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Late-Life Depression (Hardcover)
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Late-Life Depression (Hardcover)
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We live in an aging world. Illnesses that are prevalent and cause
significant morbidity and mortality in older people will consume an
increasing share of health care resources. One such illness is
depression. This illness has a particularly devastating impact in
the elderly because it is often undiagnosed or inadequately
treated. Depression not only has a profound impact on quality of
life but it is associated with an increased risk of mortality from
suicide and vascular disease. In fact for every medical illness
studied, e.g. heart disease, diabetes, cancer, individuals who are
depressed have a worse prognosis. Research has illuminated the
physiological and behavioral effects of depression that accounts
for these poor outcomes. The deleterious relationship between
depression and other illnesses has changed the concept of late-life
depression from a "psychiatric disorder" that is diagnosed and
treated by a psychiatrist to a common and serious disorder that is
the responsibility of all physicians who care for patients over the
age of 60.
This is the first volume devoted to the epidemiology,
phenomenology, psychobiology, treatment and consequences of
late-life depression. Although much has been written about
depressive disorders, the focus has been primarily on the illness
as experienced in younger adults. The effects of aging on the
brain, the physiological and behavioral consequences of recurrent
depression, and the impact of other diseases common in the elderly,
make late-life depression a distinct entity. There is a compelling
need for a separate research program, specialized treatments, and a
book dedicated to this disorder. This book will be invaluable to
psychiatrists, gerontologists, clinical psychologists, social
workers, students, trainees, and others who care for individuals
over the age of sixty.
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