Antidepressant drug therapy in the elderly: enhancing safety and compliance.

Abstract:

:This review article addresses some of the complex issues surrounding antidepressant drug usage among elderly depressives. While primarily geared toward the psychiatrist in general practice, the article provides useful information for the nonpsychiatric physician who is frequently called upon to evaluate and treat affective disorders in the geriatric population. Since tricyclic antidepressants and lithium are the most commonly used psychotropic drugs in the treatment of depression, their side effects and adverse reactions are discussed specifically as these relate to the elderly. Suggestions are offered on how to improve safety and enhance compliance. Brief mention is made of the monoamine oxidase inhibitors and the second generation antidepressants. Dose ranges are recommended for use of these agents in geriatric patients. Finally, a section of the article reviews the most commonly encountered encountered drug interactions between tricyclic and a variety of other psychotropic and nonpsychotropic drugs.

journal_name

Int J Psychiatry Med

authors

Halaris A

doi

10.2190/uhl6-0x4w-frng-8pff

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

1-19

issue

1

eissn

0091-2174

issn

1541-3527

journal_volume

16

pub_type

杂志文章,评审
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    authors: Didden DG,Philbrick JT,Schorling JB

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  • Why John wasn't healed by prayer: perspectives across disciplines.

    abstract::Patients and family members often turn to prayer in response to serious, life-threatening illness. Prayer for a miraculous cure is often the request. While prayer can keep hope alive, it may also promote unrealistic expectations that fuel demands for life-preserving technology in medically futile situations. Furthermo...

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    doi:10.2190/PM.42.4.d

    authors: Blazer DG,Cohen HJ,George LK,Koenig HG,Verhey A

    更新日期:2011-01-01 00:00:00

  • Severe anorexia nervosa in a 20-year-old male with pericardial effusion and cortical atrophy.

    abstract::This case report describes a 20-year-old man with a severe presentation of anorexia nervosa. His case is unique in that he presented at 49% of his ideal body weight and had a body mass index (BMI) of 11.59. In addition, he had cognitive slowing on exam and had cortical atrophy on a head CT. Other medical complications...

    journal_title:International journal of psychiatry in medicine

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    doi:10.2190/PM.48.2.b

    authors: Shapiro M,Davis AA,Nguyen ML

    更新日期:2014-01-01 00:00:00

  • Exploring the link between religious attitudes and subjective well-being in chronic pain patients.

    abstract:OBJECTIVE:The aim of the present study was to explore the relations between religious attitudes and subjective well-being in a sample of chronic pain (CP) patients and to investigate whether these associations would differ from those obtained with healthy controls. METHOD:A total of 155 CP patients (72% women) and 166...

    journal_title:International journal of psychiatry in medicine

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    doi:10.2190/PM.39.4.d

    authors: Dezutter J,Luyckx K,Büssing A,Hutsebaut D

    更新日期:2009-01-01 00:00:00

  • Teaching family medicine residents brief interventions for alcohol misuse.

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    authors: Rule JC,Samuel P

    更新日期:2015-01-01 00:00:00

  • Association between anxiety or depressive symptoms and arterial hypertension, and their impact on the quality of life.

    abstract:OBJECTIVE:Despite all progress made in understanding and treating systemic arterial hypertension (SAH), the study of the impact of psychological disorders in SAH is still controversial and is not well understood. Our aim was to test the hypothesis that SAH can be associated with anxiety and depressive symptoms and to v...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/PM.40.3.f

    authors: Saboya PM,Zimmermann PR,Bodanese LC

    更新日期:2010-01-01 00:00:00

  • The liaison psychiatrist in cardiovascular rehabilitation: an overview.

    abstract::Depression, anxiety and fear of recurrence following myocardial infarction often lead to disability in excess of actual cardiac impairment in a large number of patients. The high social, economic and emotional cost of psychogenic cardiac invalidism has stimulated the development of cardiovascular rehabilitation progra...

    journal_title:International journal of psychiatry in medicine

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    doi:10.2190/6bca-7buk-0vwd-83le

    authors: Soloff PH

    更新日期:1977-01-01 00:00:00

  • Anxiety, type A behavior, and cardiovascular disease.

    abstract::Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey ...

    journal_title:International journal of psychiatry in medicine

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    doi:10.2190/updt-4qcv-fhr3-lud6

    authors: Lee MA,Cameron OG

    更新日期:1986-01-01 00:00:00

  • Ambulatory patients with medical and psychiatric illness: care in a special medical clinic.

    abstract::Patients who have both medical and psychiatric illnesses often present very difficult diagnostic and treatment problems. Cross referrals by the two or more specialties necessarily involved in their management are often perceived by these patients as rejection and not only may induce in them feelings of frustration, he...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/56ry-mccb-p7my-9mn3

    authors: Hossenlopp CM,Holland J

    更新日期:1977-01-01 00:00:00

  • Denial in Munchausen syndrome by proxy: the consulting psychiatrist's dilemma.

