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The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition


Chapter 15. Mood Disorders

Sections: Mood Disorders: Introduction, Epidemiology, Clinical Course, Etiology, Diagnosis and Differential Diagnosis of Late-Life Mood Disorders, Diagnostic Workup of the Depressed Older Adult, Treatment, Key Points, References, Suggested Readings.

Topics Discussed: mood disorder.

Excerpt: "Questions regarding depression in old age are frequently posed: Do persons become more depressed as they grow older? Does depression become more difficult to treat with increased age? Is depression more difficult to identify in the older adult? The answers to these questions rest in part with the definition of late-life depression. Depression in late life is not a unitary construct. Depending on how depression is defined, the answers to questions regarding late-life depression vary.Depression can be construed in at least three ways, each of which has clinical relevance for older adults. First, depression can be viewed as a unitary phenomenon, with the various manifestations of depression forming a continuum. Depression symptom checklists, such as the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff 1977) and the Geriatric Depression Scale (GDS; Yesavage et al. 1983), are useful in determining the degree to which an individual suffers from depression in late life...."



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