Geriatric Psychiatry Fellowship Program, Palmetto Health, University of South Carolina School of Medicine, 3555 Harden Street, Suite 301, Columbia, SC 29203, USA.
Psychiatr Clin North Am. 2013 Dec;36(4):545-60. doi: 10.1016/j.psc.2013.08.004. Epub 2013 Oct 6.
This article discusses characteristic factors in the presentation of depressive disorders in persons older than age 65 years. Clinical presentation is discussed along with risk and protective factors. Detailed descriptions of tests useful for screening and diagnosis of depression in the elderly are presented. Each test is reviewed according to time to administer, sensitivity and specificity, outcomes, advantages, and disadvantages. The importance of clinical history and the diagnostic interview, as well as the role of laboratory studies and neuroimaging in the clinical evaluation are discussed.
本文讨论了 65 岁以上人群中抑郁障碍表现的特征因素。本文讨论了临床表现以及风险和保护因素。本文还介绍了用于筛查和诊断老年人抑郁的有用测试的详细描述。根据实施时间、敏感性和特异性、结果、优点和缺点对每种测试进行了审查。本文还讨论了临床病史和诊断性访谈的重要性，以及实验室研究和神经影像学在临床评估中的作用。
