Management of acute episodes of depression

摘要: Depression is a common condition in the elderly. However, reports of its incidence and prevalence have varied, because research workers different criteria for defining depression. Gurland (1976) pointed out that milder affective disorders their greatest between ages 35 45, while psychotic depression presents first time most commonly 55 65. Post (1982) has reported episodes become increasingly rare after this age, particularly age 75. suggested worldwide rate greater than 10% individuals aged 65 over likely. Community survey an elderly population Edinburgh (Williamson, 1978) Newcastle (Kay et al., 1964) depressive illness 5.4% 2.4% respectively. The medically ill patients been as rising to 20–35% group (Lancet, 1979; Moffic Paykel, 1975). (1972) series follow-up studies hospital-treated depressives 60 showed only 25% failed further breakdowns within next three years. Between 25 30% all suicides occur those 65, although comprises about 12% (Post, 1982).