Causes of depression
Depression can be caused by a combination of factors. It can be related to family history or a past experience of depression. Depression could be triggered by a sudden distressing event or a series of losses.
Older people often have multiple health problems or take medications that can cause side effects that contribute to depression. Older people with heart disease or stroke are also at risk of depression.
Depression has been linked to physical changes in the brain which affect mood, sleep, thinking and behaviour. A disruption to the way the brain sends messages and an imbalance of important chemicals called neurotransmitters also occurs.
Depression in older people occurs for many reasons. A number of factors can increase the risk of depression in older people.
Risk factors associated with depression include but are not limited to:
- Medical conditions such as heart disease, stroke and dementia
- Bereavement
- Side effects of medications
- Thyroid problems
- Nutritional deficiency
- Living alone
- Disability and loss of independence
- Past history of depression
- Major life changes, retirement, moving into residential care
- Chronic pain
Distinguishing depression from dementia can be difficult as both cause changes to memory and thinking. Dementia can often mask the symptoms of depression.
People with dementia won't necessarily be able to communicate how they are feeling making diagnosing depression difficult. Recent changes in behaviour or a decline in physical wellbeing may be a better indicator of depression in people with dementia.
Related articles
References
Black Dog Institute
Depression in over 65s
Accessed 16/08/08
Beyond Blue
Fact sheet 17, Depression in older people
Accessed 16/08/08



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