Treatment of depression in older adults.
Depression is the most frequent mental disorder in older people, often causing emotional distress and reduced quality of life. Despite its clinical significance, depression remains underdiagnosed and inadequately treated in older patients. Regarding prognosis, data suggest that almost 70% of patient...
| Publicado en: | Current Psychiatry Reports Vol. 14; no. 4; pp. 289 - 298 |
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| Autores principales: | , , , , , |
| Formato: | review Journal Article |
| Publicado: |
Springer Nature
Aug2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104359092&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104359092 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15233812 3HE5 jtl: Current Psychiatry Reports issn: 15233812 maglogo: N pubinfo: dt: Aug2012 vid: 14 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104359092 NLM22627999 2011634189 10.1007/s11920-012-0281-z NLM22627999 104359092 ppf: 289 ppct: 9 formats: tig: atl: Treatment of depression in older adults. aug: au: Bottino CM Barcelos-Ferreira R Ribeiz SR Bottino, Cássio M C Barcelos-Ferreira, Ricardo Ribeiz, Salma R I affil: Old Age Research Group (PROTER), Institute of Psychiatry, University of São Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 785, Cerqueira César, São Paulo, SP, Brazil sug: subj: Antidepressive Agents Therapeutic Use Depression Therapy Electroconvulsive Therapy Methods Psychotherapy Methods Age of Onset Aged Aged, 80 and Over Antidepressive Agents Adverse Effects Drug Therapy, Combination Aged: 65+ years Aged, 80 & over ab: Depression is the most frequent mental disorder in older people, often causing emotional distress and reduced quality of life. Despite its clinical significance, depression remains underdiagnosed and inadequately treated in older patients. Regarding prognosis, data suggest that almost 70% of patients, treated long enough and with appropriate doses, recover from an index episode of depression. Antidepressants are efficient for treating depressed outpatients with several comorbid physical diseases as well as hospitalized patients, with selective serotonin reuptake inhibitors being the antidepressants of choice for older patients. Available data can guide pharmacological treatment in both the acute and maintenance stages, but further research is required to guide clinical strategies when remission is not achieved. Approaches for the management of resistance to treatment are summarized, including optimization strategies, drug changes, algorithms, and combined and augmentation pharmacological treatments. Finally, additional therapeutic choices such as electroconvulsive therapy, transcranial magnetic stimulation, and integrated psychotherapy are presented. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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