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Review

The Frail Depressed Patient: A Narrative Review on Treatment Challenges

ORCID Icon, ORCID Icon, , &
Pages 979-990 | Published online: 22 Jun 2022

References

  • Taylor WD, Solomon CG; Clinical practice. Depression in the elderly. N Engl J Med. 2014;371(13):1228–1236. doi:10.1056/NEJMcp1402180
  • Préville M, Mechakra Tahiri SD, Vasiliadis HM, et al. Association between perceived social stigma against mental disorders and use of health services for psychological distress symptoms in the older adult population: validity of the STIG scale. Aging Ment Health. 2015;19(5):464–474. doi:10.1080/13607863.2014.944092
  • Balsamo M, Cataldi F, Carlucci L, Padulo C, Fairfield B. Assessment of late-life depression via self-report measures: a review. Clin Interv Aging. 2018;13:2021–2044. doi:10.2147/CIA.S178943
  • Dent E, Morley JE, Cruz-Jentoft AJ, et al. Physical frailty: ICFSR International clinical practice guidelines for identification and management. J Nutr Health Aging. 2019;23(9):771–787. doi:10.1007/s12603-019-1273-z
  • Vermeiren S, Vella-Azzopardi R, Beckwée D, et al.; Gerontopole Brussels Study group. Frailty and the prediction of negative health outcomes: a meta-analysis. J Am Med Dir Assoc. 2016;17(12):1163.e1–1163.e17. doi:10.1016/j.jamda.2016.09.010
  • Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392–397. doi:10.1016/j.jamda.2013.03.022
  • Beekman AT, Copeland JR, Prince MJ. Review of community prevalence of depression in later life. Br J Psychiatry. 1999;174(4):307–311. doi:10.1192/bjp.174.4.307
  • Luppa M, Sikorski C, Luck T, et al. Age- and gender-specific prevalence of depression in latest-life–systematic review and meta-analysis. J Affect Disord. 2012;136(3):212–221. doi:10.1016/j.jad.2010.11.033
  • Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Lancet. 2019;394(10206):1365–1375. doi:10.1016/S0140-6736(19)31786-6
  • Fried LP, Tangen CM, Walston J, et al.; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol a Biol Sci Med Sci. 2001;56(3):M146–56. doi:10.1093/gerona/56.3.m146
  • Mitnitski AB, Mogilner AJ, Rockwood K. Accumulation of deficits as a proxy measure of aging. Sci World J. 2001;1:323–336. doi:10.1100/tsw.2001.58
  • O’Caoimh R, Sezgin D, O’Donovan MR, et al. Prevalence of frailty in 62 countries across the world: a systematic review and meta-analysis of population-level studies. Age Ageing. 2021;50(1):96–104. doi:10.1093/ageing/afaa219
  • Mezuk B, Edwards L, Lohman M, Choi M, Lapane K. Depression and frailty in later life: a synthetic review. Int J Geriatr Psychiatry. 2012;27(9):879–892. doi:10.1002/gps.2807
  • Mezuk B, Lohman M, Dumenci L, Lapane KL. Are depression and frailty overlapping syndromes in mid- and late-life? A latent variable analysis. Am J Geriatr Psychiatry. 2013;21(6):560–569. doi:10.1016/j.jagp.2012.12.019
  • Lohman M, Dumenci L, Mezuk B. Depression and frailty in late life: evidence for a common vulnerability. J Gerontol B Psychol Sci Soc Sci. 2016;71(4):630–640. doi:10.1093/geronb/gbu180
  • Soysal P, Veronese N, Thompson T, et al. Relationship between depression and frailty in older adults: a systematic review and meta-analysis. Ageing Res Rev. 2017;36:78–87. doi:10.1016/j.arr.2017.03.005
  • Brown PJ, Roose SP, O’Boyle KR, et al. Frailty and its correlates in adults with late life depression. Am J Geriatr Psychiatry. 2020;28(2):145–154. doi:10.1016/j.jagp.2019.10.005
  • Collard RM, Comijs HC, Naarding P, Oude Voshaar RC. Physical frailty: vulnerability of patients suffering from late-life depression. Aging Ment Health. 2014;18(5):570–578. doi:10.1080/13607863.2013.827628
  • Chu W, Chang SF, Ho HY, Lin HC. The relationship between depression and frailty in community-dwelling older people: a systematic review and meta-analysis of 84,351 older adults. J Nurs Scholarsh. 2019;51(5):547–559. doi:10.1111/jnu.12501
  • Lakey SL, LaCroix AZ, Gray SL, et al. Antidepressant use, depressive symptoms, and incident frailty in women aged 65 and older from the women’s health initiative observational study. J Am Geriatr Soc. 2012;60:854–861. doi:10.1111/j.1532-5415.2012.03940.x
  • Paulson D, Lichtenberg PA. Vascular depression: an early warning sign of frailty. Aging Ment Health. 2013;17(1):85–93. doi:10.1080/13607863.2012.692767
  • Aprahamian I, Suemoto CK, Lin SM, et al. Depression is associated with self-rated frailty in older adults from an outpatient clinic: a prospective study. Int Psychogeriatr. 2018;13:1–10. doi:10.1017/S104161021800100X
