Department of Psychiatry, Institute of Living, Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA; Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT 06511, USA; Department of Psychiatry, University of Connecticut Health Center, Building L, MC 1410, 263 Farmington Avenue, Farmington, CT 06030, USA.
Psychiatr Clin North Am. 2013 Dec;36(4):497-516. doi: 10.1016/j.psc.2013.08.001. Epub 2013 Oct 6.
Although depression in old age is less common than depression in younger populations, it still affects more than 1 million community-living older adults. Depression in late life has been associated with reduced quality of life and increased mortality from both suicide and illness. Its causes are multifactorial but are prominently related to both biologic and social factors. Psychological factors, although less studied in elders, are also important in understanding its cause. In this article, multiple facets of late-life depression are reviewed, including its clinical presentation, epidemiology, and biopsychosocial causes.
尽管老年人的抑郁症比年轻人少见，但它仍然影响着超过 100 万的社区居住的老年人。老年期抑郁症与生活质量降低以及自杀和疾病导致的死亡率增加有关。其病因是多因素的，但主要与生物和社会因素有关。尽管在老年人中研究较少，但心理因素对于理解其病因也很重要。本文回顾了老年期抑郁症的多个方面，包括其临床表现、流行病学和生物心理社会病因。
