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| - Die Gerontopsychiatrie geht davon aus, dass es eine spezielle Altersdepression nicht gibt. Im Alter kommen alle Arten von depressiven Syndromen vor. Daher ist es besser von Depression im Alter zu sprechen. Im Alter stehen die depressiven Symptome oft nicht im Vordergrund, sondern werden häufig von körperlichen Beschwerden überlagert. Auch werden häufig depressive Symptome im Alter fälschlicherweise als normales Merkmal beschwerlicher Lebensumstände angesehen. (de)
- La depresión tardía se refiere a un episodio depresivo mayor que se presenta por primera vez en una persona mayor (generalmente de más de 50 o 60 años de edad). Los problemas médicos concurrentes y las menores expectativas funcionales de los pacientes ancianos a menudo ocultan el grado de deterioro. Por lo general, los pacientes ancianos con depresión no manifiestan un estado de ánimo deprimido, sino que presentan síntomas menos específicos, como insomnio, anorexia y fatiga. Las personas mayores a veces descartan la depresión menos grave como una respuesta aceptable al estrés de la vida o una parte normal del envejecimiento. (es)
- Late-life depression refers to depression occurring in older adults and has diverse presentations, including as a recurrence of early-onset depression, a new diagnosis of late-onset depression, and a mood disorder resulting from a separate medical condition, substance use, or medication regimen. Research regarding late-life depression often focuses on late-onset depression, which is defined as a major depressive episode occurring for the first time in an older person (various sources define this threshold differently, typically within the range of 60-65 years old). (en)
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| has abstract
| - Die Gerontopsychiatrie geht davon aus, dass es eine spezielle Altersdepression nicht gibt. Im Alter kommen alle Arten von depressiven Syndromen vor. Daher ist es besser von Depression im Alter zu sprechen. Im Alter stehen die depressiven Symptome oft nicht im Vordergrund, sondern werden häufig von körperlichen Beschwerden überlagert. Auch werden häufig depressive Symptome im Alter fälschlicherweise als normales Merkmal beschwerlicher Lebensumstände angesehen. (de)
- La depresión tardía se refiere a un episodio depresivo mayor que se presenta por primera vez en una persona mayor (generalmente de más de 50 o 60 años de edad). Los problemas médicos concurrentes y las menores expectativas funcionales de los pacientes ancianos a menudo ocultan el grado de deterioro. Por lo general, los pacientes ancianos con depresión no manifiestan un estado de ánimo deprimido, sino que presentan síntomas menos específicos, como insomnio, anorexia y fatiga. Las personas mayores a veces descartan la depresión menos grave como una respuesta aceptable al estrés de la vida o una parte normal del envejecimiento. (es)
- Late-life depression refers to depression occurring in older adults and has diverse presentations, including as a recurrence of early-onset depression, a new diagnosis of late-onset depression, and a mood disorder resulting from a separate medical condition, substance use, or medication regimen. Research regarding late-life depression often focuses on late-onset depression, which is defined as a major depressive episode occurring for the first time in an older person (various sources define this threshold differently, typically within the range of 60-65 years old). Late-life depression is often underdiagnosed, which is due to numerous reasons, including that depressed mood is commonly not as prominent as other somatic and psychotic symptoms such as loss of appetite, disruptions in sleep, lack of energy or anergia, fatigue, and loss of interest and enjoyment in normal life activities. Concurrent medical problems and lower functional expectations of elderly patients also often obscure the degree of impairment caused by late-life depression. Elderly persons sometimes dismiss less severe depression as an acceptable response to life stress or a normal part of aging.Additional reasons for the difficulty in diagnosis include: medical illnesses and medication side effects that present similarly to depression, difficulty communicating with providers, lack of time in an appointment, and beliefs about mental illness and treatment from the patient, friends, family members, and society. Even when diagnosed, late-life depression is frequently undertreated as well. Primary care is most often where diagnosis and treatment of late-life depression occurs. Notably, the DSM-5 does not specifically define diagnostic criteria for late-life depression and concludes that the characteristics of major depressive disorder do not vary by age, although research suggests that late life depression can present differently, as described above. Broadly speaking, however, diagnosis is made in the same way as other age groups, using DSM-5 criteria for major depressive disorder. The American Psychological Association and other clinical recommendations also recognize the spectrum of depressive symptoms that extend beyond the formal criteria for major depressive disorder, including subthreshold/minor depression and dysthymic disorder; these diagnoses that fall under the umbrella of late-life depression can also present with debilitating and disruptive symptoms. Treatments for late-life depression include medicine and psychotherapy, along with lifestyle changes such as exercise, bright light therapy, and family support. In patients who do not respond to initial treatments, neurostimulation techniques such as electroconvulsive therapy (ECT) can be used. ECT has demonstrated effectiveness in treating the elderly. (en)
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