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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

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✦ 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.


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## Abstract The original article to which this Erratum refers was published in the International Journal of Geriatric Psychiatry 16(11) 2001, 1085–1091.