Association of Somatic Disease with Affective Disorders in Middle and Old Age

  • Martin Roth
Chapter

Abstract

The relation between depression and somatic disease in elderly patients was first submitted to systematic investigation during the 1950s. Patients with depressive illness admitted to psychiatric hospital were found to have a high prevalence of somatic disease.1,2 This finding could have been due to the higher likelihood of admission in those depressed patients who also suffered from somatic disease. However, epidemiological study of a random community sample of people aged 65 years and over in the same area ruled out this explanation. The prevalence of physical disease among those with psychiatric disorders proved to be significantly greater than that found among mentally healthy controls from the same population.3,4

Keywords

Fatigue Arthritis Depression Cortisol Tuberculosis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Kay DWK, Roth M. Physical accompaniments of mental disorder in old age. Lancet 1955; 2: 740–745.CrossRefGoogle Scholar
  2. 2.
    Roth M, Kay DWK. Affective disorder arising in the senium. II. Physical disability as an aetiological factor. J Med Sci 1956; 102: 141–150.Google Scholar
  3. 3.
    Kay DWK, Beamish P, Roth M. Old age mental disorders in Newcastle upon Tyne. I. A study of prevalence. Br J Psychiatry 1964; 110: 146–158.PubMedCrossRefGoogle Scholar
  4. 4.
    Kay DWK, Beamish P, Roth M. Old age mental disorders in Newcastle upon Tyne. II. A study of possible social and medical causes. Br J Psychiatry 1964; 110: 668–687.PubMedCrossRefGoogle Scholar
  5. 5.
    Hare EH, Shaw GK. Mental Health in a New Housing Estate: a Comparative Study of Health in Two Districts of Croydon. Maudsley Monograph No. 12. Oxford: Oxford University Press, 1965.Google Scholar
  6. 6.
    Eastwood MR, Trevelyan MH. Relationship between physical and psychiatric disorder. Psychol Med 1972; 2: 363–372.PubMedCrossRefGoogle Scholar
  7. 7.
    Kay DWK, Bergmann K. Physical disability and mental health in old age: a follow-up of a random sample of elderly people seen at home. J Psychosom Res 1966; 10: 3.PubMedCrossRefGoogle Scholar
  8. 8.
    Kerr TA, Schapira K, Roth M. The relationship between premature death and affective disorder. Br J Psychiatry 1969; 115: 1277.PubMedCrossRefGoogle Scholar
  9. 9.
    Evans NJ, Whitlock FA. Mortality and late-onset of affective disorder. J Affective Disord 1983; 5: 297–304.CrossRefGoogle Scholar
  10. 10.
    Petty F, Noyes R Jr. Depression secondary to cancer. Biol Psychiatry 1981; 16: 1203–1220.PubMedGoogle Scholar
  11. 11.
    Lown B, De Silva RA, Reich P, et al: Psychophysiologic factors in sudden cardiac death. Am J Psychiatry 1980; 137: 1325–1335.PubMedGoogle Scholar
  12. 12.
    Rosenman RH, Brand RJ, Jenkins CD, et al. Coronary heart disease in the Western Collaborative Group Study: final follow-up experience of 81/2 years. JAMA 1975; 233: 862–877.CrossRefGoogle Scholar
  13. 13.
    Heine BE, Sainsbury P, Chynoweth TC. Hypertension and emotional disturbance. J Psychiatr Res 1969; 7: 119–130.PubMedCrossRefGoogle Scholar
  14. 14.
    Sainsbury P. Suicide in London. Maudsley Monograph No. 1. London: Chapman, 1955.Google Scholar
  15. 15.
    Kreitman N. Parasuicide. Chap. 9. New York: Wiley, 1977.Google Scholar
  16. 16.
    Barraclough B, Bunch J, Nelson B, et al. A hundred cases of suicide: clinical aspects. Br J Psychiatry 1974; 125: 355–373.PubMedCrossRefGoogle Scholar
  17. 17.
    Little CJ. The athlete’s neurosis—a deprivation crisis. Acta Psychiatr Scand 1969; 45: 187–193.PubMedCrossRefGoogle Scholar
  18. 18.
    Stewart MA, Drake I, Winokur G. Depression among medically ill inpatients. Dis Nerv Syst 1965; 26: 479–485.PubMedGoogle Scholar
  19. 19.
    Achte K, Vonhkonen ML. Cancer and Psyche. Helsinki: Kunnallispaino, 1970.Google Scholar
  20. 20.
    Whitlock FA. Suicide, cancer and depression. Br J Psychiatry 1978; 132: 269–274.Google Scholar
  21. 21.
    Fox BH, Stanek EJ, Boyd SC, et al. Suicide rates among cancer patients in Connecticut. J Chronic Dis 1982; 35: 89–99.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1989

Authors and Affiliations

  • Martin Roth

There are no affiliations available

Personalised recommendations