PMID- 9650035 OWN - NLM STAT- MEDLINE DCOM- 19980904 LR - 20190914 IS - 0163-8343 (Print) IS - 0163-8343 (Linking) VI - 20 IP - 3 DP - 1998 May TI - Recovery and relapse in geriatric depression after treatment with antidepressants and ECT in a medical-psychiatric population. PG - 170-4 AB - The objective of this naturalistic, longitudinal treatment outcome study was to determine relapse rates in geriatric depression following treatment with antidepressants and electroconvulsive therapy in a medical-psychiatric population. Thirty-nine elderly patients (average age 71 years) with unipolar major depression were treated with either antidepressants (AD) or, if resistant to AD treatment, ECT followed by maintenance antidepressants. Patients were monitored over 18 months, and relapse rates were closely determined using the Longitudinal Interval Follow-up Evaluation (LIFE) and the 21-item Hamilton Depression Rating Scale. Although 90% of patients recovered from their index episode of depression, relapse rates were approximately 29%. These results indicate that in spite of high chances of recovery from geriatric depression, intensive psychopharmacologic and psychotherapeutic strategies are needed to decrease relapse rates in geriatric depression. FAU - Stoudemire, A AU - Stoudemire A AD - Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA. FAU - Hill, C D AU - Hill CD FAU - Marquardt, M AU - Marquardt M FAU - Dalton, S AU - Dalton S FAU - Lewison, B J AU - Lewison BJ LA - eng GR - R01 MH47597/MH/NIMH NIH HHS/United States GR - R03 MH43549/MH/NIMH NIH HHS/United States PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Gen Hosp Psychiatry JT - General hospital psychiatry JID - 7905527 RN - 0 (Antidepressive Agents) SB - IM MH - Aged MH - Antidepressive Agents/*therapeutic use MH - Depressive Disorder, Major/diagnosis/*therapy MH - *Electroconvulsive Therapy MH - Humans MH - Middle Aged MH - Psychiatric Status Rating Scales MH - Recurrence MH - Remission Induction/methods MH - Treatment Outcome EDAT- 1998/07/03 00:00 MHDA- 1998/07/03 00:01 CRDT- 1998/07/03 00:00 PHST- 1998/07/03 00:00 [pubmed] PHST- 1998/07/03 00:01 [medline] PHST- 1998/07/03 00:00 [entrez] AID - S0163-8343(98)00015-2 [pii] AID - 10.1016/s0163-8343(98)00015-2 [doi] PST - ppublish SO - Gen Hosp Psychiatry. 1998 May;20(3):170-4. doi: 10.1016/s0163-8343(98)00015-2.