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The British Journal of Psychiatry 158: 72-75 (1991)
© 1991 The Royal College of Psychiatrists
BL Cook, G Winokur, MJ Garvey and V Beach
University of Iowa College of Medicine, Iowa City.
A prospective study of male in-patients over 55 years old who met Feighner criteria for non-bipolar depression was performed to determine if a previous history of alcoholism significantly influenced treatment or response to treatment. Among 58 subjects with complete follow-up information, the 16 who had a history of alcoholism had a presentation at index which differed from that of the non-alcoholics, and on follow- up they clearly had more chronic illness. This elderly sample with alcoholism resembles 'neurotic-reactive' depressives described in younger samples, and supports a past history of alcoholism as being a risk factor for chronicity of depression on follow-up in the elderly population.
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