Is there a difference between elderly and younger patients with regard to the symptomatology and aetiology of depression?
There are some differences between younger and older people regarding the symptomatology of depressive disorders. Elderly people report less depressed mood. There is a high rate of anxiety in elderly patients with major depressive disorders compared with younger depressive patients. The high coexistence of anxiety and depression in the elderly suggests that depression is part of a depression-anxiety syndrome. Depression in elderly people is often hidden behind somatic symptoms, either because of somatization of the disorder or because of accentuation of symptoms of concomitant illness. Cognitive impairment caused by depression is usually referred to as pseudo-dementia or depression with dementia, and it is important to differentiate this condition from predementia. These types of symptoms are more common in elderly than in younger patients. Psychotic symptoms are also seen to a greater extent in the elderly. Some of the differences seen between younger and older people regarding the sy
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