Kinzl J F
Universitätsklinik für Psychosomatische Medizin, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich.
Z Gerontol Geriatr. 2013 Aug;46(6):526-31. doi: 10.1007/s00391-013-0527-3.
Older adults face multiple age-related burdens. Although certain mental disorders are more common in the elderly, mental illness-in contrast to physical disorders-is less frequent than in younger individuals. Some clear differences related to gender have been identified in relation to mental disorders in these patients. Older women tend to suffer more frequently from depression and anxiety disorders, while addiction disorders, in particular alcohol abuse, and suicide are more prevalent in men. The importance of psychotherapy in addition to psychopharmacological medication in the treatment of older adults with mental disease has become increasingly clear. This particular patient group tends to be very motivated to work with their care provider; moreover, previously employed constructive coping strategies, as well as the extensive experience in handling problems can be great assets to the therapeutic process.
老年人面临多种与年龄相关的负担。虽然某些精神障碍在老年人中更为常见,但与身体疾病相比,精神疾病在老年人中的发病率低于年轻人。在这些患者的精神障碍方面,已经发现了一些与性别有关的明显差异。老年女性更容易患抑郁症和焦虑症,而成瘾性障碍,尤其是酒精滥用和自杀在男性中更为普遍。除心理药物治疗外,心理治疗在老年精神疾病患者治疗中的重要性日益明显。这一特殊患者群体往往非常愿意与他们的护理人员合作;此外,以前采用的建设性应对策略以及处理问题的丰富经验对治疗过程可能是巨大的财富。