Late-Life Depression
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Product details:
- Publisher OUP USA
- Date of Publication 12 August 2004
- ISBN 9780195152746
- Binding Hardback
- No. of pages420 pages
- Size 218x282x27 mm
- Weight 1395 g
- Language English
- Illustrations numerous figures and tables, 4pp colour plates 0
Categories
Short description:
Society is aging and illnesses that are prevalent and devastating in older individuals will consume an increasingly greater share of our health care resources. Depression is a devastating illness in the elderly that results in deterioration in quality of life and an increase in mortality from suicide and vascular disease. This is the first volume devoted exclusively to an understanding of the diagnosis and treatment of this disorder. Leading researchers and clinicians contribute chapters on the epidemiology, phenomenology, physiology, treatment, and long-term outcome of late-life depression. This book was designed to be accessible and useful to clinicians, researchers, educators, and students in psychiatry, gerontology, clinical psychology, and social work.
MoreLong description:
We live in an ageing world. Illnesses that are prevalent and cause significant morbidity and mortality in older people will consume an increasing share of health care resources. One such illness is depression. This illness has a particularly devastating impact in the elderly because it is often undiagnosed or inadequately treated. Depression not only has a profound impact on quality of life but it is associated with an increased risk of mortality from suicide and vascular disease. In fact for every medical illness studied, e.g. heart disease, diabetes, cancer, individuals who are depressed have a worse prognosis. Research has illuminated the physiological and behavioural effects of depression that accounts for these poor outcomes. The deleterious relationship between depression and other illnesses has changed the concept of late-life depression from a "psychiatric disorder" that is diagnosed and treated by a psychiatrist to a common and serious disorder that is the responsibility of all physicians who care for patients over the age of 60.
This is the first volume devoted to the epidemiology, phenomenology, psychobiology, treatment and consequences of late-life depression. Although much has been written about depressive disorders, the focus has been primarily on the illness as experienced in younger adults. The effects of ageing on the brain, the physiological and behavioural consequences of recurrent depression, and the impact of other diseases common in the elderly, make late-life depression a distinct entity. There is a compelling need for a separate research program, specialized treatments, and a book dedicated to this disorder. This book will be invaluable to psychiatrists, gerontologists, clinical psychologists, social workers, students, trainees, and others who care for individuals over the age of 60.
This is an important book. it will become the standard reference book for all major topics under the rubric of late-life depression.
Table of Contents:
Introduction
Part 1: Epidemiology and the burden of illness
The epidemiology of depressive disorders in late life
The social and financial burden of late-life depression to society and individuals
Part 2: The phenomenology and differential diagnosis of late-life mood disorders
Unipolar depression
Bipolar disorders
Dysthymic disorder in the elderly
Non-major clinically significant depression in the elderly
Mixed cognitive and depressive syndromes
Suicide
Bereavement and depression
Part 3: The psychobiology of late-life depression
Neuropsychological assessment of late-life depression
Structural and functional brain imaging in late-life depression
Late-life depression and the vascular hypothesis
Hypothalmic-pituitary-adrenal axis activity in mood and cognition in the elderly: Implications for symptoms and outcomes
The neuroendocrinology of ageing
Part 4: Treatment
Pharmacokinetics and pharmacodynamics in late life
Antidepressant medication for the treatment of late-life depression
Antidepressant side effects
Mood stabilizers
Stimulants
Antipsychotics
Electroconvulsive therapy in late-life depression
Pharmacologic treatment of depression in Alzheimer's disease
Psychotherapy in old-age depression: progress and challenges
Treatment of depression in residential settings
Part 5: Depression co-morbid with other illnesses
Depression co-morbid with ischemic heart disease
Vascular disease and late-life depression: Stroke
Substance abuse co-morbidity
Basal ganglia disease and depression
Major depressive disorder in Alzheimer's disease
