By: Lt Col Dr Regina. P.F.
1Professor, Department of Obstetrics & Gynecological Nursing, P K Das College of Nursing, Kerala, India.
2Associate Professor Department of Obstetrics & Gynecological Nursing, P K Das College of Nursing, Kerala, India.
Depression among the elderly is a major and frequently overlooked mental health issue that impacts millions of older adults around the globe. The prevalence of depression increases with age, and it can have a profound impact on the quality of life, physical health, and overall well-being of older individuals. Depression in elderly people is frequently associated with various risk factors, including chronic illness, social isolation, loss of loved ones, and cognitive decline. Additionally, age-related changes such as reduced mobility, sensory impairments, and medications used to manage chronic conditions can exacerbate the onset and symptoms of depression. Symptoms of depression in the elderly often differ from those seen in younger individuals, with many older adults displaying more somatic complaints, such as fatigue, sleep disturbances, and unexplained physical pain, rather than expressing overt sadness or emotional distress. This can make diagnosis more challenging for healthcare providers. Despite these challenges, it is crucial to recognize and treat depression in elderly populations, as untreated depression can lead to a higher risk of disability, self-harm, and premature death. Effective treatment for depression in older adults typically involves a combination of pharmacological interventions, such as antidepressant medications, and psychotherapeutic approaches, such as cognitive-behavioral therapy or interpersonal therapy. Additionally, social support, physical activity, and a healthy lifestyle play a key role in managing depression and improving mental health outcomes for the elderly. Early detection and a comprehensive, holistic approach are essential to reduce the burden of depression and enhance the overall well-being of older adults.
Keywords : Elderly, Depression, Psychotherapy, elderly people, lifestyle.
Citation:
Refrences:
1. Park M, Unützer J. Geriatric depression in primary care. Psychiatr Clin North Am. 2011 Jun;34(2):469-87, ix-x. doi: 10.1016/j.psc.2011.02.009. PMID: 21536169; PMCID: PMC3184156.
2. Alexopoulos GS. Mechanisms and treatment of late-life depression. Transl Psychiatry. 2019 Aug 5;9(1):188. doi: 10.1038/s41398-019-0514-6. PMID: 31383842; PMCID: PMC6683149.
3. Sivertsen H, Bjørkløf GH, Engedal K, Selbæk G, Helvik AS. Depression and Quality of Life in Older Persons: A Review. Dement Geriatr Cogn Disord. 2015;40(5-6):311-39. doi: 10.1159/000437299. Epub 2015 Sep 12. PMID: 26360014.
4. Gould CE, O’Hara R, Goldstein MK, Beaudreau SA. Multimorbidity is associated with anxiety in older adults in the Health and Retirement Study. Int J Geriatr Psychiatry. 2016 Oct;31(10):1105-15. doi: 10.1002/gps.4532. Epub 2016 Jul 21. PMID: 27441851; PMCID: PMC5312684.
5. Kok RM, Reynolds CF 3rd. Management of Depression in Older Adults: A Review. JAMA. 2017 May 23;317(20):2114-2122. doi: 10.1001/jama.2017.5706. PMID: 28535241.
6. Lovato N, Lack L, Wright H, Kennaway DJ. Evaluation of a brief treatment program of cognitive behavior therapy for insomnia in older adults. Sleep. 2014 Jan 1;37(1):117-26. doi: 10.5665/sleep.3320. PMID: 24470701; PMCID: PMC3902874.
7. Taylor WD. Clinical practice. Depression in the elderly. N Engl J Med. 2014 Sep 25;371(13):1228-36. doi: 10.1056/NEJMcp1402180. PMID: 25251617.
8. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol. 2009;5:363-389.
9. Blazer DG. Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci. 2003 Mar;58(3):249-65. doi: 10.1093/gerona/58.3.m249. PMID: 12634292.
10. Jeste DV, Palmer BW, Appelbaum PS, Golshan S, Glorioso D, Dunn LB, Kim K, Meeks T, Kraemer HC. A new brief instrument for assessing decisional capacity for clinical research. Arch Gen Psychiatry. 2007 Aug;64(8):966-74. doi: 10.1001/archpsyc.64.8.966. PMID: 17679641.