Dépression du sujet âgé. Quelles différences de prise en charge en pratique ? (notice n° 648158)
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| fixed length control field | 04509cam a2200313 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121183811.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Le Bivic, Guillaume |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Dépression du sujet âgé. Quelles différences de prise en charge en pratique ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2023.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 36 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background. Management of depression in the elderly is a growing public health issue in France. The objective of this study was to compare practitioners’ perception of depression severity (i.e., intensity and suicidal risk) and clinical practice (i.e., clinical assessment and medication choice) in elderly versus younger adult patients with major depression. Materials and method. The method consisted of an online questionnaire completed by general practitioners and psychiatrists. Respondents’answers to a fictive case of a patient with major depression were randomized according to the patient’s age, if the patient’age was either 40 or 70 years old. We assessed the perceived intensity of the depression, the perceived suicidal risk, the prescription of biological tests and cerebral imaging, and of antidepressive or other psychotropic medications. 102 completed forms were included. Data indicate that there were no significant differences in terms of perceived depression intensity and suicidal risk according to the patients’age. The prescription of biological tests was systematic in both groups, but a significant difference was observed in terms of prescription of brain imaging (71% of respondents for the 70-year-old patient versus 43% for the 40-year-old patient, p < 0.005), use of tetracyclic antidepressant (33% if aged 70 years versus 2% if aged 40 years, p < 0.001) and other psychotropic non-antidepressant medications (69% if aged 70 years versus 85% if aged 40 years, p < 0.05). This study did not show any significant difference in the perception of depression according to age. However, it highlights differences in terms of practical care according to age. These results suggest a partial gap between clinical practice and guidelines for the management of major depression in older adults, reflecting the need to favor the dissemination of guidelines and strengthen research for this population. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Contexte. Cette étude s’intéresse à la perception de la dépression par les praticiens, ainsi que de leur pratique clinique en fonction de l’âge du patient. Matériel et méthodes.Un questionnaire en ligne a été complété par 102 médecins. Après randomisation, les répondants étaient interrogés sur un cas fictif d’une patiente présentant une dépression caractérisée, âgée soit de 40 ans, soit de 70 ans. Ont été évalués : l’intensité perçue de la dépression, le risque suicidaire perçu, la prescription d’un bilan biologique, d’une imagerie cérébrale, et le choix du traitement médicamenteux. Résultats. Les résultats indiquent l’absence de différence significative en termes de perception de l’intensité dépressive perçue et du risque suicidaire. La prescription du bilan biologique est systématique dans les deux groupes. On observe en revanche une différence significative en termes de prescription d’imagerie cérébrale (71 % si 70 ans versus 43 % si 40 ans), d’antidépresseur tétracyclique (33 % si 70 ans versus 2 % si 40 ans) et d’autres traitements psychotropes hors antidépresseurs (69 % si 70 ans versus 85 % si 40 ans). Conclusion. Les différences observées pourraient illustrer un écart partiel entre la pratique clinique et les recommandations de bonnes pratiques pour le sujet âgé, reflétant la nécessité d’une meilleure diffusion des recommandations de bonnes pratiques et d’un renforcement de la recherche pour cette population de fréquence croissante. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | antidépresseurs |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dépression |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sujet âgé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | benzodiazépines |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | clinical practice |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | antidepressants |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | elderly |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | depression |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | benzodiazepines |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Limosin, Frédéric |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lemogne, Cédric |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hoertel, Nicolas |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 21 | 2 | 2023-04-09 | p. 268-276 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2023-2-page-268?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2023-2-page-268?lang=fr&redirect-ssocas=7080</a> |
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