Rapp M A
Klinik für Psychiatrie und Psychotherapie, Charité - Universitätsmedizin Berlin, Campus Mitte, Charitéplatz 1, 10117, Berlin, Deutschland.
Z Gerontol Geriatr. 2013 Feb;46(2):106-11. doi: 10.1007/s00391-012-0470-8.
With age, increasing biological constraints on functioning are often aggravated by increases in multimorbidity. These effects, however, not only have an impact on somatic, but also psychological processes. In geriatric depression, for instance, there are both effects of recurrent depressive episodes on the neurobiology of the disorder as well as effects of cardiovascular comorbidity that interact with brain areas associated with the perception and regulation of emotions. These biobehavioral interactions have strong implications for both the differential diagnosis and treatment of geriatric depression.
随着年龄增长,功能方面日益增加的生物学限制往往因多种疾病并存情况的增多而加剧。然而,这些影响不仅作用于躯体过程,还影响心理过程。例如,在老年抑郁症中,复发性抑郁发作对该疾病神经生物学的影响以及心血管共病与情绪感知和调节相关脑区相互作用的影响都存在。这些生物行为相互作用对老年抑郁症的鉴别诊断和治疗都具有重要意义。