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Comparison of Major and Minor Depression in Older Medical Inpatients With Chronic Heart and Pulmonary Disease

Received March 12, 2005; revised June 28, 2005; accepted August 9, 2005. From the Duke Univ. Medical Center and the GRECC VA Medical Center, Durham, NC. Please send correspondence and reprint requests to Dr. Koenig, Box 3400, Duke Univ. Medical Center, Durham, NC 27710. e-mail: koenig{at}geri.duke.edu

Depressed medical inpatients with congestive heart failure (CHF) and/or chronic pulmonary disease (CPD) were examined to determine characteristics distinguishing major depression (N=413) from minor depression (N=587). Consecutively admitted patients age 50 or over were screened for depressive disorder with the Structured Clinical Interview for Depression (SCID–IV). CHF/CPD patients with major depression differed from those with minor depression not only on number and severity of depressive symptoms but also on race/ethnicity, comorbid psychiatric illnesses, dyspnea, life stressors, social support, and previous antidepressant therapy. CHF/CPD patients with major and minor depression have distinct psychosocial and physical characteristics that distinguish one from another.

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