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Introduction: Depression in Late Life Mental health issues including cognitive impairment, anxiety and depression affect approximately 20 percent of the age 55 and over population with severe depression being most prevalent (Centers for Disease Control and Prevention and the National Association of Chronic Disease Directors, 2013). Literature also suggests that depression, also described as feelings of sadness, emptiness, hopelessness or pessimism, affects 15-20 percent of Americans age 65 and older (Aldrich & CDC, 2013). Depression is treatable, however is often overlooked or misdiagnosed in the aging population. This can further complicate the impact of chronic illnesses such as diabetes and heart disease, which in turn can result with increase cost in healthcare (Aldrich & CDC, 2013). “The presence of depressive disorders often adversely affects the course and complicates the treatment of other chronic diseases. Older adults with depression visit the doctor and emergency room more often, use more medication, incur higher outpatient charges, and stay longer in the hospital” (Centers for Disease Control and Prevention and the National Association of Chronic Disease Directors, 2013). Developing depression in later life is not a normal part of the aging but is a treatable illness just like any other physical malady. It is however often difficult to recognize in older patients. This could be because symptoms often present similar to those of dementia (Aldrich & CDC, 2013) or because of the stigma associated with having a mental illness. The older adult population in today’s society was reared in a time when mental illness was not recognized as a “biological disorder and medical illness” (Geriatric Mental Health Foundatio... ... middle of paper ... ...ociations with apathy, resilience and disability vary between young-old and old-old. International Journal of Geriatric Psychiatry, 23, 238-243. Nemade, R., Reiss, N. S., & Dombeck, M. (2013). Depression: Major Depression & Unipolar Varieties. Retrieved May 7, 2014, from http://www.gracepointwellness.org/5-depression/article/13009-sociology-of-depression-effects-of-culture New York State OASAS. (2013). Seniors and Health: Risk and Protective Factors. Retrieved May 5, 2014, from https://www.oasas.ny.gov/prevention/senior/RPFactors.cmf Smith-Osborne, A. (2007). Life Span and Resiliency Theory: A Critical Review. Advances in Social Work, 8(1), 152-168. University of Nebraska at Kearney, USA and Vytautas Magnus University, Lithuania. (2011). International Journal of Psychology: A psychosocial approach. Retrieved May 7, 2014, from http://www.psyjournal.vdu.lt/wp/
According to Kirmayer, “...every culture has a type of experience that is in some ways parallel to the Western conception of depression…” (Watters 517). He proves this by explaining how a Nigerian man “might experience a peppery feeling in his head” (Smith 517) or how symptoms of depression in an American Indian project as feelings of loneliness. Depending on the location of the country and the language used to describe distress, symptoms of depression varies from region to region. He described this as “explanatory models” that “created the culturally expected experience of the disease in the mind of the sufferer” (Watters 518). In other words, the cause of depression is different for every country and thus each person experiences and describes depression in a way that matches their culture and environment. American researchers and clinicians often overlook culturally distinct symptoms because Americans classify depression in terms that might contradict the standards of other
The dominant biomedical model of health does not take into consideration lay perspectives (SITE BOOK). Lay perspectives go into detail about ordinary people’s common sense and personal experiences. A cultural perspective, like the Hmong cultures perspective on health, is considered a lay perspective. Unlike the Hmong culture, where illness is viewed as the imbalance between the soul and the body, the dominant biomedical model of health views health in terms of pathology and disease (SITE THE BOOK). Although the Hmong culture considers spiritual and environmental factors, the dominant biomedical model of health only looks at health through a biological perspective, and neglects the environment and psychological factors that affect health. Depression in the U.S. is a medical illness caused by neurochemical or hormonal imbalance and certain styles of thinking. Depression is the result of unfortunate experiences that the brain has difficulties processing (SITE 7). Unlike the Hmong culture, where Hmong’s who are diagnosed with depression report the interaction between a spirit, people diagnosed with depression in the Western culture report themselves to having symptoms such as feeling tired, miserable and suicidal (SITE
Psychology Today. Sussex Publishers, 19 Oct. 2013. Web. 13 Apr. 2014. .
...onson, E., Wilson, T.D., & Akert, R.M. (2013). Social Psychology (8th ed.). New Jersey: Pearson Education Inc.
The U.S. Department of Health and Human Services (2013) Report revealed that the World Health Organization describes the inequities and disparities within a community as social determinants. These social determinants include age, sex, birth place, where one lives, works, plays, race, ethnicity, sexual orientation, disability, and has a healthcare system. McKibbin and Deacon (2011) revealed it is estimated that 20% of older adults suffer from a mental health disorder. Patients with a chronic illness such as coronary artery disease, congestive heart failure, hypertension, geriatric depression, chronic pain issues, cancer, and diabetes account for trillions of dollars spent on medical care in the United States. As the population ages the costs will expand, the shortage of physicians and nurses will continue to decrease and the scope of this problem will increase thus the need for new innovative ideas and plans to care for the geriatric population including those in the rural regions. One potential solution for geriatric depression ...
