The Role of Medical Treatment in the Prevention and Reduction of Psychiatric Impairment in Old Age

  • K. Bergmann
Conference paper

Abstract

It is customary to consider prevention in terms of primary, secondary and tertiary prevention. As the aetiology of the major functional and organic disorders is not understood, medical treatment to prevent or modify these diseases remains a hope for the future. Little of value can therefore be said about primary prevention. However, when considering the subject in a research-orientated setting perhaps some consideration can be given to the necessary preconditions for applying preventative measures. Of necessity, therefore, secondary prevention, the treatment of undetected disease, and tertiary prevention, the better treatment and management of known disease, must remain the main concerns of this paper.

Keywords

Depression Dopamine Dementia Schizophrenia Serotonin 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bergmann K (1971) The neuroses of old age. In: Kay DWK, Walk A (eds) Recent developments in psychogeriatrics. Headley Bros., Ashford, pp 39–50Google Scholar
  2. Bergmann K, Foster EM, Justice AW, Mathews V (1978) Management of the demented elderly patient in the community. Br J Psychiatry 132:441–449PubMedCrossRefGoogle Scholar
  3. Cawley RH, Post F, Whitehead A (1973) Barbiturate tolerance and psychological functioning in depressed elderly patients. Psychol Med 1:39–52CrossRefGoogle Scholar
  4. Cooper AF, Garside RF, Kay DWK (1976) A comparison of deaf and non deaf patients with paranoid and affective psychoses. Br J Psychiatry 129:532–538PubMedCrossRefGoogle Scholar
  5. Dovénmuehle RH, Verwoerdt A (1963) Physical illness and depressive symptomatology. Part 2: Factors of length and severity of illness and frequency of hospitalization. J Gerontol 18:260–266PubMedCrossRefGoogle Scholar
  6. Finch CE (1977) Neuroendocrine and autonomic aspects of aging. In: Finch CE, Hayflick L (eds) Handbook of the biology of aging. Van Nostrand Reinhold, New York, pp 262–274Google Scholar
  7. Hagnell O, Lanke J, Rorsman B, Öjesjö L (1981) Does the incidence of age psychosis decrease? A prospective, longitudinal study of a complete population investigated during the 25 year period 1947–1972: The Lundby Study. Neuropsychobiology 7(4):201–211PubMedCrossRefGoogle Scholar
  8. Jacoby R, Levy R (1980) Computed tomography in the elderly. 3. Affective disorders. Br J Psychiatry 136:270–275PubMedCrossRefGoogle Scholar
  9. Jarvik LF, Miri FT, Stener J, Gerner R (1982) Treating geriatric depression: a 26 week interim analysis. J Am Geriatr Soc 30(II):713–717PubMedGoogle Scholar
  10. Kanowski S (1983) Therapy and preventative aspects of senile dementia. Document presented to the W.H.O. Scientific Group on Senile DementiaGoogle Scholar
  11. Kay DWK (1963) Late paraphrenia and its bearing on the aetiology of schizophrenia. Acta Psychiatr Scand 39:159–169PubMedCrossRefGoogle Scholar
  12. Kay DWK, Bergmann K (1966) Physical disability and mental health in old age. J Psychosom Res 10:3–12PubMedCrossRefGoogle Scholar
  13. Kerr TA, Schapira K, Roth M (1969) The relationship between premature death and affective disorders. Br J Psychiatry 115:1277–1282PubMedCrossRefGoogle Scholar
  14. Murphy E (1982) Social origins of depression in old age. Br J Psychiatry 141:135–142PubMedCrossRefGoogle Scholar
  15. Murphy E (1983) The prognosis of depression in old age. Br J Psychiatry 142:111–119PubMedCrossRefGoogle Scholar
  16. Post F (1972) The management and nature of depressive illness in late life: a follow through study. Br J Psychiatry 121:393–404PubMedCrossRefGoogle Scholar
  17. Post F (1980) Paranoid, schizoprenia-like and schizophrenic states in the aged. In: Birren JE, Sloane RB (eds) Handbook of mental health and aging. Prentice Hall, Englewood Cliffs, N.J.Google Scholar
  18. Post F (1982) Affective disorders in old age, In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh, pp 393–402Google Scholar
  19. Post RM, Ballinger JC (eds) (1984) Neurobiology of mood disorders. Frontiers of Clinical Science, vol 1. Wilkins and Williams, BaltimoreGoogle Scholar
  20. Rabins PV, Merchant A, Nestadt G (1984) Criteria for diagnosing reversible dementia caused by depression: validation by 2-year follow-up. Br J Psychiatry 144:488–492PubMedCrossRefGoogle Scholar
  21. Tomlinson BE, Blessed GB, Roth M (1970) Observations on the brains of demented old people. J Neurol Sci 11:205PubMedCrossRefGoogle Scholar
  22. Williamson J, Stokoe IH, Gray S, Fisher M, Smith A, McGhee A, Stephenson E (1964) Old people at home — their unreported needs. Lancet 1:1117–1120PubMedCrossRefGoogle Scholar
  23. Zis AP, Goodwin FK (1982) The amine hypothesis. In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh, pp 175–190Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • K. Bergmann

There are no affiliations available

Personalised recommendations