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Depression in Late Life

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  Late-Life Depression  Signs of Depression based on DSM-V ã Depressed mood most of the day, nearly every day ã Markedly diminished interest or pleasure in almost all activities ã Significant weight loss when not dieting or weight gain or increase or decrease in appetite ã Insomnia or hypersomnia ã Psychomotor agitation or retardation ã Fatigue or loss of energy ã Feelings of worthlessness or excessive/inappropriate guilt ã Diminished ability to think or concentrate ã Recurrent thought of death, recurrent suicidal intention, suicide attempt or planning ã Symptoms above cause significant distress or impairment in social/occupation/function  Late-life Depression ã One of the most common psychiatric problems in older adults ã 8-16% of older adults, 5-10% elderly in outpatient ã NOT A NORMAL PROCESS associated with aging ã Presenting symptoms is less typical   more difficult to detect  – more on women  – Higher case of minor or subsyndromal depression ã Impairment of physical, cognitive, functional and social quality   decreased quality of life ã Suicide, increased risk for cardiac mortality, relaps and life maintenance of depression  Typical symptoms ã Somatic complaints of pain ã Unintentional change in weight/appetite, ã Chronic constipation ã Irritability, agitation ã Fatigue, headache, weakness ã insomnia, hypersomnia
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