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Biopsychosocial Approaches to Depression in the Older Adults

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Primary Care Mental Health in Older People

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Abstract

There is no health without mental health. This commonly cited phrase is particularly true in the elderly. Depression can be challenging to diagnose and treat in older adults patients and has a significant negative impact on the overall quality of physical and emotional well-being. A comprehensive biopsychosocial approach to assessment and management of depression is necessary to ensure maximal quality of life. Assessment of mood must take into account current life stressors, such as chronic and acute health problems, social isolation, age-related cognitive decline, prior history of depressions, recent losses (family, friends), drug and alcohol use, and financial challenges. Treatment interventions should address issues identified in the biopsychosocial assessment, with an emphasis on psychosocial treatment (such as enjoyable exercise and increased social interactions). Pharmacotherapy should be used cautiously and conservatively, as side effects and drug-drug interactions are a common problem in this population. Keeping the Golden Years truly golden requires attention to the overall mood state of older adult patient, not a sole focus on physical functioning.

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Suggested Reading

  1. Almeida OP, McCaul K, Hankey GJ, Yeap BB, Golledge J, Norman PE, Flicker L. Duration of diabetes and its association with depression in later life: the health in men study (HIMS). Maturitas. 2016;86:3–9.

    Article  PubMed  Google Scholar 

  2. ASCP Fact Sheet. Administration on Aging, 2012; Center for disease control and prevention, 2012; National Council on Aging, 2014. https://www.ascp.com/articles/about-ascp/ascp-fact-sheet.

  3. Conradsson M, Rosendahl E, Littbrand H, Gustafson Y, Olofsson B, Lövheim H. Usefulness of the geriatric depression scale 15-item version among very old people with and without cognitive impairment. Aging Ment Health. 2013;17(5):638–45.

    Article  PubMed  PubMed Central  Google Scholar 

  4. D’ath P, Katona P, Mullan E, Evans S, Katona C. Screening, detection and management of depression in elderly primary care attenders. I: the acceptability and performance of the 15 item geriatric depression scale (GDS15) and the development of short versions. Fam Pract. 1994;11(3):260–6.

    Article  PubMed  Google Scholar 

  5. Hoeft TJ, Hinton L, Liu J, Unützer J. Directions for effectiveness research to improve health services for late-life depression in the United States. Am J Geriatr Psychiatry. 2016;24(1):18–30.

    Article  PubMed  Google Scholar 

  6. Kapp MB. Geriatric depression. Elder Law Rev. 2016;10:1.

    Google Scholar 

  7. Kwak YT, Song SH, Yang Y. The relationship between geriatric depression scale structure and cognitive-behavioral aspects in patients with Alzheimer’s disease. Dementia and Neurocognitive Disorders. 2015;14(1):24–30.

    Article  Google Scholar 

  8. Lavretsky H, Reinlieb M, St. Cyr N, Siddarth P, Ercoli LM, Senturk D. Citalopram, methylphenidate, or their combination in geriatric depression: a randomized, double-blind, placebo-controlled trial. Am J Psychiatr. 2015;172(6):561–9.

    Article  PubMed  Google Scholar 

  9. Li Z, Jeon YH, Low LF, Chenoweth L, O’Connor DW, Beattie E, Brodaty H. Validity of the geriatric depression scale and the collateral source version of the geriatric depression scale in nursing homes. Int Psychogeriatr. 2015;27(9):1–10.

    Article  Google Scholar 

  10. Lockwood KA, Alexopoulos GS, van Gorp WG. Executive dysfunction in geriatric depression. Am J Psychiatr. 2014;159(7):1119–26.

    Article  Google Scholar 

  11. Lyness JM, Noel TK, Cox C, King DA, Conwell Y, Caine ED. Screening for depression in elderly primary care patients: a comparison of the Center for Epidemiologic Studies—Depression Scale and the geriatric depression scale. Arch Intern Med. 1997;157(4):449–54.

    Article  CAS  PubMed  Google Scholar 

  12. Morimoto SS, Kanellopoulos D, Manning KJ, Alexopoulos GS. Diagnosis and treatment of depression and cognitive impairment in late life. Ann N Y Acad Sci. 2015;1345(1):36–46.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Poelke G, Ventura MI, Byers AL, Yaffe K, Sudore R, Barnes DE. Leisure activities and depressive symptoms in older adults with cognitive complaints. Int Psychogeriatr. 2016;28(01):63–9.

    Article  PubMed  Google Scholar 

  14. Rapp MA, Dahlman K, Sano M, Grossman HT, Haroutunian V, Gorman JM. Neuropsychological differences between late-onset and recurrent geriatric major depression. Am J Psychiatr. 2014;162(4):691–8.

    Article  Google Scholar 

  15. Riepe MW. Clinical preference for factors in treatment of geriatric depression. Neuropsychiatr Dis Treat. 2015;11:25.

    CAS  PubMed  Google Scholar 

  16. Roose SP, Sackeim HA, Krishnan KRR, Pollock BG, Alexopoulos G, Lavretsky H, Old-Old Depression Study Group. Antidepressant pharmacotherapy in the treatment of depression in the very old: a randomized, placebo-controlled trial. Am J Psychiatr. 2015;161(11):2050–9.

    Article  Google Scholar 

  17. Spyrou IM, Frantzidis C, Bratsas C, Antoniou I, Bamidis PD. Geriatric depression symptoms coexisting with cognitive decline: a comparison of classification methodologies. Biomedical Signal Processing and Control. 2016;25:118–29.

    Article  Google Scholar 

  18. Thomas AJ, Davis S, Morris C, Jackson E, Harrison R, O’Brien JT. Increase in interleukin-1β in late-life depression. Am J Psychiatr. 2014;162(1):175–7.

    Article  Google Scholar 

  19. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1983;17(1):37–49.

    Article  CAS  Google Scholar 

  20. Yesavage JA, Sheikh JI. Geriatric depression scale (GDS) recent evidence and development of a shorter violence. Clin Gerontol. 1986;5(1–2):165–73.

    Article  Google Scholar 

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Authors and Affiliations

  1. Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    David Baron & Jessica Uno

Authors
  1. David Baron
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  2. Jessica Uno
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Correspondence to David Baron .

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Editors and Affiliations

  1. Unité de Psychiatrie et de Psychothérapie, Centre Les Toises, Lausanne, Switzerland

    Carlos Augusto de Mendonça Lima

  2. Mental Health and Population Health, NOVA University Lisbon, Lisbon, Portugal

    Gabriel Ivbijaro

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Baron, D., Uno, J. (2019). Biopsychosocial Approaches to Depression in the Older Adults. In: de Mendonça Lima, C., Ivbijaro, G. (eds) Primary Care Mental Health in Older People. Springer, Cham. https://doi.org/10.1007/978-3-030-10814-4_16

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  • DOI: https://doi.org/10.1007/978-3-030-10814-4_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10812-0

  • Online ISBN: 978-3-030-10814-4

  • eBook Packages: MedicineMedicine (R0)

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