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Review of community prevalence of depression in later life
Abstract
Background: Despite considerable interest, there is no consensus regarding the prevalence of depression in later life. Aims: To assess the prevalence of late-life depression in the community. Method: A systematic review of community-based studies of the prevalence of depression in later life (55+). Literature was analysed by level of caseness at which depression was defined and measured. Results: Thirty-four studies eligible for inclusion were found. The reported prevalence rates vary enormously (0.4–35%). Arranged according to level of caseness, major depression is relatively rare among the elderly (weighted average prevalence 1.8%), minor depression is more common (weighted average prevalence 9.8%), while all depressive syndromes deemed clinically relevant yield an average prevalence of 13.5%. There is consistent evidence for higher prevalence rates for women and among older people living under adverse socio-economic circumstances. Conclusions: Depression is common in later life. Methodological differences between studies preclude firm conclusions about cross-cultural and geographical variation. Improving the comparability of epidemiological research constitutes an important step forward.
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Metadata
- Authors
- Beekman, A. T. F., Copeland, J., & Prince, M. J.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1999-04
- Volume
- 174
- Issue
- 4
- Pages
- 307-311
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W1987544980
- Cited by
- 1,144
- References
- 3
- FWCI
- 39.76
- Type
- journal article
- Language
- en
- Open access
- closed
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