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Systematic reviews ofcommunity prevalence ofdepression• Beekman et al (1999) -prevalence0.4% to 35%. Average 13.5%• Higher in women and those withadverse socioeconomic conditions• Copeland et al (1999) -9 Europeanstudies overall prevalence of 12.3%(women 14.2%; men 8.6%)..
Prevalence of affectivedisorders across the lifespanJorm(2000)review. Theprevalence of anxiety anddepression reduces with age.Not accounted for byinstitutionalisation of peoplewith the symptoms.
Page 1 and 2: Depression in Old AgeCornelius Kato
Page 3 and 4: Overview• Epidemiology• Details
Page 5: StudyDiagnosticcriterianAge% ‘Maj
Page 9 and 10: Morbidityn %Anxiety disorderDementi
Page 11 and 12: Psychotropic drug usageTotalpopulat
Page 13 and 14: Why is depression not treatedin old
Page 15 and 16: The Geriatric Depression Scale (GDS
Page 17 and 18: GDS-4Are you basically satisfied wi
Page 19 and 20: Treatment options• Need for holis
Page 21 and 22: Newer antidepressants• SSRIs- flu
Page 23 and 24: NUMBER NEEDED TO TREAT• Number of
Page 25 and 26: Authors Drug N Measure NNT 95% CIac
Page 27 and 28: Authors Drugs N (Drug1)Nair et al95
Page 29 and 30: MeanHAM-Dtotal scoreElderly depress
Page 31 and 32: • Effective• Safe- Mulsant et a
Page 33 and 34: Depression and interpersonaltherapy
Page 35 and 36: Citalopram vs placebo in comorbidde
Page 37 and 38: 01234Response of neuropsychiatric a
Page 39 and 40: Risk of depression inphysically ill
Page 41 and 42: Mortality following hip fracture%Ps
Page 43 and 44: Lofepramine vs Placebo4 week trialL
Page 45 and 46: Fluoxetine vs Placebon=8262 complet
Page 47 and 48: Lithium• Effective in prophylaxis
Page 49 and 50: METHYLPHENIDATE16 medically ill pat
Page 51 and 52: ECT vs Paroxetine• RCT• n=39•
Page 53 and 54: Prognostic community studies ofdepr
Page 55 and 56: Cattell and Jolley, 1995• 100 con
Page 57 and 58:
Logistic regressionp
Page 59 and 60:
Prevention of depressionrecurrence
Page 61 and 62:
Antidepressant +PsychotherapyNT+ NT
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