DEPRESSION IN ELDERLY AGE: DIAGNOSIS, MANAGEMENT AND SPECIFIC FEATURES OF THERAPY



Cite item

Full Text

Abstract

Depression in elderly persons is poorly described in modern scientific literature. For many practitioners depressive disorders are thought as age-related, so they are poorly diagnosed and treated in primary care system and general medical practice. Basic data on frequency, treatment tactics, diagnostics, and the therapy of depressive disorders are described. There is presented an assessment of specific symptomatology and specific features for depressive disorders in the elderly patients. Scheme of treating with antidepressants shows its main forms which are generally used medical practice.

About the authors

Nikolai A Kornetov

Siberian State Medical University

Email: korn@mail.tomsknet.ru
Department of Psychiatry, Narcology and Psychotherapy of Advanced Education Faculty 635050, Тоmsk, Моskovsky tract, 2

References

  1. Болдвин Р. Депрессивная болезнь. Психиатрия позднего возраста [под ред. Р.Джaкоби и К. Оппенгаймер. Пер. с англ. под общ. ред. В. Позняка]. Киев: Сфера, 1977. Т.2. С. 198-241.
  2. Корнетов Н.А. Психогенные депрессии: клиника, патогенез. Томск: Изд. Том. ун-та, 1993. 278 c.
  3. Корнетов Н.А. Депрессивные расстройства (диагностика, систематика, семиотика, терапия) Изд. 2. испр. и доп. Томск: Сиб. изд. Дом, 2001. 119 с.
  4. Краснов В.Н. Расстройства аффективного спектра. М.: Практическая медицина, 2011. 432 c.
  5. Alexopoulos G. Pharmacotherapy of depressive disorders in older patients. Minneapolis: McGraw-Hill Healthcare Information, 2001. P. 58-67.
  6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd. ed. Washington, DC: World Health Association, 1980.
  7. Beekman A., Copeland J., Prince M. Review of community prevalence depression in later // Brit. J. Psychiatry. Vol. 174. P.307-311.
  8. Benabarre S., Olivera J., Lorrente T. et al. Psychiatric symptoms are not an independent mortality risk factor in community-living elderly people // Int.Psychogeriatr. 2014. Feb. Vol. 27. P.1-10.
  9. Birrer R.B., Vemuri S.P. Depression in later life: adiagnostic and therapeutic challenge // Am. Fam. Physician.2004. T.15. Vol.69, №10. P. 2375-2382.
  10. Boswell E.B., Stoudemire A. Major depression in theprimary care setting // Am. J. Med. 1996. Vol.101, P. 3S-9S.
  11. Classification of Mental and Behavioral Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva, Switzerland. WHO, 1993. 300 p.
  12. Educational Program on Depressive Disorders. ModuleIII. Depressive Disorders in older persons. WPA/PTD. New York,1999. 59 p.
  13. Georgotas A. Attective disorders in the elderly: diagnostic and research considerations // Age Ageing. 1983. Vol.12 (1). P.1-10.
  14. Gurland B., Katz S. The outcomes of psychiatric disorder in the elderly: relevance to quality of life [Birren J.E., Sloan R.B., Ghen G.P. Eds.] Handbook of Mental Health and Aging. 2nd ed. Los Angeles Academic Press. 1992. P. 229-248.
  15. Katona C.L.E., Judge R. Antidepressants for elderly people: should selective serotonin reuptake inhibitors be the first-line choise // Primary care psychiatry. 1966. №2. P.123-128.
  16. Kupfer D.J. Long-term treatment of depression // J. Clinic. Psychiatry. 1991. Vol. 52. Suppl. B. 12. P. 28-34.
  17. Kupfer D.J. Management of recurrent depression // J. Clinic. Psychiatry. 1993. Vol. 54, Suppl. 2. P. 29-33.
  18. Mendelwicz J. The Age factor in depressive illness: somogenetic considerations // J. of Gerontol. 1976. Vol. 31. №3. P. 300-303.
  19. Murphy E., Smith R. Lindesay J. et.al. Increased mortality rates in life-time depression // Brit. J. of Psych. 1988. Vol.155. P. 330-336.
  20. Preskorn S.H. Comparison of the tolerability of bupropion, fluoxetine, imipramine, nefazadone, paroxetine, sertraline and venlafaxine // J. Clinic. Psychiatry. 1995. Vol. 56. Suppl. 6. P.12-21.
  21. Reynolds C.F.3rd., Frank E., Perel J.M. et al. Nortriptilin and interpersonal psychotherapy as maintenance therapies for recurrent major depression: a randomized controlled trial in patients older than 59 years // J.A.M.A. 1999. 281(1). P. 39-45.
  22. Scapto K., Mulsant B.H., Houck P., Dew M.A., Reynolds G.V. 3rd. Occurrence and course of suicidality during short-term treatment of late-life depression // Arch.Gen. Psychiatry. 2003. Vol. 60(6). P. 610-617.
  23. Yesavage J.A. Geriatric depression scale // Psychopharmacol. Bull. 1988. Vol.24. P. 709-711.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2014 Kornetov N.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 75562 от 12 апреля 2019 года.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies