Depresi adalah masalah perhatian kesehatan lazim di lain-lain tempat selain Illinois utara, sewaktu mengharukan lebih dari 19 juta orang Amerika, untuk seluruh negara, setiap tahun, bagaimanapun juga ketuaan, menderu, atau jenis kelamin. Sedangkan depresi tidak adalah sebagian biasa proses bertambah tua, ada kemungkinan kuat itu terjadi kalau kondisi kesehatan fisik lain hadir.
Misalnya, hampir seperempat di antara 600.000 orang yang pengalaman stroke pada tahun yang diberi akan mengalami klinis depresi.
Sayangnya, gejala depresi sering diabaikan dan tak diobati kalau mereka serupa dengan sakitnya kedokteran atau peristiwa hidup lain yang secara umum terjadi sebagai orang ketuaan (e.g., kehilangan yang dicintai). Tetapi, klinis depresi tidak pernah adalah jawaban biasa; adalah sakitnya kedokteran yang gawat yang sebaiknya diobati pada umur yang mana pun.
Prevalence
Lebih dari dua juta di antara 34 juta orang Amerika ketuaan 65 dan lebih tua menderita karena suatu bentuk depresi.
Co-occurring Illnesses
Health care is a complex interactive process because symptoms of clinical depression can be triggered by other chronic illnesses common in later life, such as Alzheimers disease, Parkinsons disease, heart disease, cancer and arthritis.
Widowhood
One-third of widows/widowers meet criteria for depression in the first month after the death of their spouse, and half of these individuals remain clinically depressed after one year.
Healthcare Costs
Older patients with symptoms of depression have roughly 50% higher healthcare costs than non-depressed seniors.
Suicide
Depression is a significant predictor of suicide in elderly Americans.
Comprising only 13% of the U.S. population, individuals aged 65 and older account for 20% of all suicide deaths, with white males being particularly vulnerable.
Suicide among white males aged 85 and older (65.3 deaths per 100,000 persons) is nearly six times the suicide rate (10.8 per 100,000) in the U.S.
Treatment
More than 55% of older persons treated for mental health services received care from primary care physicians. Less than 3% aged 65 and older received treatment from mental health professionals.
Health care problem: Primary care physicians accurately recognize less than one half of patients with depression, resulting in potentially decreased function and increased length of hospitalization.
Fortunately, clinical depression is a very treatable illness. More than 80% of all people with depression can be successfully treated with medication, psychotherapy or a combination of both.
Health Care: Older Adult Attitudes toward Depression:
According to a National Mental Health Association survey on attitudes and beliefs about clinical depression:
Approximately 68% of adults aged 65 and over know little or almost nothing about depression.
Only 38% of adults aged 65 and over believe that depression is a health problem.
Important health care fact: If suffering from depression, older adults are more likely than any other group to handle it themselves. Only 42% would seek help from a health professional.
Signs of depression are mentioned more frequently by people under age 64 than people aged 65 and over. These include a change in eating habits (29% vs. 15%), a change in sleeping habits (33% vs. 16%) and sadness (28% vs. 15%).
About 58% of people aged 65 and older believe that it is normal for people to get depressed as they grow older.
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