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Biomedical subjects

J Steuer

Publications and source records attributed to J Steuer.

22 records · Page 2Linked to original sources
PubMed1980

Depression, physical health and somatic complaints in the elderly: a study of the Zung Self-Rating Depression Scale.

The relationships between depression, measured by the Zung Self-Rating Depression Scale (SDS), somatic symptoms based on self-reports, and health based on medical evaluations, were investigated in 60 depressed older persons (median age 64.5 years) in relatively good physical health. No relationship was found between health ratings and depression scores, but a significant association emerged between a Somatic Symptom subscale, specifically the single item of fatiguability, physicians' ratings of health, and depression scores. Results of factor analyses of the Zung Self-Rating Depression Scale were similar to those reported in previous studies and indicated a factor structure apparently based on the positioning of the positively and negatively worded items. It is suggested, therefore, that further investigations be carried out to evaluate the possible response bias on this scale.

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PubMed1980

Family abuse of the elderly.

In 12 cases of family abuse of disabled elderly persons, the majority of the abused were women. Caretakers included spouses, children, siblings or other relatives. Abuse was both physical and verbal/psychologic. Neglect, the most common form of physical abuse, sometimes resulted in decubitus ulcers and vermin infestation. Misuse of medical therapy and nutrition were other areas of physical abuse. Psychologic abuse included derogation, infantilization, and threats of institutionalization, abandonment, and homicide. Possible causes of abuse included alcoholism in the caretaker, financial concerns, and long-term family conflicts. Various recommendations are made for the management of abusive families.

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PubMed1980

Treatment of geriatric depression with trazodone, imipramine, and placebo: a double-blind study.

Sixty unipolar depressed geriatric outpatients were subjects in a double-blind study of a new antidepressant, trazodone, versus imipramine and placebo. Over the four week study, patients in the two active medication groups improved significantly compared to placebo on both observer and self-ratings. Although imipramine and trazodone had similar therapeutic efficacy, trazodone was judged to have fewer side effects than imipramine, suggesting that trazodone may have particular clinical utility in the geriatric population which is especially vulnerable to cardiovascular and anticholinergic side effects.

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