All randomized controlled trials that included older adults diagnosed as suffering from depression (ICD or DSM criteria) were included. All types of psychotherapeutic treatments were included, categorized into cognitive behavioral therapies (CBT), psychodynamic therapy, interpersonal therapy and supportive therapies.
Depression is an equal opportunity disorder, it can affect any group of people with any background, race, gender, or age. Depression is a sneak thief that slips quietly and gradually into people’s lives - robbing them of their time, and their focus. At first, depression may be undetectable, but in the long run a person could become so weighed down that their life may feel empty and meaningless. Contrary to popular belief, not everyone who commits suicide is depressed, but majority of people who commits suicide do so during a severe depressive episode. There are over 300 million people in the world today who suffer from depression. Depression has affected people for a long as records have been kept. It was first called out by the famous Greek philosopher Hippocrates over 2,400 years ago. Hippocrates called it “melancholia”. Many times we think of depression as one disorder alone, when in fact there are many different types of depression. The different types of depression are major depressive disorder, dysthymic disorder, atypical disorder, adjustment disorder, and depressive personality disorder. All types of depression share at least one common symptom. It is commons from the person who suffers from any form of depression to feel an unshakable sadness, anxious, or empty mood. Major depressive disorder also known as unipolar depression or recurrent depressive disorder is the most severe depressive disorder out of all of the depressive in my estimation. Major depressive disorder is a condition in which affects a person’s family, work or school life, sleeping, eating and general health. It is important to emphasize that we can understand the mechanics of this disorder and how it affects people with major depressive disorder.
...th professionals, were significantly more cynical toward and distrustful of older adults” (p. 63). The findings in Meisner’s (2012) conveyed that physicians demonstrated attitudes about older patients including feelings of these individuals being “disengaged and unproductive” while assuming that these characteristics applied to all of the older patients regardless of each person’s actual abilities (p. 63). Combing all older adults into one category defined by disability and dysfunction is detrimental to the well-being of each patient. Chronological age is not the determining factor relative to treatment; functional age is a better testament to expected outcomes for a patient. It is imperative that physicians understand what is “normal aging” rather than searching for pathologies based on symptoms that are just part of this aging process. According to Meisner
Gall, S. B., Beins, B., & Feldman, A. (2001). The gale encyclopedia of psychology. (2nd ed., pp. 271-273). Detroit, MI: Gale Group.
If the older patient’s complaints during a routine office visit are being ignored because of their chronological age, successful aging and quality of life will certainly be impacted by lack the of treatment for potential mental conditions. The fact that this ignorance can directly lead to suicide among this particular cohort more than any other group is frightening. Considering that social isolation is a primary reason for the onset of depression among older adults, the importance of physician and other health care provider identification of depression through screening and preventive measures are imperative. According to Blakemore (2009), 40 percent of older people who visit their general physician, half of older adult inpatients in general hospitals and 60 percent of long-term care residents have mental health problems and are often denied access to the same mental health services as younger adults including psychological therapist and drug interventions (p. 6). These numbers are astounding among a group of individuals whose physical health could be directly impacted by improved mental health care. Again, the ageism that influences screening and prevention among older adults is directly impacting the quality of life and chance at active aging among the older population.
Elderly, 1991. American Journal of Public Health, 84(8), 1265. Retrieved from Academic Search Complete database.
The elderly represents a large amount of the population in our society and continues to grow each day. As the population grows, it is important to meet the demands and resolve the challenges that we encounter in regards to the overall quality of health and well-being of the elderly. Mental health of the elderly is a major issue but majority of the time goes unnoticed and untreated by caregivers and loved ones. About 20 percent of adults 55 and older are suffering from some type of mental health disorder, and one in three elderly adults do not receive any type of treatment (The State of Mental Health, 2008). Those suffering from mental illness are hesitant to seek out help or any type of treatment because of the stigma, services and cost for care that then comes with mental health disorders. Mental health issues that affect elderly include dementia, delirium, and psychosis. Some of the most common conditions include anxiety, mood disorders such as depression and bipolar disorder and cognitive impairment such as Alzheimer’s disease. Mental health is essential to the
Sussex Publishers, LLC. -. Psychology Today, 1 July 2002. Web. The Web. The Web.
Edited by Raymond J. Corsini. Encyclopedia of Psychology, Second Edition, Volume 3. New York: John Wiley and Sons Inc.
Mental and behavioural disorders (expressed in disability adjusted life years, or DALY'S) represented 11% of the total disease burden in 1990, and this is likely to rise to 15% by 2020. Five of the 10 leading causes of disability worldwide in 1990 were mental or behavioural disorders. Depression was the fourth largest contributor to the disease burden in 1990 and is expected to rank second after ischaemic heart disease by 2020. It is estimated that one in four people will develop one or more mental or behavioural disorders in their life-time and that one in four families has one member suffering from a mental or behavioural disorder (Murray et al., 1996; WHO,