Psychiatric comorbidity and depression in older adults

Gum, Amber M.; Cheavens, Jennifer S.

doi:10.1007/s11920-008-0006-5

Cited by 40Treatment of Major DepressionMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Psychiatric comorbidity and depression in older adults

Gum, Amber M., Cheavens, Jennifer S.·2008·Current Psychiatry Reports

DOI 10.1007/s11920-008-0006-5

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Abstract

Late-life depression rarely occurs in isolation. Thus, screening for and assessment of late-life depression should always involve screening for other psychiatric disorders, including anxiety, personality disorders, and alcohol misuse. Comorbidity often makes treatment to relieve depressive symptoms more complicated, more comprehensive, and longer. Current late-life depression research indicates the strongest support for antidepressant medication and/or cognitive-behavioral therapy for comorbid anxiety, antidepressants and dialectical behavior therapy for comorbid personality disorders, and antidepressants and counseling for alcohol abuse that incorporates specific coping skills training for mood management, based on cognitive-behavioral principles. The clinician should provide sufficient psychoeducation for the older client and involve the client in treatment planning and progress evaluation. Very little research has specifically focused on treating depression and psychiatric comorbidity simultaneously, so additional research in this area is needed.

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Anxiety and depression often co-occur and are hard to tell apart in older adults.
“Comorbidity of anxiety and depression are common and difficult to distinguish among older people (Gum & Cheavens, 2008).”
From Acceptance and Commitment Therapy With Older Adults: Rationale and Considerations (2013) · cites this paper as Gum & Cheavens, 2008
Anxiety disorders are almost as common as depression.
“The data indicate that anxiety disorders are prevalent among adults and adolescents (Kessler et al . 2012; Witlox et al . 2021), and suggest that these disorders are almost as common as depression (Fukukawa et al . 2004; Gum and Cheavens 2008).”
From Recent findings in the pathogenesis and treatment of fear and anxiety (2022) · cites this paper as Gum and Cheavens 2008
Comorbidity of anxiety and depression is common in older adults, making them more difficult to differentiate.
“comorbidity of anxiety and depression are common in older adults, making them more difficult to differentiate (18).”
From Is acceptance and commitment therapy helpful in reducing anxiety symptomatology in people aged 65 or over? A systematic review (2022) · cites this paper as [18]

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Authors: Gum, A. M., & Cheavens, J. S.
Affiliations: University of South Florida (US)
Corresponding author: Gum, Amber M.
ORCID: Gum, Amber M.
Cheavens, Jennifer S.
Venue: Current Psychiatry Reports
Publisher: Springer Science and Business Media LLC
Published: 2008-02
Volume: 10
Issue: 1
Pages: 23-29
ISSN: 1523-3812 (ISSN-L)
1535-1645
DOI: 10.1007/s11920-008-0006-5
OpenAlex: W2019153642
Cited by: 40
References: 49
Citations by year: 2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 5
FWCI: 0.39
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Current Psychiatry Reports (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: geriatric depression, psychiatric comorbidity, older adults, anxiety disorders, personality disorders, alcohol abuse, antidepressants, cognitive behavioral therapy, dialectical behavior therapy, psychoeducation, treatment planning, mood management
MeSH terms: Aged, Alcoholism, Antidepressive Agents, Anxiety Disorders, Mental Disorders, Combined Modality Therapy, Depressive Disorder, Humans, Mass Screening, Patient Education as Topic, Personality Disorders, Comorbidity, Cognitive Behavioral Therapy

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Psychiatric comorbidity and depression in older adults

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