Late-Life Depression: Prevalence and Treatment Considerations (JGCR / NICE)

Summary

It is estimated that around one in four older people may be depressed, although this condition commonly goes unrecognised. A review of the epidemiology, assessment and diagnosis of late-life depression aims to assist in the correct identification and assessment of older patients thought likely to have this condition. Some considerations covered by the authors include:

  • Risk factors for late-life depression.
  • Dementia and pseudodementia.
  • Depression and cognitive impairment.
  • Suicide in the elderly with depression.
  • Assessment of late-life depression.
  • Diagnosis of late-life depression (ICD 10 and DSM 5 diagnostic criteria for depression).
  • Case-finding for depression (screening questions).
  • Depression in the young versus the old.
  • Rating scales for use with the depressed elderly patients.

Full Text Link

Reference

George, S. Augustine, A. [and] Sudhir Kumar, CT. (2020). Late-life depression: epidemiology, assessment and diagnosis. Journal of Geriatric Care and Research. January 2020, Vol.7(1): pp.3-8.

The same team address various pharmacological, medical and psychological treatment options, to be followed cautiously after a comprehensive geriatric assessment in each case. Considerations covered comprise:

  • Pre-treatment evaluation and investigations.
  • NICE guidelines for the treatment of depression.
  • Precautions in antidepressants prescribing.
  • Monitoring of patients during treatment.
  • Factors affecting risk of relapse.
  • Continuation, maintenance, and relapse prevention treatment.
  • Electro Convulsive Therapy (ECT) and other somatic treatments.
  • Psychological interventions (CBT and IPT).

Full Text Link

Reference

Sudhir Kumarm, CT. George, S. [and] Augustine, A. (2020). Treatment of late-life depression. Journal of Geriatric Care and Research. January 2020, Vol.7(1): pp.9-16.

Possibly of interest, a case report of unusual side-effect resulting from electroconvulsive therapy (ECT) for treatment resistant depression:

Full Text Link

Reference

Rai, A. [and] Blissitt, L. (2020). Ventricular bigeminy after electroconvulsive therapy: a case report. Journal of Geriatric Care and Research. March 2020, Vol.7(1): pp.23-26.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Depression, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Systematic Reviews, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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