Late-life depression: issues for the general practitioner

被引：24
作者：
Van Damme, Axel [1 ]
Declercq, Tom [2 ]
Lemey, Lieve [3 ]
Tandt, Hannelore [4 ]
Petrovic, Mirko [5 ]
机构：
[1] Univ Ghent, Fac Med & Hlth Sci, Ghent, Belgium
[2] Univ Ghent, Dept Gen Practice & Primary Hlth Care, Ghent, Belgium
[3] AZ Sint Jan Brugge Oostende AV, Dept Psychiat, Brugge, Belgium
[4] Ghent Univ Hosp, Dept Psychiat, Ghent, Belgium
[5] Univ Ghent, Dept Internal Med, Sect Geriatr, Heymanslaan 10, B-9000 Ghent, Belgium
来源：
INTERNATIONAL JOURNAL OF GENERAL MEDICINE | 2018年 / 11卷
关键词：
geriatric mental health; major depressive disorder; elder care; psychosomatic; geriatric psychiatry; SEROTONIN REUPTAKE INHIBITORS; OLDER-ADULTS; RISK-FACTORS; ELECTROCONVULSIVE-THERAPY; PRIMARY-CARE; COLLABORATIVE CARE; METAANALYSIS; DISEASE; PREVALENCE; EFFICACY;
D O I：
10.2147/IJGM.S154876
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Late-life depression (LLD) is both a prevalent and life-threatening disorder, affecting up to 13.3% of the elderly population. LLD can be difficult to identify because patients mainly consult their general practitioner (GP) for somatic complaints. Moreover, patients may be hesitant to express the problem to their GP. Increased vigilance on the part of the GP can only benefit older people with depression. To recognize the risk of LLD, screening tools are provided in addition to treatment options for LLD. This review aims to provide the GP with guidance in recognizing and treating LLD. It tries to connect mainstream etiologies of LLD (e.g., vascular, inflammation, hypothalamo-pituitary-adrenal axis) with risk factors and current therapies. Therefore, we provide a basis to the GP for decision-making when choosing an appropriate therapy for LLD.
引用
收藏
页码：113 / 120
页数：8
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