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Q What are the outcomes for elderly people with minor or subsyndromal depression receiving usual care in primary practice?
Retrospective cohort study.
Ten primary care practices in greater New York City, and Philadelphia and Pittsburgh, Pennsylvania, USA; time frame not stated.
622 people aged 60 and over, and with a Mini-Mental State Examination score of 18 or higher. Of the 441 (70.9%) people who completed follow up, 114 (26%) did not have depression, 205 (46%) had minor or subsyndromal depression, and 122 (28%) had major depression at baseline. Diagnoses of depression were made with the Structured Clinical Interview for DSM-IV (SCID). Minor or subsyndromal depression was defined as depressed mood or anhedonia plus ⩾1 other SCID defined depressive symptom, at either threshold or subthreshold level.
Depressive symptom severity (Hamilton Rating Scale for Depression (Ham-D)), and DSM-IV major depression (SCID).
Follow up period:
Approximately 10% of elderly people …
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