Patient Decision Aid

Depression

Depression in Older Adults

1

Introduction

Who and why?
2

Priorities

Clarification exercise
3

Options

Explore the options
4

Decision

Make an informed choice
5

Profile

Summary of my process

Introduction

Who and why?

Depression is characterized by continuous feelings of sadness and worthlessness, and a lack of desire to engage in formerly pleasurable activities. It interferes with daily life and normal functioning. Depression may involve the body, mood, and thoughts. It may cause problems with thinking or memory and sometimes physical problems (pain, digestion problems, sleep problems, or fatigue).

Factors that increase the odds of experiencing depressive symptoms
Find out more

Up to 25% of older adults experience depressive symptoms. Depression is more frequent among older adults with heart disease (44%), cancer (40%), Parkinson's disease (40%), cognitive impairment (20-40%), or who have had a 30-60%).

Other factors that increase the risk of an older individual experiencing depression include poor sleep, misuse of alcohol or drugs, stressful life events, or family problems.

Any person who reports feeling depressed, or who has received a diagnosis of any depressive disorder, and wants to feel better.

Depending on your priorities, you may or may not decide to make a change. This choice is up to you because...

  • You are more likely to stick to a treatment you choose yourself.
  • Various options exist (activities, therapeutic interventions) to reduce depressive symptoms. These options can cause benefits or harms. It is difficult to predict how they will work for you.
  • Choosing an intervention or watchful waiting are both acceptable options in mild or moderate depression.
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We recommend that...

- The decision take into account the person’s values and priorities.

- The decision is shared among the healthcare professional, the person and, if necessary, the caregiver.


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Version: 1.0

Publication Date: Août 2023 - Evidence Update: Août 2023 - Next Update: Août 2023
© Laval University, 2018 - Conflict of Interests - Credits - References