Perioperative Anxiety and Depression in Older Adults: Epidemiology and Treatment.

ABSTRACT: The intervals before and after major surgery is a high-risk period for older adults; in this setting, anxiety and depression are common and serious problems. We comprehensively reviewed current evidence on perioperative anxiety and depression in older adults, focusing on epidemiology, impact, correlates, medication risks, and treatment. Principles of perioperative mental healthcare are proposed based on the findings. Prevalence estimates of clinically significant anxiety and depression range from 5% to 45% for anxiety and 6% to 52% for depression, depending on surgical populations and measurement tools. Anxiety and depression may increase risk for surgical complications and reduce patient participation during rehabilitation. Medical comorbidities, pain, insomnia, cognitive impairment, and

SUBMITTER: Srifuengfung M 

PROVIDER: S-EPMC10592367 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature