(2):10–5. (In Russ.) 17. Safarova TP. [Depressivnye rasstrojstva v pozdnem vozraste: osobennosti kliniki i techenija]. Psihiatrija [Psychiatry]. 2019;17(3):87–97. (In Russ.) 18. Kessler RC, Berglund P, Demler O, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289(23):3095–105. DOI: https://doiorg/101001/jama289233095 19. Mitchell AJ, Subramaniam H. Prognosis of depression in old age compared to middle age: a systematic review of comparative studies. Am J of Psychiatry. 2005;162(9):1588–601. DOI: https://doiorg/101097/JGP0b013e3181b0fa1360 20. Rjahovskij VV. [Ishody depressij v pozdnem vozraste]. Psihiatrija [Psychiatry]. 2009;2(38):24–9. (In Russ.) 21. Smirnov OR, Pishhikova LE, Letnikova ZV, Egorova DA. [Markery` trevogi i depressii pri psixicheskix rasstrojstvax pozdnego vozrasta]. Psixicheskoe zdorov`e [Mental health]. 2022;17(9):13–9. (In Russ.) 22. Pyatniczkij AN. Affektivny`e psixozy` starcheskogo vozrasta (kliniko-dinamicheskoe i kliniko-e`pidemiologicheskoe issledovanie) [PhD thesis]. [Moscow (Russia)]: Vsesojuznyj nauchnyj centr psihicheskogo zdorov'ja [All-Union Scientific Center for Mental Health]; 1991. 21 p. (In Russ.)
DOI: http://dx.doi.org/10.34757/1560-957X.2023.27.5.004
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