Korean J Biol Psychiatry.
2013 May;20(2):31-40.
A General Hospital-Based Model for Early Detection of Depression in the Geriatric Patients with Chronic Medical Diseases
- Affiliations
-
- 1Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea.
- 2Institute of Mental Health, Hanyang University, Seoul, Korea.
- 3Department of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea. yjkwon@schmc.ac.kr
- 4Department of Psychiatry, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, Korea.
- 5Department of Psychiatry, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul, Korea.
- 6Department of Cardiology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.
- 7Department of Endocrinology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.
- 8Department of Pulmonology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.
- 9Department of Psychiatry, School of Medicine, Keimyung University, Dongsan Medical Center, Daegu, Korea.
- 10Department of Psychiatry, College of Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea.
Abstract
- The geriatric patients with chronic physical diseases are frequently associated with the continuous clusters of depression including nonpathological sadness, subsyndromal depression, minor depressive disorder, and major depressive disorder. Because of the complex and reciprocal relationships among depression, elderly, and chronic physical diseases, screening approaches with specific nosological methods should be needed in the realm of early detection of depression. Cognitive decline is frequently manifested in geriatric depression with medical or neurological diseases. Also, somatic symptoms of depression or emotional symptoms of physical diseases can play a role as a hampering factor in the early detection of depression. Furthermore, after-care has been regarded as an essential factor of depression screening in the geriatric patients with chronic physical diseases. We reviewed the most popular examples of integrated medicine for depression in primary care. Thus, we propose a general hospital-based model for early detection of depression which includes favorable response loop between screening and therapeutic intervention. Our model can be a basis for evidence-based detection and after-care for depression in the geriatric patients with chronic medical diseases.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- The frequency of common hidden disease in the elderly
- Prevalence and Risk Factors of Depression in Geriatric Patients with Dermatological Diseases
- Geriatric Depression
- The Relationship among Depression, Self-esteem and ADL in the Case of the Hospitalized Elderly Patients with Chronic Disease
- Development of Hybrid Model for Integrating Management of Geriatric Depression and Dementia in Urban Area
