Achieving long-term optimal outcomes in geriatric depression and anxiety

被引:9
作者
Mulsant, BH [1 ]
Whyte, E [1 ]
Lenze, EJ [1 ]
Lotrich, F [1 ]
Karp, JF [1 ]
Pollock, BG [1 ]
Reynolds, CF [1 ]
机构
[1] Western Psychiat Inst & Clin, Pittsburgh, PA 15213 USA
关键词
D O I
10.1017/S1092852900008257
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Depression and anxiety disorders are very common in the elderly. Data accumulated over the past 2 decades have shown that most older patients can tolerate and respond to acute treatment with serotonergic antidepressants, other psychotropic agents, or manual-based psychotherapy. However, outcomes under usual-care conditions remain poor. This review proposes that clinicians may significantly improve the long-term outcomes of their older patients with depression and anxiety by focusing on four key factors: (1) identification and treatment of comorbid conditions; (2) full remission of acute symptoms; (3) education of patients, families, and professional colleagues about the need for long-term treatment; and (4) Prevention and management of medication side-effects.
引用
收藏
页码:27 / 34
页数:8
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