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    authors: Feldman MD

    更新日期:1994-01-01 00:00:00

  • Teaching resident physicians the power of implicit bias and how it impacts patient care utilizing patients who have experienced incarceration as a model.

    abstract::Over 2 million adults in the United States are incarcerated and over 650,000 return to the community each year. This disparate population is known to have an elevated burden of chronic disease and lower socioeconomic status. Medical residency training about care of incarcerated or previously incarcerated patients is s...

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    pub_type: 杂志文章

    doi:10.1177/0091217417738935

    authors: Hofmeister S,Soprych A

    更新日期:2017-07-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1998-01-01 00:00:00

  • Demystifying Balint culture and its impact: An autoethnographic analysis.

    abstract::Balint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent valu...

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    更新日期:2018-01-01 00:00:00

  • Psychiatric complications of hydrocephalus.

    abstract::This article explores the association between normal pressure hydrocephalus and psychiatric symptoms, such as depressed mood, delusions, and hallucinations. We are reporting a case of a 30-year-old female with a history of congenital hydrocephalus, is used to illustrate this association. Such patients may benefit from...

    journal_title:International journal of psychiatry in medicine

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    更新日期:2001-01-01 00:00:00

  • Culturally responsive integrated health care: Key issues for medical education.

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    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.1177/0091217415592368

    authors: Illes RA,Grace AJ,Niño JR,Ring JM

    更新日期:2015-01-01 00:00:00

  • Vegetative and psychological symptoms associated with depressed mood over the first two years after stroke.

    abstract:INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/BWJA-KQP3-7VUY-D06T

    authors: Paradiso S,Ohkubo T,Robinson RG

    更新日期:1997-01-01 00:00:00

  • Teaching health-care trainees empathy and homelessness IQ through service learning, reflective practice, and altruistic attribution.

    abstract::This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work,...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.1177/0091217417730288

    authors: Chrisman-Khawam L,Abdullah N,Dhoopar A

    更新日期:2017-05-01 00:00:00

  • Serotonergic antidepressants and linezolid: a retrospective chart review and presentation of cases.

    abstract:OBJECTIVE:To report the results from a retrospective chart review looking at the combination of linezolid and serotonergic antidepressants and to report two cases of serotonin syndrome which were identified at our hospital. CASE SUMMARY:During the retrospective chart review one case of serotonin syndrome was identifie...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/PM.38.1.h

    authors: Lorenz RA,Vandenberg AM,Canepa EA

    更新日期:2008-01-01 00:00:00

  • An organic psychosis due to a venlafaxine-propafenone interaction.

    abstract:OBJECTIVE:An extraordinary case of an organic psychosis during the treatment of a patient with a bipolar affective disorder. METHODS:Clinical observation and further investigations including monitoring of serum levels (case report). RESULTS:A significant interaction between venlafaxine and propafenone causes markedly...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

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    authors: Pfeffer F,Grube M

    更新日期:2001-01-01 00:00:00

  • Prevalence of alcohol related admissions to general medical units.

    abstract::The prevalence of alcohol related admissions to hospitals in Manitoba was examined in an investigation limited to the general medicine units of four representative hospitals within the province. All admissions during one-month periods were closely examined. In order to determine if an admission was related to alcohol,...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/b8tq-5eg9-fht8-uvxl

    authors: Lange DE,Schacter B

    更新日期:1989-01-01 00:00:00

  • Erratum.

    abstract::Pérez-San-Gregorio M. A., Fernández-Jiménez E., Luque-Budia A., Martín-Rodríguez A. (2015). Anxiety and concerns in Spanish living kidney donor candidates. The International Journal of Psychiatry in Medicine, 50, 163-177. ...

