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EPA-1531 - Risk Factor Based Prevention of Old Age Depression

Published online by Cambridge University Press:  15 April 2020

W. Maier
W. Maier*
Affiliation:
Department of Psychiatry and Psychotherapy, University of Bonn, Bonn, Germany

Abstract

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Incident depression in old age is driven by different factors compared to depression earlier in life: physical risk factors (esp. vascular diseases, macular degeneration, hip fracture and diabetes), sleep disturbances, handicaps and disabilities, social isolation, care-giving and bereavement are dominant risk factors but less so stressful life conditions. Some protective factors are especially active in the old age as optimism and experienced sense of life despite reduced physical health. In this context modifiable risk factors present as targets for prevention of depression in the population of elderly. In addition, general preventive measures as physical and mental activity and healthy food as well as maintenance of physical health are useful. Those measures need to be implemented in primary care programmes in addition with stepped care models in case of emergence of depressive symptoms and of full-blown depression. In contrast, universal prevention measures of late-life depression on a general population level are currently not evidence-based. We will present evidence from epidemiological and service care studies to demonstrate feasibility and efficacy of those preventive and treatment measures.

Type
JSN01 - Prevention of Depression is Possible!
Information
European Psychiatry , Volume 29 , Issue S1: Abstracts of the 22nd European Congress of Psychiatry , 2014 , pp. 1
Copyright
Copyright © European Psychiatric Association 2014

References

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