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CMAG

Notes

10

Condition

Depression Rate %

Comment

Myocardial Infarction

20-40

In 6 months after myocardial infarction

Parkinson’s Disease

40

About half major depression, half dysthymia

Huntington’s Disease

50

About half major depression, half dysthymia

Alzheimer’s Disease

30-35

Generally early in illness course

Stroke

25-50

Major depression in first year after stroke; risk correlates with site of lesion

Cancer

3-50

Varies with type, location, stage

HIV / AIDS

10-20

In later stages, 4-11% in asymptomatic seropositive

Rheumatoid Arthritis

12

Up to 42% lifetime

Diabetes Mellitus

14-18

33% lifetime

Chronic Pain

30

60% lifetime

Disabling Tinnitus

60

75% lifetime

End-stage Renal Disease

5-22

Spinal Cord Injury

37

and more medical costs than those who do not have co-existing depression.28 Additional research has yielded increasing evidence that treating the depression can also help improve the outcome of treating the co-occurring illness.29 Serious healthcare gaps exist for the vulnerable individuals with a psychiatric disorder such as major depression. This indicates a need to integrate the delivery of currently segmented mental and physical health services.26 One study, with results shown in Table 1, indicates anywhere from a 12% to 75% depression rate with medical conditions.

Table 1 Rates of Depression Co-Occurring with Other Medical Conditions30

The following list provides additional facts about co-morbidities and individuals with depression:

  • Depression rates are higher among older adults with co-existing medical conditions.3

  • Individuals with depression are four times as likely to develop a heart attack as those without a history of the illness. After a heart attack they are at a significantly increased risk of death or a second heart attack. One in three heart attack survivors experience depression.31

  • Approximately 25% of cancer patients experience depression.31

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