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Depression and Previous Alcoholism in the Elderly

Published online by Cambridge University Press:  02 January 2018

Brian L. Cook ,
George Winokur ,
Michael J. Garvey  and
Vickie Beach
Brian L. Cook*
Affiliation:
University of Iowa College of Medicine and Staff Psychiatrist, Iowa City VAMC, Iowa
George Winokur
Affiliation:
University of Iowa College of Medicine, Department of Psychiatry
Michael J. Garvey
Affiliation:
University of Iowa College of Medicine and Chief, Psychiatry Service, Iowa City VAMC, Iowa City, Iowa
Vickie Beach
Affiliation:
Iowa City VAMC, Iowa City, Iowa
*
∗Department of Psychiatry (116A), VA Medical Center, Iowa City, Iowa 52240, USA
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Abstract

A prospective study of male in-patients over 55 years old who met Feighner criteria for non-bipolar depression was performed to determine if a previous history of alcoholism significantly influenced treatment or response to treatment. Among 58 subjects with complete follow-up information, the 16 who had a history of alcoholism had a presentation at index which differed from that of the non-alcoholics, and on follow-up they clearly had more chronic illness. This elderly sample with alcoholism resembles ‘neurotic-reactive’ depressives described in younger samples, and supports a past history of alcoholism as being a risk factor for chronicity of depression on follow-up in the elderly population.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 158 , Issue 1 , January 1991 , pp. 72 - 75
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Amark, C. (1951) A study in alcoholism: clinical, social-psychiatric and genetic investigations. Acta Psychiatrica Scandinavica, 70 (suppl.), 1–283.Google ScholarPubMed
Bowen, R. C., Cipywnyk, D., D'Arcy, C., et al (1984) Types of depression in alcoholic patients. Canadian Medical Association Journal, 130, 869–874.Google ScholarPubMed
Ciraulo, D. A. & Jaffe, J. H. (1981) Tricyclic antidepressants in the treatment of depression associated with alcoholism. Journal of Clinical Psychopharmacology, 1, 146–150.Google Scholar
Feighner, J., Robins, E., Guze, S. B. et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 56–73.Google Scholar
Giles, D. E., Biggs, M. M., Roffwarg, H. P., et al (1987) Secondary depression: a comparison among subtypes. Journal of Affective Disorders, 12, 251–258.Google Scholar
Keeler, M. H., Taylor, C. I. & Miller, W. C. (1979) Are all recently detoxified alcoholics depressed? American Journal of Psychiatry, 136, 586–588.Google Scholar
Petty, F. & Nasrallah, H. A. (1981) Secondary depression in alcoholism: implications for future research. Comprehensive Psychiatry, 22, 587–595.Google Scholar
Pottenger, M., McKernon, J., Patrie, L. E., et al (1978) The frequency and persistence of depressive symptoms in the alcohol abuser. Journal of Nervous Mental Disease, 166, 562–570.Google Scholar
Shaw, J. A., Donley, P., Morgan, D. W., et al (1975) Treatment of depression in alcoholics. American Journal of Psychiatry, 132, 641–644.Google Scholar
Viamontes, J. A. (1972) Review of drug effectiveness in the treatment of alcoholism. American Journal of Psychiatry, 128, 1570–1571.Google Scholar
Winokur, G. (1985) The validity of neurotic-reactive depression: new data and reappraisal. Archives of General Psychiatry, 42, 1116–1122.Google Scholar
Winokur, G., Behar, D., Van Valkenburg, C., et al (1978) Is familial definition of depression both feasible and valid? Journal of Nervous and Mental Disease, 166, 764–768.Google Scholar
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