Oct, 1, 2023

Vol.30 No.2, pp. 84-88

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Review

  • Korean Journal of Biological Psychiatry
  • Volume 20(2); 2013
  • Article

Review

Korean Journal of Biological Psychiatry 2013;20(2):31-40. Published online: Feb, 1, 2013

Abstract PDF Full Text

A General Hospital-Based Model for Early Detection of Depression in the Geriatric Patients with Chronic Medical Diseases

  • Seon-Cheol Park, MD1,2;Hwa-Young Lee, MD3;Se-Hoon Shim, MD3;Dong-Woo Lee, MD4;Sang-Woo Han, MD5;Sang-Ho Park, MD6;Yeo-Joo Kim, MD7;Jae Sung Choi, MD8;Sung Won Jung, MD9;Soyoung Irene Lee, MD10;Kyoung-Sae Na, MD10;Hee-Yeun Jeong, MD3; and Young-Joon Kwon, MD3;
    1;Department of Psychiatry, Yong-In Mental Hospital, Yongin, 2;Institute of Mental Health, Hanyang University, Seoul, 3;Department of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, 4;Department of Psychiatry, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, 5;Department of Psychiatry, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul, 6;Department of Cardiology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, 7;Department of Endocrinology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, 8;Department of Pulmonology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, 9;Department of Psychiatry, School of Medicine, Keimyung University, Dongsan Medical Center, Daegu, 10;Department of Psychiatry, College of Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea
Abstract

The geriatric patients with chronic physical diseases are frequently associated with the continuous clusters of depression including nonpathological sadness, subsyndromal depression, minor depressive disorder, and major depressive disorder. Because of the complex and reciprocal relationships among depression, elderly, and chronic physical diseases, screening approaches with specific nosological methods should be needed in the realm of early detection of depression. Cognitive decline is frequently manifested in geriatric depression with medical or neurological diseases. Also, somatic symptoms of depression or emotional symptoms of physical diseases can play a role as a hampering factor in the early detection of depression. Furthermore, after-care has been regarded as an essential factor of depression screening in the geriatric patients with chronic physical diseases. We reviewed the most popular examples of integrated medicine for depression in primary care. Thus, we propose a general hospital-based model for early detection of depression which includes favorable response loop between screening and therapeutic intervention. Our model can be a basis for evidence-based detection and after-care for depression in the geriatric patients with chronic medical diseases.

Keywords Depression;Geriatric;Physical disease;Early detection;Response loop.