Abstract
Background Patients with psychotic depression have a high rate of relapses and readmissions. There have been conflicting findings regarding the stability of the psychotic depression diagnosis. Methods The study is based on a sample of patients (diagnosis codes: F32.3x, F33.3x, F25.xx, F29), who had their first treatment episode in the hospital district of Satakunta between the years of 1996 and 2000. Their patients’ records were reviewed using an instrument to record background data, information on treatment episode and treaments, and symptoms. Additionally, data from national registers (hospital discharge register, reimbursement of medications and causes of death) was collected and followed until the end of 2008. Results The sample included 181 subjects, 70 men (38.7%) and 111 women (61.3%). Out of the whole sample, 17.1% (n=31) had a diagnosis of schizoaffective disorder, 23.8% (n=43) a diagnosis of psychosis NOS and 59.1% (n=107) a diagnosis of psychotic depression. Patients with psychotic depression were significantly older (60.1) compared to schizoaffective (49.8) and psychosis NOS (36.5) patients (p Conclusions In this sample, among the readmitted patients psychotic depression was a fairly stable diagnosis.
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