By Stephen Curran, John Wattis, Sean Lynch
The textual content examines the various remedies for melancholy within the aged. It exhibits how the multi-disciplinary group may perhaps impact the effectiveness of such remedies and discusses the sensible implications.
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Extra info for Practical Management of Depression in Older People (Hodder Arnold Publication)
Sample text
Two meta-analyses were carried out; the first examined the efficacy and tolerability of each antidepressant class. The second examined comparative studies between antidepressants. Outcome measures were response to treatment (number of subjects with at least a 50% reduction in Hamilton or Montgomery Asberg Depression Rating Scale scores) and tolerability (number of subjects reporting adverse events or dropping out). Most of the studies failed to meet the inclusion criteria. 2. Response to treatment, adverse events and drop-out rates with different antidepressant groups.
The intervention group had a significantly better outcome after 9 months. The average improvement on the geriatric depression scale however was modest (less than 2 points) and only 33% of the intervention group were classified as non-depressed at the endpoint and 11% of the sample had died. Comparative outcome So far we have considered the elderly in isolation, but does depression in old age carry a different prognosis to depression occurring at an earlier age. Studies of younger patients have found that 30% remain chronically depressed at 1-year follow up (Keller et al.
And Levy, R. (1996) Cognitive performance in tests sensitive to frontal lobe dysfunction in the elderly depressed. Psychological Medicine, 26, 591-603. Burvill, P. P. (1991) The prognosis of depression in old age. British Journal of Psychiatry, 158, 64-71. Burvill, P. W. D. (1994) Predictors of increased mortality in elderly depressed patients. International Journal of Geriatric Psychiatry, 9, 219-227. G. (1990) The prognosis of depression in the elderly. Canadian Medical Association Journal, 143, 633-640.