Objective. To investigate neuroradiological, endocrinological and clinical dierences between delusional and non-delusional depression. Design. A cross-sectional study of depressed subjects. Setting. Melbourne, Australia. Participants. Sixty-one subjects (inpatients) over the age of 55 meeting DSM
Clinical and phenomenological comparisons of delusional and non-delusional major depression in the Chinese elderly
✍ Scribed by Tien-Wen Lee; Shih-Jen Tsai; Cheng-Hung Yang; Jen-Ping Hwang
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 59 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0885-6230
- DOI
- 10.1002/gps.870
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Objective
Distinct clinical entities, with and without delusions, have been reported for depressed patients. This study explores the clinical and phenomenological aspects of delusional and non‐delusional major depression in elderly Chinese patients.
Methods
A total of 156 depressed patients (105 males and 51 females) admitted to our geriatric psychiatry ward were investigated. Sociodemographic and clinical characteristics were compared between patients divided into two groups—according to presence or absence of delusions.
Results
On admission, higher risk of suicide attempt, higher chance of guilt feelings, and greater daily functional impairment were observed for the deluded group. Further, the score of Hamilton Depression Rating Scale was higher and the score of Mini‐Mental State Examination was lower for delusional depressives.
Conclusion
Our findings were grossly concordant with previous Western reports, and highlight the importance of identifying the delusional subgroup of depressive patients because of the higher risk of suicide attempt. Copyright © 2003 John Wiley & Sons, Ltd.
📜 SIMILAR VOLUMES
## Abstract The original article to which this Erratum refers was published in the International Journal of Geriatric Psychiatry 16(11) 2001, 1085–1091.