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Real-World Light for Dark (or Dim) Tunnels

Jeffrey M. Lyness, MD

JAMA. 2004;291:1626-1628.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Long predicted age-demographic shifts are now a reality. The "graying" of the US population will accelerate in the next few years as the first cohorts of the baby boom generation reach the chronological milestones traditionally used to define older age. So it is appropriate that increased attention be paid to improving the quality of life for seniors. The article by Ciechanowski et al¹ in the current issue of THE JOURNAL and a recently published article by Bruce et al² do just that by presenting findings from effectiveness trials for depression in the elderly. These studies represent important advances and warrant consideration of their broader context.

Later life depression is a major public health problem. Depressive conditions in elderly persons are common, leading causes of functional disability and powerful risk factors for mortality from general medical conditions as well as suicide.^3-5 Pharmacological and psychotherapeutic treatments for geriatric . . . [Full Text of this Article]

Author Affiliation: Program in Geriatrics and Neuropsychiatry, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY.

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