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A recently published consensus statement reviewed unmet needs in the diagnosis and treatment of mood disorders in the elderly, concluding that late-life bipolar disorder, in particular, is "remarkably understudied." The Depression and Bipolar Support Alliance (formerly the National Depressive and Manic-Depressive Association) convened a panel that consisted of experts in late-life mood disorders, geriatrics, primary care, mental health and aging policy research and advocacy. In addition to identifying unmet needs in the area of mood disorders, the expert panel defined a research agenda for exploration of issues related to risk factors, diagnosis, treatment and services.
"Depression is widespread in the older population; however, contrary to popular belief, it is not a normal part of aging," said Charles F. Reynolds, III, M.D., Professor of Psychiatry at the University of Pittsburgh School of Medicine, who led the conference.
Risk factors
The panel noted that correlates of depression, such as social isolation, may be both risk factors as well as consequences of depression. These correlates include medical illness, functional disability, family and personal histories of mood disorders, social isolation, life stressors, bereavement and other losses. A number of medical illnesses have been…