However, depressive disorders ...

However, depressive mood disorders influence the manifestation of physical illness, limited treatment options due to low compliance of depressed patients. Meanwhile, long been observed and demonstrated in special studies, that depression will reduce the duration of life in coronary heart disease, myocardial infarction and other diseases. Growth to identify non-psychotic depression level is particularly evident in the observed patient population of elderly, with light and moderate depression, there are nearly 10 times more frequently than severe depression requiring hospitalization in the geriatric ward of psychiatric hospitals. Later age is regarded as a peak in the frequency of depressive disorders in patients somatic practices. It is known that elderly people are especially rarely use psychiatric help, not only because of reluctance to turn to such professionals. Often this is due to conventional views of health professionals who identify mental health symptoms, or to cases of irreversible age-related changes, or due to physical infirmities of old age. Difficulties in recognition of depression in older age are associated with the fact that older depressed patients are less likely to take their painful condition, preferring to see it as a psychological problem, involving for its explanation of the various circumstances of life. Virtually all of depressive symptoms in patients late age exhibit distinct age-related features [4.12]. Depression in later life - is primarily anxious depression. Characterized by a combination of bodily sensations of anxiety and ideatornoy its manifestations in the form of an influx of troubled thoughts to the concern of diverse content. Daily fluctuations of mood in depression of late life characterized not only by the deteriorating state of health in the morning, but also increased anxiety in the evening. Observed in later life phenomenon of somatization of depression is a major cause of difficulty in identifying and diagnosing these disorders, whereas, according to WHO [1], half of elderly depressed patients in general somatic practice, shows signs of masked depression. Well-known phenomenon in gerontopsihiatrii multivariate laid in an ambiguous interpretation of the genesis of depressive disorders in later life. Nosological spectrum of depressive states includes not only the endogenous depression, which was first developed or recurrent in later life, but also a large group of depressive reactions maladjustment, dysthymia, psychogenic-somatogenic depression (nozogenii). Has become more urgent depression of organic origin, including post stroke, the occurrence of which is not only due to the severity of the reaction of the person suffering, but more persistently associated with ipsilateral cerebral hemispheres. Intensive development of ideas about the early stages of dementia in Alzheimer's disease found the frequency of depressive symptoms and conditions at the onset of the disease.