Late life depression pdf file

Depression vs. resilience in late life Late-life depression (LLD) is a common and debilitating condition, with less frequent remission and more frequent recurrence following first-line antidepressant treatment compared to depression experienced earlier in life1-7. Factors contributing to LLD are multifaceted, including Treating Later-Life Depression: Clinician Guide outlines culturally responsive practices that target the contexts and drivers/antecedents of depression in middle-aged and older adults. Clinicians can choose research-supported modules from the accompanying Workbook that fit the needs of their clients (i.e. chronic pain, sleep problems, Depression in late life 3-7% of adults over the age of 65 have a dx of MDD 15% have significant but subthreshold symptoms One of the leading causes of disability and functional impairment in the world Highest rate of successful suicide attempts Older white men (strong correlation with recent visits to doctor) View late life depression.pdf from PSYCHOLOGY 349 at Southern Adventist University. Annu. Rev. Med. 1997. 48:42128 Copyright 1997 by Annual Reviews Inc. All rights reserved BEREAVEMENT AND Major Depression in Late Life • More than having a bad day, week, or month • Pervasive depressed mood / sadness • Loss of interest / pleasure. Lack of energy, fatigue, poor sleep and appetite, physical slowing or agitation, poor concentration, physical symptoms (aches and pains), irritability, thoughts of guilt, and thoughts of suicide • among patients with late-onset depression, compared with those with early-onset disease. This supports theories sug-gesting that vascular and neurodegenerative factors, which are more common in late life, affect a substantial number of these patients (11) and that etiologically, late-life depression may be different from early-onset depression. Conclusions: The natural history of late-life depres-sion in the community is poor. DSM affective disorders are relatively rare among elderly persons, but do iden-tifythosewiththeworstprognosis.However,subthresh-old depression is serious and chronic in many cases. I Arch Gen Psychiatry. 2002;59:605-611 N LATER LIFE,depressionisacom- prevalence of late-life depression. RECOGNITION AND DIAGNOSIS OF DEPRESSION IN LATE LIFE Most older patients, including long-term care residents, are cared for by general physicians. Some have argued that the main task of primary care practitioners with regard to Table 1. Diagnostic Criteria for a Major Depressive Episodea 1. Depressed mood or 2. Late-life depression (LLD) is an important cause of distress and disability ( Alexopoulos et al., 1996; Charney et al., 2003 ). LLD patients may have the first manifestations of depression later in life or an earlier onset with chronic course or recurrent episodes over time. In older people, depression is a common mental disorder. Introduction. Late-life depression (LLD), with an estimated prevalence of 13.3%, is a common mental health disorder in older people. 1 It is associated with increased morbidity and mortality in addition to a high societal cost. 2 Moreover, the treatment cost of an older person with depression is 1.86 times higher than that of an older person without depression. 3 The consequences of untreated DEPRESSION IN LATE LIFE NIH GUIDE, Volume 21, Number 8, February 28, 1992 PA NUMBER: PA-92-44 P.T. 34 Keywords: Depression Aging/Gerontology Etiology Epidemiology Social Psychology National Institute of Mental Health PURPOSE The pur