Quality of life and social issues in older depressed patients

Quality of life and social issues in older depressed patients
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DOI:
10.1097/00004850-199809005-00005
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发表时间:
1998-09-01
影响因子:
2.6
通讯作者:
Warner, JP
Warner, JP
中科院分区:
医学4区
文献类型:
--
作者:
Warner, JP

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抑郁症是一种常见的老年疾病,影响至少10%的65岁以上的人。在老年人中,抑郁症与社会功能受损和生活质量之间的关系是复杂和不明确的。尽管有良好的耐受性和有效的治疗,许多抑郁症患者未被诊断或治疗不足。抑郁症对老年人的生活质量(QOL)和社会功能的影响可能是相当大的。此外,社会功能的损害,随之而来的社会孤立和功能残疾,与老龄化密切相关,可能是老年抑郁症的一个致病因素。一旦抑郁症发展,它可能会导致进一步缩小社会剧目,使问题复杂化。尽管在衡量社会功能和生活质量方面存在一些困难,但在确定老年抑郁症患者这些问题的程度方面取得了进展。抑郁症的治疗对这些参数的影响越来越多地在临床试验中得到认可和评估。国际临床精神药理学13(增刊5):S19-S24(C)1998 Lippincott威廉姆斯& Wilkins
Depression is a common disorder in old age, affecting at least 10% of individuals over 65. In older people, the relationship between depression and impaired social functioning and quality of life is complex and ill defined. Despite well-tolerated and effective treatments, many depressed individuals are undiagnosed or under-treated. The impact of depression on the quality of life (QOL) and social functioning of older people can be considerable. Furthermore, impairment of social functioning, consequent on the social isolation and functional disability that goes hand-in-hand with ageing, may be a causative factor in old age depression. Once depression develops, it may result in further narrowing of social repertoire, compounding the problem. Notwithstanding some of the difficulties in measuring social functioning and quality of life, progress has been made in defining the extent of these problems in older depressed individuals. The impact treatment of depression has on these parameters is becoming increasingly recognised and evaluated in clinical trials. Int Clin Psychopharmacol 13 (suppl 5):S19-S24 (C) 1998 Lippincott Williams & Wilkins