Depression in Geriatric Cancer Patients: Guide to Assessment and Treatment

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Abstract
It is estimated that as many as one half of geriatric cancer patients will experience significant depressive symptoms. This paper presents a diagnostic and management approach for this population that includes both the biological and psychosocial dimensions. Because a significant percentage of patients presumed to have depression actually turn out to have an underlying organic mental disorder, this paper reviews the medical evaluation pertinent to depressive symptoms in the geriatric cancer population. Psychosocial issues addressed include concerns about death, disfigurement, disability, and dependence, and disruption of key relationships. Finally, this paper discusses the use of antidepressant medication in this population.