Current Opinion in Psychiatry

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Current Opinion in Psychiatry:
November 2008 - Volume 21 - Issue 6 - p 540-545
doi: 10.1097/YCO.0b013e328311cdae
Geriatric psychiatry: Edited by Edmond Chiu and Orestes Forlenza

The many faces of geriatric depression

Heok, Kua Ee; Ho, Roger

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Abstract

Purpose of review: Recent studies on five aspects of geriatric depression, namely subsyndromal depression, risk factors and association with chronic pain, cardiovascular disease and cognitive impairment, are reviewed.

Recent findings: Subsyndromal depression in the elderly population is not uncommon in east Asia; the prevalence is about 8-9%. Risk factors of geriatric depression include poor health, brain injury, low folate and vitamin B12 and raised plasma homocysteine levels. Depressed elderly with chronic pain are prone to suicidal ideation. Depression is a risk factor for cardiovascular diseases and mortality in coronary heart disease.

Summary: The growing interest in research on geriatric depression could focus on early diagnosis to help doctors treat depression better at primary care level.

© 2008 Lippincott Williams & Wilkins, Inc.

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