R C Baldwin

..Growing evidence suggests that there may be a subtype of depression arising in later life that is characterised by a distinct clinical presentation and an association with cerebrovascular disease. This has been termed 'vascular depression'...

..This model may be useful in predicting prognosis for individuals and thus in guiding treatment decisions...

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..Organic factors are thought to be important in late-life depressive disorder but there have been few studies specifically of neurological signs...

..Vascular depression is an important conceptual and clinical concept...

..To determine the clinical effectiveness of a nurse-led mental health liaison service in managing mental health problems in older physically ill inpatients...

..To develop a guideline for the primary care management of depression in later life based on best practice...

..In order to help clarify what progress has been made, the author conducted a literature review of original research subsequent to three recent major reviews...

..To study the course of depressive symptoms over 3 years, rate of dementia and mortality in relation to baseline neuroradiological abnormalities...

..To examine health behaviour, severity of depression, gender differences and religiosity in older patients admitted to intermediate care for further rehabilitation...

..To review evidence regarding the prevalence, causation, clinical implications, aspects of healthcare utilisation and management of depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease...

..To examine the acceptability of fluoxetine in elderly depressed patients with chronic obstructive pulmonary disease (COPD)...

..Depression is the commonest mental health problem in elderly people and continues to be underdiagnosed and undertreated...

..We investigated the prevalence and predictors of depression and anxiety symptoms in older patients admitted for further rehabilitation in post acute intermediate care...

..In England, the National Service Framework for Older People (NSFOP) sought to address these inconsistencies and improve care. This study describes the situation three years after its publication...

..827, p < 0.0005). CONCLUSION: The GDS4 and OMC appear to be useful instruments for screening for depression and cognitive impairment among older medical inpatients...

..The implications of these findings and the challenges inherent in providing integrated care for this client group are discussed...

..To evaluate the effect of a psychiatric intervention in treating depression (treatment study) and the effect of a psychological treatment in preventing depression (prevention study) after hip fracture in older people...

..CONCLUSION: disability, use of long-term oxygen therapy, pre-bronchodilator lung function and body-mass index were independent predictors of mortality in elderly patients with severe chronic obstructive pulmonary disease...

..Future studies might include multi-modal interventions using the principles of active case management and pharmacological studies which target both specific neuropsychiatric symptoms and underlying cerebrovascular disorder...

..Late-onset depression (LOD) has a poor prognosis which may be worsened by the presence of cerebrovascular disease. Few studies have explored prospectively the influence of vascular risk factors on longer term prognosis...

..We hypothesized that COPD patients with sub-threshold depression would have levels of disability and impaired quality of life approaching that for major depression and significantly greater than for non-depressed COPD patients...

..The findings support the hypothesis that MR measurement of CSF flow abnormalities provides a biomarker of MVA, and thus could have application in a wide range of age-related diseases...

..This article focuses on recent research into depression, bipolar disorder and anxiety in older people...