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11 - Depression in Older Adults with Schizophrenia

from Section 4 - Social Functioning and Mood

Published online by Cambridge University Press:  15 March 2019

Carl I. Cohen
Affiliation:
SUNY Downstate Medical Center
Paul D. Meesters
Affiliation:
Friesland Mental Health Services
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Summary

Depression is a common cause of comorbidity in the older population with schizophrenia. The treatment of older patients with schizophrenia and depressive symptoms poses many challenges. The goal of this chapter is to review the impact of depression in patients with schizophrenia and the available treatment modalities. Comorbid depression impacts negatively on quality of life, functioning, overall psychopathology and comorbid medical conditions. Conversely, in these individuals it is important to ensure symptoms are not due to a comorbid condition, metabolic problems or medications. Elderly patients with schizophrenia can also often have cognitive deficits that make the diagnosis of depression more difficult. Detection and management of depressive symptoms in patients with schizophrenia has an important role in management of this population. We will focus on the various forms of depression that clinicians encounter in patients with schizophrenia.
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Schizophrenia and Psychoses in Later Life
New Perspectives on Treatment, Research, and Policy
, pp. 128 - 134
Publisher: Cambridge University Press
Print publication year: 2019

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