HDFS 4413 Lecture Notes - Lecture 8: Prescription Drug, Panic Disorder, Dysthymia
17 Oct 2016
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Primary symptoms: disordered mood/sadness (dysphoria sad mood, vegetative symptoms (fatigue, loss of interest, poor concentration) Biological: genetics/heredity, neurotransmitter dysfunction, endocrine changes, vascular disorders, co-morbidities. Psychological: personality attributes/traits; neuroticism, poor emotional regulation, low self-efficacy, cognitive distortions. Social: stressful life events, traumas, etc, bereavement, chronic life-related stress or strains, lack of social support. Mild or moderate form that emerges after age 60: untreated and passed as (cid:498)normative(cid:499) Depletion syndrome: mental status/condition, fatigue absent of discontentment/despair in life, sadness without depression, most noticeable in persons over 80+ years, lack of interest in everyday activities, feeling that activity requires effort. Age and gender: older women report greater symptoms, old-old. Psychotherapeutic interventions: bio-chemical interventions, least effective treatment for older adults especially those intermediate and long term care settings. More effective alternatives: cognitive-behavioral therapy, reminiscence, relaxation/mediation. Who benefits: individuals within groups, nursing home residents, those with mild-moderate depression symptoms. 65+ account for 15. 7% of all suicides.
