By Robert Baldwin

Melancholy impacts among 10-15% of older humans, making it the main often encountered psychological health and wellbeing situation in later lifestyles. regardless of this, the situation is definitely neglected in scientific perform or no longer competently treated.

Part of the Oxford Psychiatry Library, this concise pocketbook offers an available account of what melancholy in older humans is like, why it is necessary, and what remedies support. The textual content highlights which components of melancholy are of detailed relevance to later lifestyles, tips on how to diagnose melancholy in an older individual, the overlap with dementia and numerous different actual health problems, and demanding pharmacological concerns.

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Extra resources for Depression in Later Life

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Depression in later life: three etiologically different subgroups. Journal of Affective Disorders, 65, 19–26. 35 This page intentionally left blank - Chapter 5 Co-morbidity and depression in late life Key points - A number of physical illnesses common in older people are associated with high levels of depressive disorder. - There is considerable evidence that depression predisposes to vascular disease. - The relationship between depression and vascular disease is two-way. Co-morbidity, whether from medical illness or cognitive impairment, is at the heart of old age psychiatry.

The Lancet, 365(9475), 1961–70. Arean PA and Reynolds CF (2005). The impact of psychosocial factors on late-life depression. Biological Psychiatry, 58, 277–82. Baldwin RC (2005). Is vascular depression a distinct sub-type of depressive disorder? A review of causal evidence. International Journal of Geriatric Psychiatry, 20, 1–11. Ballard CG, Eastwood C, Gahir M, and Wilcock G (1996). A follow-up study of depression in the carers of dementia sufferers. British Medical Journal, 312, 947. Bench CJ, Friston KJ, Brown RG, Scott LC, Frackowiak RSJ, Dolan RJ (1992).

Other factors associated with ageing such as hearing and visual loss predispose to depressive disorder (Rovner et al. 2007). In addition, frequent primary care attendance and a high level of home support are possible markers for depressive disorder (Katona and Shankar 2004). Aetiology CHAPTER 4 Ischaemic heart disease, several neurological disorders (such as Parkinson’s disease and Alzheimer’s disease), cerebrovascular disease (such as vascular dementia and stroke), hip fracture, and chronic obstructive pulmonary disease have all been associated with a high level of depression in older adults (Blazer 2003; Alexopoulos 2005).

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