Zusammenfassung
Die Diagnostik der Altersdepression ist ein anspruchsvolles Thema, das deutlich über das Abarbeiten diagnostischer Algorithmen, wie sie z. B. in der ICD-10 oder dem DSM-V ausgeführt sind, hinausgeht. Das klinische Bild der Patienten wird durch zahlreiche Faktoren gefärbt und kontrastiert: durch die Symptome der häufig gleichzeitig vorhandenen körperlichen Erkrankungen, durch mehr oder weniger ausgeprägte altersgemäße oder das Altersgemäße überschreitende kognitive Veränderungen, durch über die Jahrzehnte stattgehabte Reifungsprozesse, Persönlichkeitsentwicklungen und Traumatisierungen sowie durch Kohorteneffekte in Folge von Sozialisierungsprozessen unter historischen sozialen, kulturellen und politischen Rahmenbedingungen. All diesen Aspekten soll die Diagnostik depressiver Störungen im Alter Rechnung tragen und darüber hinaus auch eine Einschätzung der Prognose erlauben sowie die Auswahl angemessener Behandlungs- und Versorgungsnotwendigkeiten leiten.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Adler G et al (2000) Angst als Begleitsymptom der Altersdepression. Fortschr Neurol Psychiat 68:12–16
Adler G et al (2004) Six-month course of mild cognitive impairment and affective symptoms in late-life depression. Eur Psychiatry 19:502–505
Alexopoulos GS (2005) Depression in the elderly. The Lancet 365:1961–1970
Alexopoulos GS et al (1993) The course of geriatric depression with „reversible dementia“: a controlled study. Am J Psychiatry 150:1693–1699
Alexopoulos GS et al (2002) Clinical presentation of the „depression-executive dysfunction syndrome“ of late life. Am J Geriatr Psychiatry 10:98–102
Baldwin RC, Tomenson B (1995) Depression in later life: a comparison of symptoms and risk factors in early and late onset cases. Br J Psychiatry 167:649–652
Balsis S, Cully JA (2008) Comparing depression diagnostic symptoms across younger and older adults. Aging Ment Health 12:800–806
Braam AW et al (2014) Depression, subthreshold depression and comorbid anxiety symptoms in older Euroeans: results from the EURODEP concerted action. J Affect Disord 155:266–272
de Jonge P et al (2004) Depressive symptoms in elderly patients predict poor adjustment after somatic events. Am J Geriatr Psychiatry 12:57–64
Djernes JK (2006) Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand 113:372–387
Drayer RA et al (2005) Somatic symptoms of depression in elderly patients with medical comorbidities. Int J Geriatr Psychiatry 20:973–982
Estabrook R et al (2015) Differential item functioning in the Cambridge Mental Disorders in the Elderly (CAMDEX) Depression Scale across middle age and late life. Psychol Assess 27:1219–1233
Fried LP et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56:146–156
Gallo JJ et al (1997) Depression without sadness: functional outcomes of nondysphoric depression in later life. J Am Geriatr Soc 45:570–578
Glaesmer H et al (2011) Age- and gender-specific prevalence and risk factors for depressive symptoms in the elderly: a population-based study. Int Psychogeriatr 23:1294–1300
Greenlee A et al (2010) Anxiety impairs depression remission in partial responders during extended treatment in late-life. Depress Anxiety 27:451–456
Groeneweg-Koolhoven I et al (2014) Quality of life in community-dwelling older persons with apathy. Am J Geriatr Psychiatry 22:186–194
Groeneweg-Koolhoven I et al (2015) Presence and correlates of apathy in non-demented depressed and non-depressed older persons. Eur J Psychiat 29:119–130
Hegeman JM et al (2012) Phenomenology of depression in older compared with younger adults: meta-analysis. wBr J Psychiatry 200:275–281
Hegeman JM et al (2015) Depression in later life: a more somatic presentation. J Affect Disord 170:196–202
Helmchen H et al (1996) Psychiatrische Morbidität bei Hochbetagten: Ergebnisse aus der Berliner Altersstudie. Nervenarzt 67:739–750
Herrmann LL et al (2007) The cognitive neuropsychology of depression in the elderly. Psychol Med 37:1693–1702
Hybels CF et al (2011) Heterogeneity in symptom profiles among older adults diagnosed with major depression. Int Psychogeriatr 23:906–922
Jost BC, Grossberg GT (1996) The evolution of psychiatric symptoms in Alzheimer’s disease: a natural history study. J Am Geriatr Soc 44:1078–1081
Kessler RC et al (2010) Age differences in the prevalence and co-morbidity of DSM-IV major depressive episodes: results from the WHO World Mental Health Survey Initiative. Depress Anxiety 27:351–364
Lavretsky H et al (2010) Association of depressed mood and mortality in older adults with and without cognitive impairment in a prospective naturalistic study. Am J Psychiatry 167:589–597
Lohman M et al (2016) Depression and frailty in late life: evidence for a common vulnerability. J Gerontol B Psychol Sci Soc Sci 72:630–640
Lyness JM et al (2006) Outcomes of minor and subsyndromal depression among elderly patients in primary care settings. Ann Intern Med 144:496–504
Meeks TW et al (2011) A tune in „a minor“ can be „b major“: a review of epidemiology, illness course, and public health implications of subthreshold depression in older adults. J Affect Disord 129:126–142
Mezuk B, Kendler KS (2012) Examining variation of depressive symptoms over the life course: a latent class analysis. Psychol Med 42:2037–2046
Mitchell AJ, Rao S, Vaze A (2010) Do primary care physicians have particular difficulty identifying late-life depression? A meta-analysis stratified by age. Psychother Psychosom 79:285–294
Mulsant BH, Ganguli M (1999) Epidemiology and diagnosis of depression in late life. J Clin Psychiatry 60 (Suppl. 20):9–15
Oude Voshaar RC et al (2016) Suicide in late-life depression with and without comorbid anxiety disorders. Int J Geriatr Psychiatry 31:146–152
Paranthaman R et al (2012) Age at onset and vascular pathology in late-life depression. Am J Geriatr Psychiatry 20:524–532
Schoevers RA et al (2008) Managing the patient with co-morbid depression and anxiety disorder. Drugs 68:1621–1634
van der Veen DC et al (2015) Comorbid anxiety disorders in late-life depression: results of a cohort study. Int Psychogeriatr 27:1157–1165
Zaudig M et al (1991) SIDAM – a structured interview for the diagnosis of dementia of the Alzheimer type, multi-infarct dementia and dementias of other aetiology according to ICD-10 and DSM-III-R. Psychol Med 21:225–236
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer-Verlag GmbH Deutschland
About this chapter
Cite this chapter
Adler, G. (2017). Diagnostik der Altersdepression. In: Fellgiebel, A., Hautzinger, M. (eds) Altersdepression. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53697-1_3
Download citation
DOI: https://doi.org/10.1007/978-3-662-53697-1_3
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-53696-4
Online ISBN: 978-3-662-53697-1
eBook Packages: Medicine (German Language)