Depression in the Elderly
Depression in the Elderly
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DOI：
10.1056/nejmcp1402180
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发表时间：
2014-09-25
影响因子：
158.5
通讯作者：
Taylor, Warren D.
中科院分区：
文献类型：
--
作者：
Taylor, Warren D.
一名74岁的女性患有高血压，使用氢氯噻嗪控制得很好，她的女儿带她来检查。女儿表示，她的母亲性格孤僻，经常流泪，有时似乎有记忆问题，但没有精神病史。患者是一名退休教师，丧偶，已独立生活数年。在过去的几个月里，她不再去教堂和拜访朋友。患者的症状包括烦躁、快感缺失、疲劳、3 个月内体重减轻 4.5 公斤（10 磅）以及睡眠困难。她觉得自己是家庭的负担。应该如何对待她？
A 74-year-old woman with hypertension that is well controlled with hydrochlorothiazide is brought by her daughter for an evaluation. The daughter states that her mother is withdrawn, often tearful, and at times appears to have memory problems but has no history of psychiatric illness. The patient is a retired teacher who is widowed and has lived independently for several years. During the last few months, she has stopped going to church and visiting friends. The patient's symptoms include irritability, anhedonia, fatigue, a 4.5-kg (10-lb) weight loss over a period of 3 months, and difficulty sleeping. She feels like a burden to her family. How should she be treated?