Cognitive Impairments in the Older Adult

Question 1

How many hospitalized adults are clinically depressed?

Answer 1

40%

Question 2

Is depression often neglected?

Answer 2

Yes

Question 3

Incidence of depression in older adult…

Answer 3

10-43%

Question 4

Pyschopathology of depression

Answer 4

Psychopathology or clinical depression includes: Difficulty concentrating, impaired memory, indecisiveness, perceived lack of competence in control, low self-esteem/worthlessness, apathy and excessive guilt.

Question 5

Major Depressive Episode

Answer 5

Criteria:
depressed mood,
loss of pleasure in activities
symptoms for at least two weeks

Question 6

Associated Symptoms of Major Depressive Episode

Answer 6

Significant weight loss/gain
Insomina/hypersomnia
Diminished hyperactive activity
Fatigue
Sense of worthlessness
Inappropirate guilt
Decreased concentration
Recurrent thoughts of death/suicide ideation or attempt.

Question 7

Adjustment Disorder

Answer 7

Maladaptive reactions to an identifiable psychosocial stressor that occurs within 3 months of onset.

Acute=symptoms less than 6 months

Chronic=symptoms greater than six months