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Iranian Rehabilitation Journal، جلد ۱۰، شماره ۲، صفحات ۷۶-۹۱
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Treatment of Depression in the Elderly: A Systematic Review |
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| چکیده انگلیسی مقاله |
Depression is a common symptom and a major public health problem in the elderly. Despite its prevalence and seriousness, depressive disorder in older people remains under-treated. The optimal treatment of depression in later life is crucial, and requires appreciation of several age-related factors such as comorbidity, polypharmacy, altered drug kinetics, variable treatment response and increased predisposition to side effects. Although sometimes difficult to diagnose because of concurrent stressors medical illness, or dementia, depression in elderly patients responds readily to appropriate therapy. When untreated, this disorder may result in increased morbidity and mortality or suicide. Effective therapeutic options for late-life depression, as in younger patients, include psychotherapy and pharmacotherapy. Because of their favorable adverse effect profiles and safety in cases of overdose, the selective serotonin reuptake inhibitors have, in most cases, replaced tricyclic antidepressants as first-line therapy when antidepressants are indicated. SSRIs considered to have the best safety profile in the elderly are citalopram, escitalopram, and sertraline. Finally, electroconvulsive therapy offers a safe and effective alternative for patients refractory to or unable to tolerate antidepressant medication. |
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| کلیدواژه‌های انگلیسی مقاله |
Polypharmacy, Depressive disorder, Older people |
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| نویسندگان مقاله |
آرش میراب زاده | arash mirabzadeh
social determinants of health research center, university of social welfare and rehablilitation sciences, tehran, iran.
محمدرضا خدایی | mohammad reza khodaei
department of psychitry, university of social welfare and rehablilitation sciences, tehran, iran.
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| نشانی اینترنتی |
http://irj.uswr.ac.ir/browse.php?a_code=A-10-227-4&slc_lang=en&sid=en |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
literature reviews |
| نوع مقاله منتشر شده |
مروری |
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