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Physical Comorbidities and Mood Disorders in Older Adults

  • Living reference work entry
  • First Online:
Mental Health and Illness of the Elderly

Part of the book series: Mental Health and Illness Worldwide ((MHIW))

  • 147 Accesses

Abstract

Physical health and mood disorders are intertwined in many ways, and several somatic diseases are directly related to mood disorders. Physical disease may present with depressive symptoms, and several physical symptoms are part of depression. Physical problems may lead to or cause depressive disorder and vice versa. Medication prescribed to treat mood symptoms may have side effects resulting in somatic comorbidity, and somatic medication may provoke mood-related side effects.

In older adults with mood disorders, physical comorbidity is the norm rather than the exception, and over time the mood disorder might act in concert with physical comorbidities to accelerate aging and cognitive deterioration.

Side effects are among the most important reasons for patients to stop taking their medication. Polypharmacy, age, and somatic comorbidities are key factors known to increase side effects. Medical conditions coexisting with a mood disorder may be truly comorbid, related to the treatment of the mood disorder, or a combination of both. For directions on treatment of these somatic comorbidities, the differentiation is important.

Physicians treating older adults with mood disorders should be aware that the physical health of these patients is an important aspect of their lives as it may influence their need for care and quality of life and complicate treatment and the course of the psychiatric disease. Comorbid conditions should be carefully assessed, and treatment options should be chosen taking into account these comorbid states, minimizing side effects and treatment burden.

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  1. Old Age Psychiatry, GGZinGeest/VU Medical Center, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands

    Annemiek Dols & Caroline Sonnenberg

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  1. Annemiek Dols
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  2. Caroline Sonnenberg
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  1. The Chinese University of Hong Kong, Tai Po, Hong Kong

    Helen Chiu

  2. Sunnybrook Research Institute, Toronto, Ontario, Canada

    Kenneth Shulman

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Dols, A., Sonnenberg, C. (2016). Physical Comorbidities and Mood Disorders in Older Adults. In: Chiu, H., Shulman, K. (eds) Mental Health and Illness of the Elderly. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0370-7_15-1

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