chapter%207 - Mental Health & Illness Chapter 7 Aging...

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Chapter 7
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Aging Changes (normal?) Cognition Increased learning time Memory Episodic memory declines Vocabulary and reasoning improve Personality Traits stable, with mellowing Androgeny?
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Bereavement Women adapt better than men Men have increased mortality after widowed Looks like depression  temporary (3 months?) 10-20% have persistent symptoms Older people have a lower risk of persistent  symptoms
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Depression: DSM-IV Depressed mood Diminished interest/pleasure (anhedonia) Weight loss or gain (5%) Insomnia/hypersomnia Psychomotor agitation/retardation Fatigue Feelings of worthlessness or guilt Reduced concentration Thoughts of death or suicide
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Depression 5 out of 9 symptoms 2 or more weeks #1 or #2 are required Old people have frequent insomnia, wt.  loss, fatigue: reduced specificity Geriatric Depression Scale
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Depression Screening Over the past 2 weeks have you felt  down, depressed, or hopeless? Have you felt little interest or pleasure in  doing things? Positive responses warrant further eval.
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Depression Variants Minor (subsyndromal) 2 or 3 symptoms with less impairment Dysthymia depressed mood + 2 more symptoms 2+ years duration Bipolar major depression with history of mania
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Pseudodementia late onset depression with cognitive 
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This note was uploaded on 07/08/2008 for the course GER 3316 taught by Professor Spoelhof during the Spring '08 term at St. Scholastica.

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chapter%207 - Mental Health & Illness Chapter 7 Aging...

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