文档介绍：1
Depression in Older People
Guanglei Xun
Mental Health Center of Shandong Province
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Introduction of Depression(1)
Difinition of depression
Depressive disorder is characterized by depressed mood that is out of keeping with the circumstances. It may vary from low mood to melancholia, or even stupor.
In severe cases, psychotic symptoms such as delusions and hallucinations may be present. Anxiety and motor agitation may be more prominent than depression in some cases.
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Introduction of Depression(2)
Core symptoms
Depressed mood
Loss of interest or pleasure
Decreased energy, increased fatigue
Additional symptoms
Loss of confidence
Inappropriate and excessive guilt
Recurrent thoughts of death, suicidal thoughts or behaviour
Diminished evidence of ability to think or concentrate
Change in psychomotor activity
Sleep disturbance
Appetite change and corresponding weight change
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Introduction of Depression(3)
Duration: Symptom and severity criteria are met for at least 2 weeks
Severity
impairment of social function
individual subjective distress
undesirable es on oneself
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Geriatric Depression
Occurred in people aged 65 and above.
10% worldwide population is made up of older adults.
Depressive disorder is one of the mon mental disorders in later life.
The prevalence of geriatric depression is about %.
Geriatric depression has specific features, which do not accord with the rigid diagnostic criteria.
Beekman al. British Journal of Psychiatry,1999,174:307-11
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Types of Geriatric Depression
Endogenous anic mood disorder
Dysthymia
Adjustment disorder
Vascular depression
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Vascular Depression — a new category of geriatric depression(1)
Hypothesis
Damage to end-arteries supplying subcortical striatal -pallidum-thalamus-cortical pathways disrupts the neuro- transmitter circuitry involved in mood regulation, and may cause depression.
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Vascular Depression — a new category of geriatric depression(2)
Features
Depression arises in late life
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