DEPRESSION in the aging and the aged is a major public health problem. It causes suffering to many who go undiagnosed, and it burdens families and institutions providing care for the elderly by disabling those who might otherwise be able-bodied. What makes depression in the elderly so insidious is that neither the victim nor the health care provider may recognize its symptoms in the context of the multiple physical problems of many elderly people. Depressed mood, the typical signature of depression, may be less prominent than other depressive symptoms such as loss of appetite, sleeplessness, anergia, and loss of interest in, and enjoyment of, the normal pursuits of life. There is a wide spectrum of depressive symptoms as well as types of available therapies.
Because of the many physical illnesses and social and economic problems of the elderly, individual health care providers often conclude that depression is a normal consequence
Friedhoff AJ, Ballenger J, Bellack AS, Carpenter WT, Chui HC, Dobrof R, Fitzpatrick JJ, Freeman R, Heninger GR, Lavori PW, Merikangas KR, Raschko R, Storandt M, Williams ME, Reynolds CF, Blazer DG, Caine ED, Reifler BV, Murphy E, Alexopoulos GS, Leuchter AF, George LK, Costa PT, Rush AJ, Salzman C, Perel JM, Sackeim HA, Teri L, Niederehe G, Frank E, Klawansky S, Greenhouse JB, Schneider LS, Gottlieb GL, Conwell Y, Zisook S, Katz IR, Lebowitz BD, Corbett M, Elliott JM, Ferguson JH, Fosard JL, Hall WH, Pearson JL. Diagnosis and Treatment of Depression in Late Life. JAMA. 1992;268(8):1018-1024. doi:10.1001/jama.1992.03490080092032