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The Late-Life Depression a Comprehensive Review of Clinical, Pathophysiological, and Therapeutic Considerations
Thomas Fraccalini1, Beatrice Tarozzo2, Thomas Roberts3
1Department of Medical and Oncology, Division of Geriatrics Medicine, San Luigi Gonzaga Hospital, Turin, Italy.
None:
Geriatric depression presents distinct clinical challenges, often manifesting atypically through cognitive decline, somatic symptoms, and apathy rather than classic mood disturbances. This review synthesizes current understanding of its unique pathophysiology - including vascular contributions and frontostriatal dysfunction - and presents evidence to argue the diagnostic pitfalls in applying youth-centric criteria to elderly populations. We examine epidemiological trends, evidence-based treatment considerations, and emerging research directions, emphasizing the urgent need for age-specific diagnostic frameworks and personalized therapeutic approaches to address this underrecognized yet debilitating condition in aging populations.
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