Citation

Fischer JD. Notfall und Hausarztmedizin 2008; 34(6): 310-319.

Copyright

(Copyright © 2008)

DOI

unavailable

PMID

unavailable

Abstract

The frequency of depressive disorders in old age is often underestimated. Those depressions are rarely or very lately diagnosed and not at all or not sufficiently treated. Depressions cause physical diseases and many physical diseases are in turn accompanied by depressions. Comorbid depressions have negative effects on compliance and on recovery. Particularly elderly male persons are at high risk of suicide. In old age the patterns of depression change, and depressions often stay subsyndromal. As for dementias connected with depressions, depressions connected with cognitive disorders need well directed antidepressive treatment. A differentiated and sufficiently dosed antidepressant therapy, guided by effects and side effects, is necessary. Interactions with other pharmaceuticals, above all those of internal medicine, have to be considered, as well as the capability of these pharmaceuticals to effect depressive disorders themselves. Antidepressant therapy has to be accompanied by supportive consultation. It is proven that psychotherapeutic treatments like Cognitive Behavioural Therapy and Interpersonal psychotherapy are highly effective and combined with antidepressants they even have a lasting effect. The inclusion of relatives is often essential.

Language: de

Keywords

Depression; Suicide; Dementia; Old age; Anti-depressive treatment; Comorbid depressions