老年人的抑郁症：动态变化与治疗
Depression in the aged: dynamics and treatment.
作者信息
Brink T L
出版信息
J Natl Med Assoc. 1977 Dec;69(12):891-3.
Abstract
Depression is one of the common threats to the mental health of the aged. The chief cause is the interiorization of the personality and the growth of inferiority feelings due to poor adjustment to retirement, widowhood, and/or chronic physical conditions. Psychotherapy for geriatric depression can be done by a primary care physician. Specific guidelines are given for the use of psychotherapy, psychotropics, and electroconvulsive therapy (ECT) with aged patients suffering from depression in conjunction with various complications (suicidal risk, chronic brain syndrome, hypochondriasis, and paranoia).
摘要
抑郁症是老年人心理健康的常见威胁之一。主要原因是由于对退休、丧偶和/或慢性身体状况适应不良导致的人格内化和自卑感增强。老年抑郁症的心理治疗可由初级保健医生进行。针对患有抑郁症并伴有各种并发症（自杀风险、慢性脑综合征、疑病症和偏执狂）的老年患者，给出了心理治疗、精神药物治疗和电休克治疗（ECT）的具体指南。
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