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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
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Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
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Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
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Depression in Elderly with Different Comorbidities - Just a Small Problem or Something More?

Bojan Miletic1, Andrica Lekic, Udo Courteney

  • 1Department of Rehabilitation and Geriatrics, Luzerner Kantonsspital Wolhusen, Spitalstrasse 50, 6110 Wolhusen, Switzerland, bojan.miletic@luks.ch.

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Depression affects 22.2% of geriatric patients, highlighting the need for routine screening. Early detection and treatment of depressive symptoms in the elderly are crucial for improving quality of life.

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Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Public Health

Background:

  • Depression is a prevalent mental disorder in older adults, significantly impacting their quality of life, morbidity, and mortality.
  • Screening tools like the Geriatric Depression Scale-15 (GDS-15) are vital for identifying potential depressive disorders in clinical settings.
  • Hospitalized geriatric patients represent a vulnerable population where depressive symptoms may be particularly common.

Purpose of the Study:

  • To determine the incidence of depressive symptoms among patients admitted to a geriatric ward.
  • To analyze the prevalence of positive Geriatric Depression Scale-15 (GDS-15) scores in this specific patient group.

Main Methods:

  • A retrospective analysis was conducted on 473 hospitalized geriatric patients (170 men, 303 women) aged 65 years and older.
  • The Geriatric Depression Scale-15 (GDS-15) was administered to all subjects, with a score of ≥6 indicating positive depressive symptoms.
  • Statistical processing was applied to analyze the collected data.

Main Results:

  • A total of 105 subjects (22.2%) tested positive for depressive symptoms (34 men, 71 women).
  • A majority of those with positive symptoms lived in a domestic setting (79.4% men, 74.6% women).
  • Among women with positive symptoms, 69.0% lived alone; among men, 64.7% lived with a partner.

Conclusions:

  • The study confirms a high incidence of depressive symptoms in hospitalized geriatric patients.
  • Depression is not an inevitable part of aging and requires medical attention; routine screening is essential for timely diagnosis and treatment.
  • Early intervention for depression in the elderly can significantly improve their overall quality of life.