The general health questionnaire (GHQ) and its relation to hospital care and risk of death were studied prospectively in the total elderly population living in a community in northern Finland. Of the eligible elderly, 982 or 85% took part in the study, returning the GHQ. A high score on the questionnaire was considered an indicator of minor psychiatric illness. It was found that the average number of hospital days, calculated per person-years, was twice as high in the high scorers than in the low scorers. When the effects of age and certain diseases were controlled for, the high scoring men and women had a significantly higher risk of being hospitalized for at least ten days over a five-year period than the 0-1 scorers. The risk ratio was 1.6 and 1.4 for men and women, respectively. The ten-year mortality was significantly higher in the high scoring men and women than in the low scorers, when the effects of age and certain diseases were controlled for. The risk ratios for both men and women were 1.4. The GHQ was found to predict hospital care, physician visits, home services and mortality in a representative group of rural elderly people.
The aged depressive symptoms hospital care mortality
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Gurland B.J.: The comparative frequency of depression in various adult age groups. J. Gerontol. 31: 283–292, 1976.PubMedCrossRefGoogle Scholar
Murrell S. A., Himmelfarb S., Wright K.: Prevalence of depression and its correlates in older adults. Am. J. Epidemiol. 117: 173–185,1983.PubMedGoogle Scholar
Smith G.R., Monson R.A., Ray D.C.: Psychiatric consultation in somatization disorders. N. Engl. J. Med. 314: 1407–1413, 1986.PubMedCrossRefGoogle Scholar
Tsuang M.T., Woolson R.F.: Mortality in patients with schizophrenia, mania, depression and surgical conditions. A comparison with general population mortality. Br. J. Psychiatry 130: 162–166, 1977.PubMedCrossRefGoogle Scholar
Murphy J.M., Monson R.R., Olivier D.C., Sobol A.M., Leighton A.H.: Affective disorders and mortality. A general population study. Arch. Gen. Psychiatry 44: 473–480,1987.PubMedCrossRefGoogle Scholar
Singer E., Garfinkel R., Cohen S.M., Srole L.: Mortality and mental health: evidence from the Midtown Manhattan Restudy. Soc. Sci. Med. 10: 517–525,1976.PubMedCrossRefGoogle Scholar
Goldberg E.L., Comstock G.W., Hornstra R.K.: Depressed mood and subsequent physical illness. Am. J. Psychiatry 136: 4B, 530–534, 1979.PubMedGoogle Scholar
Enzell K.: Mortality among persons with depressive symptoms and among responders and non-responders in a health check-up. An investigation of persons born in 1905 and followed up from age 66 to 75. Acta Psychiatr. Scand. 69: 89–102, 1984.PubMedCrossRefGoogle Scholar
Anttila S., Takala J., Takala A., Ollila O.-P., Vierimaa E., Koski M.: Health status and social conditions of the elderly in remote districts. Results of a screening programme. Scand. J. Soc. Med. 13: 119–126, 1985.PubMedGoogle Scholar
Goldberg D.P.: The detection of psychiatric illness by questionnaire. A technique for the identification and assessment of non-psychotic psychiatric illness. Maudsley monographs no. 21. Oxford University Press, London, 1972.Google Scholar