Week 3: Depression in Elderly Flashcards
What is late life depression secondary to?
vascular etiology
What are the genetic causes of depression?
high prevalent in first degree relatives, high concordance with monozygotic twins, short allele of serotonin transported gene
A syndrome complex characterized by mood disturbance plus variety of cognitive, psychological, and vegetative disturbances
Depression
What are the characteristics of depression?
- depressed mood
- diminished interest in pleasure
- weight loss or gain
- insomnia or hypersomnia
- psychomotor agitation or retardation
- fatigue or loss of energy
- feelings of worthlessness or guilt
- diminished ability to think
- recurrent thoughts of death or suicide
What is the diagnostic criteria for depression
Presence of 5/9 symptoms for at least 2 weeks, depressed mood is a must
What does SIGECAPS stand for?
Sleep disturbance: decreased or increased
Interest or pleasure: decreased
Guilt or feeling worthless
(Mood : sustained low or depressed)
Energy loss or fatigue
Concentration problems or problems with memory
Appetite disturbance, weight loss or gain
Psychomotor agitation or retardation
Suicidal ideation, thoughts of death
What is a more chronic, low intensity mood disorder characterized by anhedonia, low self-esteem, and low energy and has a more psychologic than biologic etiology?
Dysthymia
People with this type of illness change back and forth between periods of depression and periods of mania (an extreme high)
Bipolar disorder
What Results from changes in the season. Most cases begin in the fall or winter, or when there is a decrease in sunlight?
Season affective disorder
What is a syndrome of cognitive impairment that mimics dementia but is actually depression?
Pseudo-dementia
____% of subjects with early AD have depression?
20%
What is is a blood test used to evaluate your overall health and detect a wide range of disorders, including anemia, infection and leukemia. A complete blood count test measures several components and features of your blood, including: Red blood cells, which carry oxygen?
CBC
What is a comprehensive metabolic panel is a blood test that measures your sugar (glucose) level, electrolyte and fluid balance, kidney camera.gif function, and liver function?
CMP
What is a blood test used to check for thyroid gland problems?
TSH
What is a test that checks for problems with the electrical activity of your heart?
EKG
