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Late-Life Depression - Steven P. Roose

Late-Life Depression

By: Steven P. Roose (Editor), Harold A. Sackeim (Editor)

Hardcover

Published: 1st September 2004
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We live in an aging world. Illnesses that are prevalent and cause significant morbidity and mortality in older people will consume an increasing share of health care resources. One such illness is depression. This illness has a particularly devastating impact in the elderly because it is often undiagnosed or inadequately treated. Depression not only has a profound impact on quality of life but it is associated with an increased risk of mortality from suicide and vascular disease. In fact for every medical illness studied, e.g. heart disease, diabetes, cancer, individuals who are depressed have a worse prognosis. Research has illuminated the physiological and behavioral effects of depression that accounts for these poor outcomes. The deleterious relationship between depression and other illnesses has changed the concept of late-life depression from a "psychiatric disorder" that is diagnosed and treated by a psychiatrist to a common and serious disorder that is the responsibility of all physicians who care for patients over the age of 60.
This is the first volume devoted to the epidemiology, phenomenology, psychobiology, treatment and consequences of late-life depression. Although much has been written about depressive disorders, the focus has been primarily on the illness as experienced in younger adults. The effects of aging on the brain, the physiological and behavioral consequences of recurrent depression, and the impact of other diseases common in the elderly, make late-life depression a distinct entity. There is a compelling need for a separate research program, specialized treatments, and a book dedicated to this disorder. This book will be invaluable to psychiatrists, gerontologists, clinical psychologists, social workers, students, trainees, and others who care for individuals over the age of sixty.

"An outstanding 388-page textbook dedicated to the subject of depression in the elderly. What is remarkable about this book is that it strives to use an evidence-based approach to describe illness models and clinical treatments . . . an excellent textbook that can be used as a clinical resource, a study aid for the boards, or a review of the evidence-based research in late-life depression." --Journal of Clinical Psychiatry "This book is "state of the art" . . . The editors have brought together many of the leading researchers in the field to assemble an authoritative reference that will be useful for students, residents, practicing physicians, and mental health professionals in related fields. For a multiauthored textbook, Late-Life Depression is well organized, appropriately succinct, and clear. Those qualities in themselves are accomplishments. The great strength of the book is its medical and biologic orientation . . . It will serve as an excellent resource for those seeking to understand the clinical varieties of the condition, relevant pathobiologic theories and correlates, and approaches to treatment." --The New England Journal of Medicine "...full of lively and expert discussion on a topic that is of interest not only to specialists in geriatric mental health, but also to generalist health professionals and academics who care for and study our increasingly aged population."--The Journal of Nervous and Mental Disease "...an up-to-date book that helps illuminate the deleterious relationship between depression in late life and other illnesses."--Psychiatric Services "This is an important book...it will become the standard reference book for all major topics under the rubric of late-life depression."--International Journal of Geriatric Psychiatry "This book is "state of the art" . . . The editors have brought together many of the leading researchers in the field to assemble an authoritative reference that will be useful for students, residents, practicing physicians, and mental health professionals in related fields. For a multiauthored textbook, Late-Life Depression is well organized, appropriately succinct, and clear. Those qualities in themselves are accomplishments. The great strength of the book is its medical and biologic orientation . . . It will serve as an excellent resource for those seeking to understand the clinical varieties of the condition, relevant pathobiologic theories and correlates, and approaches to treatment." --The New England Journal of Medicine "An outstanding 388-page textbook dedicated to the subject of depression in the elderly. What is remarkable about this book is that it strives to use an evidence-based approach to describe illness models and clinical treatments . . . an excellent textbook that can be used as a clinical resource, a study aid for the boards, or a review of the evidence-based research in late-life depression." --Journal of Clinical Psychiatry "...full of lively and expert discussion on a topic that is of interest not only to specialists in geriatric mental health, but also to generalist health professionals and academics who care for and study our increasingly aged population."--The Journal of Nervous and Mental Disease "...an up-to-date book that helps illuminate the deleterious relationship between depression in late life and other illnesses."--Psychiatric Services "This is an important book...it will become the standard reference book for all major topics under the rubric of late-life depression."--International Journal of Geriatric Psychiatry

Introduction PART I EPIDEMIOLOGY AND THE BURDEN OF ILLNESS 1: Dan G. Blazer: The Epidemiology of Depressive Disorders in Late Life 2: Barry D. Lebowitz and Jason T. Olin: The Social and Financial Burden of Late-Life Depression to Society and Individuals PART II THE PHENOMENOLOGY AND DIFFERENTIAL DIAGNOSIS OF LATE-LIFE MOOD DISORDERS 3: George S. Alexopoulos and William Apfeldorf: Unipolar Depression 4: Robert C. Young: Bipolar Disorders 5: D.P. Devanand: Dysthymic Disorder in the Elderly 6: Anand Kumar, Helen Lavretsky, and Virginia Elderkin-Thompson: Non-Major Clinically Significant Depression in the Elderly 7: Helen Lavretsky and Gary W. Small: Mixed Cognitive and Depressive Syndromes 8: Yeates Conwell: Suicide 9: Paula J. Clayton: Bereavement and Depression PART III THE PSYCHOBIOLOGY OF LATE-LIFE DEPRESSION 10: Wilfred G. van Gorp, James C. Root, and Harold A. Sackeim: Neuropsychological Assessment of Late-Life Depression 11: Structural and Functional Brain Imaging in Late-Life Depression Harold A. Sackeim 12: K.R. Ranga Krishnan: Late-Life Depression and the Vascular Hypothesis 13: Jennifer Keller, Theresa M. Buckley, and Alan F. Schatzberg: Hypothalmic-Pituitary-Adrenal Axis Activity in Mood and Cognition in the Elderly: Implications for Symptoms and Outcomes 14: Stuart N. Seidman: The Neuroendocrinology of Aging PART IV TREATMENT 15: Bruce G. Pollock: Pharmacokinetics and Pharmacodynamics in Late Life 16: Steven P. Roose and Harold A. Sackeim: Antidepressant Medication for the Treatment of Late Life Depression 17: Carl Salzman: Antidepressant Side Effects 18: Charles L. Bowden and Nancy U. Karren: Mood Stabilizers 19: J. Craig Nelson and Leon J. Epstein: Stimulants 20: Christian R. Dolder, Jonathan P. Lacro, and Dilip V. Jeste: Antipsychotics 21: Harold A. Sackeim: Electroconvulsive Therapy in Late-Life Depression 22: John L. Beyer and P. Murali Doraiswamy: Pharmacologic Treatment of Depression in Alzheimer's Disease 23: Charles F. Reynolds III, Patricia A. Arean, Thomas R. Lynch, and Ellen Frank: Psychotherapy in Old-Age Depression: Progress and Challenges 24: Ira R. Katz and Joel Streim: Treatment of Depression in Residential Settings PART V. DEPRESSION CO-MORBID WITH OTHER ILLNESSES 25: Steven P. Roose and Alexander H. Glassman: Depression co-Morbid with Ischemic Heart Disease 26: Robert G. Robinson: Vascular Disease and Late-Life Depression: Stroke 27: David W. Oslin: Substance Abuse and Co-Morbidity 28: Anjan Chatterjee and Karen Marder: Basal Ganglia Disease and Depression 29: George S. Zubenko: Major Depressive Disorder in Alzheimer's Disease

ISBN: 9780195152746
ISBN-10: 0195152743
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 420
Published: 1st September 2004
Publisher: Oxford University Press Inc
Country of Publication: US
Dimensions (cm): 28.6 x 22.2  x 2.6
Weight (kg): 1.4