RAMANAND SATAPATHY, M.D., Psychiatrist, Mental Health Institute, Department of Psychiatry, S.C.B. Medical College, Cuttack 753 007.
Indian J Psychiatry. 1997 Oct;39(4):278-81.
Psychiatric evaluation and assessment of common physical illnesses and disabilities was carried out in elderly depressives (aged 60 years and above). Correlation, if any, was seen between depression and physical problems. The 'patient group' comprised of 40 drawn from MHI, Cuttack, having a depressive disorder (ICD-10). The 'control group' of 20 was drawn from the general population with no psychiatric disorder. The presence of physical illness was looked for in both groups. The patient group had physical illnesses, 76% of which were previously undiagnosed. The control group had physical illnesses 71% of which were previously diagnosed. Undiagnosed physical illnesses are more common among elderly patients with depression than among matched control. The physical illnesses contributed in two thirds of the patients. So careful detection and management of physical illness is of equal importance in the management of depression.
对老年抑郁症患者（年龄在 60 岁及以上）进行了精神科评估和常见身体疾病及残疾评估。评估了抑郁与身体问题之间是否存在相关性。“患者组”由来自 MHI、库塔克的 40 人组成，他们患有抑郁障碍（ICD-10）。“对照组”由 20 名来自普通人群、无精神疾病的人组成。在这两组人群中都寻找身体疾病的存在。患者组有 76%的身体疾病以前未被诊断，对照组有 71%的身体疾病以前被诊断。与匹配的对照组相比，患有抑郁症的老年患者中未被诊断的身体疾病更为常见。三分之二的患者的身体疾病起到了作用。因此，在抑郁症的管理中，对身体疾病的仔细检测和管理与同等重要。
