A General Hospital-Based Model for Early Detection of Depression in the Geriatric Patients with Chronic Medical Diseases.
- Author:
Seon Cheol PARK
1
;
Hwa Young LEE
;
Se Hoon SHIM
;
Dong Woo LEE
;
Sang Woo HAN
;
Sang Ho PARK
;
Yeo Joo KIM
;
Jae Sung CHOI
;
Sung Won JUNG
;
Soyoung Irene LEE
;
Kyoung Sae NA
;
Hee Yeun JEONG
;
Young Joon KWON
Author Information
1. Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea.
- Publication Type:Review
- Keywords:
Depression;
Geriatric;
Physical disease;
Early detection;
Response loop
- MeSH:
Aged;
Depression;
Depressive Disorder;
Depressive Disorder, Major;
Humans;
Mass Screening;
Primary Health Care
- From:Journal of the Korean Society of Biological Psychiatry
2013;20(2):31-40
- CountryRepublic of Korea
- Language:Korean
-
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.
