Depressive Disorders in the Elderly: A Review

Chiu, Edmond; Ames, David; Draper, Brian; Snowdon, John

doi:10.1002/9780470745892.ch5

Cited by 7 publications

(12 citation statements)

References 361 publications

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“…It appears that formal diagnoses of depression are less common in older people, with rates considerably lower than those in younger populations 4 . However, when broader measures are used, including those that do not exclude from diagnosing contextual conditions that are more common in older people, such as bereavement or dementia, prevalence rates of between 6% and 20% have been reported in communitydwelling populations 5,6 up to 50% in older people living in residential aged care 7 and 48% in a hospital sample 8,9 .…”

Section: Methodsmentioning

confidence: 99%

“…Depression is a serious condition for people of all ages, but for older people depression is often associated with other co-morbid conditions, such as physical disability 5,6,8 and anxiety that exacerbate the distress experienced by older people and their carers.…”

Section: Methodsmentioning

confidence: 99%

“…While recognition of older age depression has improved in recent years 10 there are still gaps in knowledge about assessment and diagnosis for particular population groups 6 .There is also insufficient knowledge about effective treatments for depression amongst older people. There have been a considerable number of drug trials over the past 40 years and since anti-depressant medication has become less toxic, it is therefore more likely to be prescribed for older people 10 .…”

Section: Methodsmentioning

confidence: 99%

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Depression Among Rural Aged : Facts & Reasons

Rahman

Sajani

2017

Anwer Khan Mod Med Coll J

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general population and approximately 10% in chronically ill medical out patients. It is a major cause of disability and of suicide. If comorbid with a medical condition depression magnifies disability, diminishes adherence to medical treatment and rehabilitation and may even shorten life expectancy. Such comorbid depression may incrementally worsen health more than any combination of chronic diseases without depression 2 .There is ongoing debate as to whether the prevalence IntroductionDepression is a common problem among older adults, but it is not a normal part of aging. It may be overlooked because for some older adults who have depression, sadness is not their main symptom. They may have other less obvious symptoms of depression or they may not be willing to talk about their feelings. Therefore doctors may be less likely to recognized that their patient has depression 1 .Depressive disorder has prevalence of 5% in the In Bangladesh person aged 60 years or above are considered to elderly. 5.9% of total population are within the age group of 55-65years and 65 years old or above are 5% of the total population. Elderly dependency ratio is 7.3%. Depression is a common problem among the older people, but it is not a normal part of aging. The aim of this study was to find out the level of depression, factors associated with depression and health problems among the respondents . Material and Methods:This descriptive cross sectional study was carried among 829 people aged more than 60 years by purposive sampling technique from 7th to 9th December, 2014 in different vilages of Dhamrai Upazila,Dhaka. Data were collected on a pretested questionnaire by face to face interview using short form of GDS. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents (82%) were Muslims by religion. About 39% respondents were aged more than 70 years and mean age was 68±3.7 years. Most of them (52%) were illiterate and only 5% had received HSC or higher education. About 15% respondents' occupation were service and 47% of the respondents were housewives. Among all the respondents about 22% & 26% were found to have 2& 3 number of children respectively. About 27% & 18% respondents were suffering from mild & moderate depression respectively. Feeling burden on others, physical disability, lack of close family ties & Living alone were found the main factors of depression in 27%, 26%, 26% & 22% respondents respectively. About 59%, 57%, 49% & 28% respondents were suffering from poor vision, musculo-skeletal diseases, hypertension & chest pain respectively. Conclusion:Elderly people are suffering from various health problems due to depression. The study findings demand awareness among family members as well as an establishment of comprehensive one stop health care delivery package for the senior citizens.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Depression Among Rural Aged : Facts & Reasons

Rahman

Sajani

2017

Anwer Khan Mod Med Coll J

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“…It comprises similar symptoms to depressive episode but with a lower symptom count and less functional impairment. Minor depression and depressive episode share similar risk factors such as poor health, isolation, disability and poor satisfaction with life (Chiu et al, 1999). Both are associated with reduced physical activity, less social contact and increased mortality.…”

Section: Types Of Depressive Disorder In Older Peoplementioning

confidence: 99%

“…Uncontrolled studies suggest that SSRIs, moclobemide or simply providing socialisation may be effective (III). Tricyclic antidepressants although possibly effective may be less well tolerated (Chiu et al, 1999). In an open study of SSRIs (Trappler and Cohen, 1998) the response rate was poor if the patient had associated dementia, but otherwise good.…”

Section: No Evidence Of Benefitmentioning

confidence: 99%