Praćenje i liječenje depresivnog poremećaja u osoba starije životne dobi na razini obiteljske medicine

professional thesis

• Title (english): Monitoring and treatment of depressive disorder in the elderly at the level of family medicine
• Author: Jana Kovačević
• Mentor: Ines Diminić-Lisica (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2017-11-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

Cilj rada: sveobuhvatno prikazati suvremena saznanja o osobitosti depresivnosti kod osoba starije životne dobi i kako depresivni poremećaj u osoba starije životne dobi pratiti i liječiti na razini obiteljske medicine. Naglasak u radu će biti na razlikovanju fiziološki uvjetovanih promjena mentalnog stanja kod starijih od depresije, te razlikovanju demencije i depresije budući da se depresija može manifestirati kao pseudodemencija. Depresija može biti i maskirana, kada dominiraju somatske tegobe.
----- Materijali i metode: pregledana literatura obuhvaća specijalizirane časopise, baze podataka (Cochrane, Medscape, Medline) te Internet. Ključne riječi prema kojima je proveden pregled su depresija, starija životna dob, primarna zdravstvena zaštita, obiteljska medicina, starenje, mentalne promjene, pseudodemencija, maskirana depresija. Kriteriji uključenja su bili pregledni članci u posljednjih 16 godina (1999. - 2015. godine), kod ispitanika starijih od 65 godina. -----
Rezultati i rasprava: Za dijagnosticiranje gerijatrijske depresije osim anamneze, fizikalnog pregleda, laboratorijske obrade, itd., važni su i dijagnostički kriteriji prema MKB-10 ili DSM-V, uz ocjenske ljestvice. Depresija i demencija se često isprepliću pa se kognitivno oštećenje često barem djelomično može poboljšati liječenjem depresije, kao i nerazjašnjeni tjelesni simptomi. Prvi izbor u liječenju su SSRI i/ili psihoterapija. U razvijenim zemljama su sve češći modeli kolaborativne skrbi s obiteljskom medicinom u centralnoj ulozi. ------
Doprinos području: sumiranje znanja o depresiji kod osoba starije životne dobi uz pravovremeno prepoznavanje i liječenje u obiteljskoj medicini.

Abstract (english)

The aim of work: comprehensive review of modern knowledge on the characteristics of depression in the elderly and how to monitor and treat depressive disorder in the elderly in the level of family medicine. The emphasis will be on differentiating physiological conditioned changes in mental status in elderly and depression as illness, also differentiating dementia and depression considering depression can manifest as pseudodementia. Also depression can be masked, when dominated by somatic complaints. -----
Materials and methods: reviewed literature includes specialized magazines, databases (Cochrane, Medscape, Medline) and the Internet. Keywords by which the review was conducted are depression, elderly age, primary health care, family medicine, aging, mental changes, pseudodementia, masked depression. Inclusion criteria were review articles in the past 16 years, in patients older than 65 years. -----
Results and discussion: In the diagnosis of geriatric depression in addition to history, physical examination, laboratory values, etc., ICD – 10 and DSM – V diagnostic criteria and self report inventories are important. Depression and dementia are often intertwined and cognitive impairment can often at least partly be improved by treatment of depression, as well as unexplained physical symptoms. The first choice in the treatment are SSRI and / or psychotherapy. In developed countries collaborative care models with family medicine in central role become more common. -----
Contribution to the field: to summarize knowledge about depression in the elderly with opportunities for early detection and treatment in family medicine.

• Keywords: depresivni poremećaji; starija životna dob; obiteljska medicina
• Keywords (english): depressive disorders; older age; family medicine
• Language: croatian
• URN:NBN: urn:nbn:hr:105:364597
• Study programme: Title: Family Medicine; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra obiteljske medicine (sveučilišni/a magistar/magistra obiteljske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Public note: Ključne riječi oblikovao urednik.
• Created on: 2021-05-03 10:28:06