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    pub_type: 杂志文章,已发布勘误

    doi:10.1177/0091217415623373

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  • A survey of anxiety and depression symptoms among primary-care physicians in China.

    abstract:OBJECTIVE:Anxiety and depression disorder are the most prevalent mental health problems. However, few studies are available pertaining to these problems among Chinese doctors, especially the assessment of the anxiety and depression symptoms among primary-care providers. The aim of this study was to assess the anxiety a...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/PM.44.3.f

    authors: Shen LL,Lao LM,Jiang SF,Yang H,Ren LM,Ying DG,Zhu SZ

    更新日期:2012-01-01 00:00:00

  • When non-epileptic seizures fool the experts.

    abstract::Even when non-epileptic seizures are correctly diagnosed, appropriate treatment recommendations may not be fully or correctly implemented. We present a case of a 17-year-old girl with frequent non-epileptic seizures who presented for frequent trips to the emergency room (ER) and was admitted to an inpatient Child and ...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/PM.42.3.g

    authors: Nguyen ML,Shapiro MA,Demetree JM,White KA

    更新日期:2011-01-01 00:00:00

  • Perimenstrual psychosis among female adolescents: two case reports and an update of the literature.

    abstract:OBJECTIVES AND METHODS:Perimenstrual psychosis is an uncommon disorder, not included under the accepted classifications of functional psychoses. Our aim was to describe two Israeli female adolescents who fit this diagnosis. RESULTS:Both youngsters developed an acute psychosis a few days before menstruation, which subs...

    journal_title:International journal of psychiatry in medicine

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    authors: Stein D,Blumensohn R,Witztum E

    更新日期:2003-01-01 00:00:00

  • Forgiveness: Moving on can be healthy.

    abstract::Forgiveness as a procedure has been gaining prominence. The objective of this article is to provide the basics of forgiveness as an intervention so primary care clinicians can facilitate its use. These clinicians include but are not limited to physicians, nurses, medical assistants, pharmacy professionals, physical th...

    journal_title:International journal of psychiatry in medicine

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    doi:10.1177/0091217419885468

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    更新日期:2020-03-01 00:00:00

  • Family physicians' perceptions of psychosocial disorders: survey report and educational implications.

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    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.2190/174p-4nlg-qr2e-3npn

    authors: Stoudemire A,Thompson TL 2nd,Mitchell W,Grant RL

    更新日期:1982-01-01 00:00:00

  • The emergency treatment of the depressed patient with physical illness.

    abstract::Approaching individuals in the emergency situation presenting with medical illness and depression requires an understanding of psychologic, biologic, social, and existential factors that converge to create alterations in mood, thought, and behavior. Clinicians must understand how these same factors may be used in mana...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章,评审

    doi:10.2190/p2by-l94j-99p1-xaen

    authors: Slaby AE

    更新日期:1987-01-01 00:00:00

  • Positive association between serious psychiatric outcomes and complications of diabetes mellitus in patients with depressive disorders.

    abstract:OBJECTIVES:Depression and diabetes are closely biologically and behaviorally intertwined. We examined the impact of comorbid diabetes mellitus on the incidence of serious psychiatric outcomes among patients with depression. METHODS:We used claims data from the Korean Health Insurance Review & Assessment Service databa...

    journal_title:International journal of psychiatry in medicine

    pub_type: 杂志文章

    doi:10.1177/0091217415605024

    authors: Kim GM,Woo JM,Jung SY,Shin S,Song HJ,Park J,Ahn J

    更新日期:2015-01-01 00:00:00

  • Depression and diabetes in Iranian patients: a comparative study.

    abstract:OBJECTIVE:The aim of the present study was determine the rate of depression in people with diabetes in an Iranian population. METHOD:A hospital-based prospective study with a comparison group was conducted in Firozgar Teaching Hospital in Tehran, Iran. The condition of depression and relationship to diabetes was asses...

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    doi:10.2190/FP64-82V3-1741-842V

    authors: Khamseh ME,Baradaran HR,Rajabali H

    更新日期:2007-01-01 00:00:00

  • Small group interactive techniques utilizing videofeedback.

    abstract:OBJECTIVE:Development and evaluation of a method of training primary care providers in psychiatric skills which utilizes videofeedback of real and role-played consultations in a group setting. METHOD:The development of the basic training approach and additional material for teaching specific skills is described. Evalu...

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    pub_type: 杂志文章,评审

    doi:10.2190/U8MM-JX7Y-LT0T-RKPX

    authors: Gask L

    更新日期:1998-01-01 00:00:00