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Anxiety and Depression in Medically Ill Older Adults
Authors:H. Florence Seung Kim  Ursula Braun  Mark E. Kunik
Affiliation:(1) Department of Psychiatry, Baylor College of Medicine, Houston, Texas;(2) Department of Geriatrics, Baylor College of Medicine, Houston, Texas;(3) Houston Center for Quality of Care and Utilization Studies, Houston, Texas
Abstract:Anxiety and depression are extremely common in the elderly with medical problems. They can manifest not only as symptoms of a primary psychiatric illness, but also as physiologic sequelae of medical illnesses and medical treatments. Recognition and treatment of depression and anxiety in the medically ill is especially difficult. If these states go untreated, they result in higher morbidity and mortality, higher health care costs and utilization, and poorer functional status and outcomes. Three of the most common medical illnesses that afflict geriatric patients, cardiovascular disease, pulmonary disease, and rheumatoid arthritis, will be presented to illustrate the difficulty in recognizing depression and anxiety and the impact of treating these symptoms in the medically ill elderly. Multidisciplinary approaches combining optimal medication regimens and psychosocial interventions can be effective for treatment of anxiety and depression in the medically ill elderly.
Keywords:anxiety  depression  elderly  medical problems
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