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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 2/2013

01.02.2013 | Beiträge zum Themenschwerpunkt

Depression beim gebrechlichen Alterspatienten

Diagnostik und Therapie

verfasst von: D. Kopf, J. Hummel

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 2/2013

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Zusammenfassung

Gebrechlichkeit erhöht das Risiko einer depressiven Störung. Der vorliegende Beitrag gibt eine selektive Übersicht zu den Fragestellungen Koinzidenz von Depression und Gebrechlichkeit, Symptomatik, Diagnostik und Therapie der Depression bei gebrechlichen Menschen. Depressive Störungen im höheren Lebensalter sind durch eine zunehmende Häufigkeit und Intensität von somatischen Symptomen geprägt. Diese Symptome überlappen mit einigen Kriterien der Gebrechlichkeit. Beide Störungen weisen ein erhöhtes Risiko für eine Verschlechterung der körperlichen und seelischen Gesundheit, für Heimeinweisung und für Tod auf. Die Erfassung subsyndromaler depressiver Störungen bei gebrechlichen Menschen ermöglicht Perspektiven der Prävention. Bei präventiven und therapeutischen Maßnahmen ist besonderes Augenmerk auf Therapiesicherheit sowie einen barrierefreien Zugang zu Therapieangeboten zu legen. Da körperliche Begleitsymptome das Risiko einer Verschlechterung der Depression bedingen, müssen sie gemeinsam mit den psychischen Symptomen in einem fächerübergreifenden geriatrisch-gerontopsychiatrischen Therapiekonzept behandelt werden.
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Metadaten
Titel
Depression beim gebrechlichen Alterspatienten
Diagnostik und Therapie
verfasst von
D. Kopf
J. Hummel
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 2/2013
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-012-0461-9

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Original Contribution

Are the elderly different?