Re. Pasternak et al., SPOUSALLY BEREAVED ELDERS WITH SUBSYNDROMAL DEPRESSION - A DESCRIPTIVE ANALYSIS AND COMPARISON WITH MAJOR DEPRESSION, The American journal of geriatric psychiatry, 4(1), 1996, pp. 61-68
The authors compared the frequency and severity of symptoms in subsynd
romal and major depression after spousal bereavement in later life, as
well as measures of social support, functional status, and grief inte
nsity. Subsyndromal subjects (n = 25, mean age = 68.1) experienced few
er and less severe depressive symptoms and less functional impairment
and anxiety than subjects with major depression (n = 25, mean age = 68
.5). In a multivariate discriminant-function analysis (taking into acc
ount both symptom frequency and severity), mood, anxiety, early mornin
g awakening, and weight loss correctly identified 92% of subsyndromal
subjects and 92% of those with major depression. Further longitudinal
study is under way to document the relationship of the current differe
nces in symptomatology and clinical status to clinical outcome.