The interpretation of physical health complaints due to anxiety or hypochondria is often a form of physical symptoms dismiss persons who are not familiar with a medical facility, which in May this allows for the accounting and ‘medical insurance, scouring, which does not benefit of patients. These authors also discuss diseases are often associated with depression, such as heart failure, Parkinson’s disease and hypothyroidism, and medications, the cause of depression to side effects such as antihypertensive drugs and barbiturates. Emphasize the importance of distinguishing between the true symptoms of depression caused by illness or medication.
Although theoretically important, this distinction in May, little practical significance. It is assumed that the patients the drugs that are needed only when the CO occurring depression is, people in the areas of health and medicine to be taken into account when developing a treatment plan. When depression co-disease with a doctor, not reason to in particular, that the person more than is usually used to treat depression psychotherapy and / or antidepressants.
Many doctors have the belief that depression is more prevalent in older people is currently recognized and that the application of the same standards are used for the diagnosis for young people, many elderly people with depression and not go unnoticed. According to Cohen (1994), only 2-4% of older people with depression are diagnosed traditional criteria, while true incidence is 13 to 15%. Blazer et al. (1991) notes that in the assessment of depression in the elderly, the use of diagnostic criteria in May not to see many people with depression persons that elderly may not contain all the classic criteria for clinical depression, but a high frequency of symptoms. Health professionals attribute the biological causes of depression and noted that the relationship between age and depression be rebutted by factors such as disability, income and social isolation, which means that the influence of these variables and masks the true relationship. Incontournable, psychologists and sociologists tend to believe that depression due to disability, income and social isolation and May on the medical and biological conditions, such as confusion between depression and an aversion true relationship environment.
The close connection between health and depression among the elderly is apparently due to the psychological and social impact of the disease and non-organic because of the disease correlated authors estimated that less than 2% of depression in human couples are the biological changes associated with physical disease or drug side effects.
A similar approach marks a major international study by the World Health Organization (Simon et al., 1996), in which the physical and psychological complaints fifteen pages measured at intervention. At all locations, the current number of physical complaints (medical or unspecified) was significantly correlated with psychological suffering. There were no clear patterns in the context of geography or economic development. The evidence that poor physical health is the cause of psychological distress, and not coincidentally, is a study noted in Kennedy et al. (1991). The authors assessed women and men aged over 65 years, twice at an interval of two years. Not only a deterioration of health in connection with an ongoing of depressive symptoms, but a remission of depressive symptoms associated with better health.
The question remains why the physical health seems to be the cause or at least related to depression and why this proportion increases with age. Although the various declarations present themselves, the economy is perhaps the disease, the physical control in daily life. There is a large literature (see above), documenting the close connection between and persistent and depression. In youth, most of the chronic physical illnesses are not and are not associated with the long-term or permanent disability. However, as one ages, the probability of a disease or condition that causes chronic disability, reduced functional capacity or chronic pain is increasing, and these results led to a reduced ability to exert control on the daily lives and future events. The feeling of powerlessness is evident in depression. Since women exhibit a greater incidence of chronic disease than do men, this may partially explain the greater incidence of depression in women.
