Long-term Risk for Depressive Symptoms After a Medical Diagnosis

Daniel E. Polsky · Jalpa A. Doshi · Steven C. Marcus · David W. Oslin · Aileen B. Rothbard · Niku Thomas +1 more

263 citations0/0 files storedArchives of Internal Medicine

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Mental Health Treatment and Access Cancer survivorship and care Cardiac Health and Mental Health

Abstract

BACKGROUND: This study examines the risk of development of significant depressive symptoms after a new diagnosis of cancer, diabetes, hypertension, heart disease, arthritis, chronic lung disease, or stroke. METHODS: The study used 5 biennial waves (1992-2000) of the Health and Retirement Study to follow a sample of 8387 adults (aged 51 to 61 years and without significant depressive symptoms in 1992) from 1994 to 2000. Time-dependent Cox regression models estimated adjusted hazard ratios (HRs) for an episode of significant depressive symptoms after a new diagnosis for each of the 7 medical conditions. RESULTS: Within 2 years of initial diagnosis, subjects with cancer had the highest hazard of depressive symptoms (HR, 3.55; 95% confidence interval [CI], 2.79-4.52), followed by subjects with chronic lung disease (HR, 2.21; 95% CI, 1.64-2.79) and heart disease (HR, 1.45; 95% CI, 1.09-1.93). The hazard for depressive symptoms for most of these diseases decreased over time; however, subjects with heart disease continued to have a higher risk for depressive symptoms even 2 to 4 years and 4 to 8 years after diagnosis, and a significantly higher hazard for depressive symptoms developed for persons with arthritis 2 to 4 years after diagnosis (HR, 1.46; 95% CI, 1.11-1.92). CONCLUSION: The findings identify several high-risk patient groups who might benefit from depression screening and monitoring to improve health outcomes in this vulnerable population facing new medical illnesses.

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References

1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1993Two Shorter Forms of the CES-D Depression Symptoms Index 1990Depression, Disability Days, and Days Lost From Work in a Prospective Epidemiologic Survey 2003Clinical and health services relationships between major depression, depressive symptoms, and general medical illness 1997The National Depressive and Manic-Depressive Association Consensus Statement on the Undertreatment of Depression 1999A Revised CES-D Measure of Depressive Symptoms and a DSM-Based Measure of Major Depressive Episodes in the Elderly 1997Depressive Symptoms and the Cost of Health Services in HMO Patients Aged 65 Years and Older 1988Psychiatric disorder in a sample of the general population with and without chronic medical conditions

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