C. Salzman, DEPRESSIVE-DISORDERS AND OTHER EMOTIONAL ISSUES IN THE ELDERLY - CURRENT ISSUES, International clinical psychopharmacology, 12, 1997, pp. 37-42
Much progress has been made in understanding the nature, causes and tr
eatment of late-life depressive disorders. Early diagnosis and treatme
nt of depression in the elderly remains challenging to the clinician,
but ultimately provides opportunities to reduce suffering and increase
quality of life, to prevent suicide, to restore optimal levels of fun
ction and independence and to decrease the societal costs of healthcar
e. Late-life depression must not be considered a natural part of the a
ging process. Despite the challenges and complications of diagnosing l
ate-life depression, it is possible both to recognize the symptoms and
initiate treatment. Antidepressants have proved both safe and effecti
ve, and are beneficial in combination with psychotherapy. Additional e
lderly-specific studies are at present under way to determine more ful
ly the nature of late-life depression, and to inform diagnostic and tr
eatment strategies.