TREATMENT OF DEPRESSION IN THE ELDERLY - A CANADIAN VIEW

被引：9

作者：

ANCILL, RJ

HOLLIDAY, SG

机构：

[1] Department of Psychiatry, Riverview Hospital, Vancouver, BC

来源：

PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY | 1990年 / 14卷 / 05期

关键词：

dementia; depression; elderly; electroconvulsive therapy; geriatric psychiatry; tricyclic antidepressants;

D O I：

10.1016/0278-5846(90)90036-G

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

1. 1. Between 10 and 15% of people over the age of 65 have a potentially treatable depression. 2. 2. The commonest antidepressants used in Canada, the tertiary-amine tricyclics, are potentially problematic when used with geriatric patients. 3. 3. It is current practice in geriatric psychiatry to use secondary-amine tricyclics as "first choice" drugs for elderly depressed patients. 4. 4. Electroconvulsive therapy can be effectively used to deal with severely depressed elderly patients, particularly if there are also features of dementia. 5. 5. Although "better drugs" are needed for the elderly, people over the age of 65 are typlcally excluded from treatment outcome research. © 1990.

引用

页码：655 / 661

页数：7

共 11 条

[1]

ANCILL RJ, 1989, PSYCHIAT J U OTTAWA, V14, P370

[2]

ANCILL RJ, 1990, LEGAL ETHICAL ISSUES

[3]

BLAZER D, 1980, AM J PSYCHIAT, V137, P439

[4]

GERSON SC, 1988, J CLIN PSYCHOPHARM, V8, P311