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Depression in Acute Geriatric Care

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Abstract

Depression is the most common mental disorder in late life with overall prevalence estimates ranging from 0.4 to 35% amongst adults over 55 years old [1]. This wide variation in apparent prevalence is accounted for by the different study methodologies used, the wide range of clinical settings studied and the differing thresholds employed for defining cases of depression. However, it is important to remember that depression is a treatable medical condition and not a part of ageing [2].

Keywords

  • Acute Geriatric Care
  • Treatable Medical Conditions
  • Apparent Prevalence
  • Mental Health Disorders (MHDs)
  • Selective Serotonin Reuptake Inhibitors Drugs

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Beekman ATF, Copeland JRM, Prince MJ (1999) Review of community prevalence of depression in later life. Br J Psychiatry 174:307–311

    CAS  CrossRef  Google Scholar 

  2. Centers for Disease Control and Prevention (2015) http://www.cdc.gov/aging/mentalhealth/depression.htm. Accessed 14 June 2016

  3. Byers AL, Yaffe K, Covinsky KE, Friedman MB, Bruce ML (2010) Arch gen psychiatry. High occurrence of mood and anxiety disorders among older adults: the national comorbidity survey replication. Arch Gen Psychiatry 67(5):489–496

    CrossRef  Google Scholar 

  4. Polyakova M, Sonnabend N, Sander C, Mergl R, Schroeter ML, Schroeder J, Schönknecht P (2014) Prevalence of minor depression in elderly persons with and without mild cognitive impairment: a systematic review. J Affect Disord 152-154:28–38

    CAS  CrossRef  Google Scholar 

  5. Hakenewerth AM, Tintinalli JE, Waller AE, Ising A (2015) Emergency department visits by older adults with mental illness in North Carolina. West J Emerg Med 16(7):1142–1145

    CrossRef  Google Scholar 

  6. Bradshaw LE, Goldberg SE, Lewis SA, Whittamore K, Gladman JRF, Jones RG, Harwood R (2013) Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs. Age Ageing 42:582–588

    CrossRef  Google Scholar 

  7. Fiske A, Wetherell JL, Gatz M (2009) Depression in older adults. Ann Rev Clin Psychol 5:363–389

    CrossRef  Google Scholar 

  8. Prina AM, Huisman M, Yeap BB, Hankey GJ, Flicker L, Brayne C, Almeida OP (2013) Association between depression and hospital outcomes among older men. Can Med Assoc J 185(2):117–123

    CrossRef  Google Scholar 

  9. Mojtabai R (2014) Diagnosing depression in older adults in primary care. N Engl J Med 370(13):1180–1182

    CAS  CrossRef  Google Scholar 

  10. Meldon SW, Emerman CL, Schubert DSP, Moffa DA, Etheart RG (1997) Depression in geriatric ED patients: prevalence and recognition. Ann Emerg Med 30(2):141–145

    CAS  CrossRef  Google Scholar 

  11. Shah MN, Richardson TM, Jones CMC, Swanson PA, Schneider SM, Katz P, Conwell Y (2011) Depression and cognitive impairment in older adult emergency department patients: changes over two weeks. J Am Geriatr Soc 59(2):321–326

    CrossRef  Google Scholar 

  12. Yesavage JA, Brink TL, Rose TL et al (1982) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17(1):37–49

    CrossRef  Google Scholar 

  13. Shah A, Herbert R, Lewis S, Mahendran R, Platt J, Bhattacharya B (1997) Screening for depression among acutely ill geriatric inpatients with a short geriatric depression scale. Age Ageing 26:217–221

    CAS  CrossRef  Google Scholar 

  14. Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786

    CAS  CrossRef  Google Scholar 

  15. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370

    CAS  CrossRef  Google Scholar 

  16. Hegeman JM, Kok RM, van der Mast RC, Giltay EJ (2012) Phenomenology of depression in older compared with younger adults: meta-analysis. Br J Psychiatry 200(4):275–281. doi:10.1192/bjp.bp.111.095950

    CAS  CrossRef  PubMed  Google Scholar 

  17. National Institute for Clinical Excellence (2004) Self-harm: NICE guideline CG16

    Google Scholar 

  18. World Health Organisation (2014) Preventing suicide: a global imperative. WHO, Geneva

    Google Scholar 

  19. Mitchell AJ, Subramaniam H (2005) Prognosis of depression in old age compared to middle age: a systematic review of comparative studies. Am J Psychiatry 162(9):1588–1601

    CrossRef  Google Scholar 

  20. National Institute for Clinical Excellence (2009) Guidance on the use of electroconvulsive therapy: NICE technical appraisal guideline TA59

    Google Scholar 

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Correspondence to R. Prettyman .

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Prettyman, R., Banerjee, J. (2018). Depression in Acute Geriatric Care. In: Nickel, C., Bellou, A., Conroy, S. (eds) Geriatric Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19318-2_14

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  • DOI: https://doi.org/10.1007/978-3-319-19318-2_14

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  • Publisher Name: Springer, Cham

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