  • Zhang N, Shi GP, Wang Y, et al. Depressive symptoms are associated with incident frailty in a Chinese population: the Rugao Longevity and Aging Study. Aging Clin Exp Res. 2020;32(11):2297–2302. doi:10.1007/s40520-019-01409-x
  • Borges MK, Romanini CV, Lima NA, et al. Longitudinal association between Late-Life Depression (LLD) and Frailty: findings from a Prospective Cohort Study (MiMiCS-FRAIL). J Nutr Health Aging. 2021;25(7):895–902. doi:10.1007/s12603-021-1639-x
  • Da Mata FAF, Miranda Forte Gomes M, Lício Ferreira Santos J, Apareci da de Oliveira Duarte Y, Gomes PM. Depression and frailty in older adults: a population-based cohort study. PLoS One. 2021;16(3):e0247766. doi:10.1371/journal.pone.0247766
  • Prina AM, Stubbs B, Veronese N, et al. Depression and incidence of frailty in older people from six Latin American Countries. Am J Geriatr Psychiatry. 2019;27(10):1072–1079. doi:10.1016/j.jagp.2019.04.008
  • Feng L, Nyunt MSZ, Feng L, Yap KB, Ng TP. Frailty predicts new and persistent depressive symptoms among community-dwelling older adults: findings from Singapore longitudinal aging study. J Am Med Dir Assoc. 2014;15(1):76.e7–76.e12. doi:10.1016/j.jamda.2013.10.001
  • Makizako H, Shimada H, Doi T, et al. Physical frailty predicts incident depressive symptoms in elderly people: prospective findings from the Obu Study of Health Promotion for the Elderly. J Am Med Dir Assoc. 2015;16(3):194–199. doi:10.1016/j.jamda.2014.08.017
  • Collard RM, Comijs HC, Naarding P, et al. Frailty as a predictor of the incidence and course of depressed mood. J Am Med Dir Assoc. 2015;16(6):509–514. doi:10.1016/j.jamda.2015.01.088
  • Collard RM, Arts MHL, Schene AH, Naarding P, Oude Voshaar RC, Comijs HC. The impact of frailty on depressive disorder in later life: findings from the Netherlands Study of depression in older persons. Eur Psychiatry. 2017;43:66–72. doi:10.1016/j.eurpsy.2017.01.003
  • Veronese N, Solmi M, Maggi S, et al. Frailty and incident depression in community-dwelling older people: results from the ELSA study. Int J Geriatr Psychiatry. 2017;32(12):e141–e149. doi:10.1002/gps.4673
  • Chu XF, Zhang N, Shi GP, et al. Frailty and incident depressive symptoms in a Chinese sample: the Rugao Longevity and Ageing Study. Psychogeriatrics. 2020;20(5):691–698. doi:10.1111/psyg.12565
  • Diniz BS. The molecular intersection between senescence and major depression in the elderly. Am J Geriatr Psychiatry. 2018;26(11):1097–1105. doi:10.1016/j.jagp.2018.07.005
  • Brown PJ, Rutherford BR, Yaffe K, et al. The depressed frail phenotype: the clinical manifestation of increased biological aging. Am J Geriatr Psychiatry. 2016;24(11):1084–1094. doi:10.1016/j.jagp.2016.06.005
  • Miloyan B, Fried E. A reassessment of the relationship between depression and all-cause mortality in 3,604,005 participants from 293 studies. World Psychiatry. 2017;16(2):219–220. doi:10.1002/wps.20439
  • Cuijpers P, Vogelzangs N, Twisk J, Kleiboer A, Li J, Penninx BW. Comprehensive meta-analysis of excess mortality in depression in the general community versus patients with specific illnesses. Am J Psychiatry. 2014;171(4):453–462. doi:10.1176/appi.ajp.2013.13030325
  • Oude Voshaar RC, Jeuring HW, Borges MK, et al. Course of frailty stratified by physical and mental multimorbidity patterns: a 5-year follow-up of 92,640 participants of the LifeLines cohort study. BMC Med. 2021;19(1):29. doi:10.1186/s12916-021-01904-x
  • Nguyen QD, Wu C, Odden MC, et al. Multimorbidity patterns, frailty, and survival in community-dwelling older adults. J Gerontol a Biol Sci Med Sci. 2019;75(8):1265–1270. doi:10.1093/gerona/gly205
  • Arts MHL, van den Berg KS, Marijnissen RM, et al. Frailty as a predictor of mortality in late-life depression: a prospective clinical cohort study. J Clin Psychiatry. 2021;82(3):20m13277. doi:10.4088/JCP.20m13277
  • Oude Voshaar RC, Dimitriadis M, vandenBrink RHS, et al. A 6-year prospective clinical cohort study on the bidirectional association between frailty and depressive disorder. Int J Geriatr Psychiatry. 2021;36(11):1699–1707. doi:10.1002/gps.5588
  • Tedeschini E, Levkovitz Y, Iovieno N, Ameral VE, Nelson JC, Papakostas GI. Efficacy of antidepressants for late-life depression: a meta-analysis and meta-regression of placebo-controlled randomized trials. J Clin Psychiatry. 2011;72(12):1660–1668. doi:10.4088/JCP.10r06531
  • Schaakxs R, Comijs HC, Lamers F, Kok RM, Beekman ATF, Penninx BWJH. Associations between age and the course of major depressive disorder: a 2-year longitudinal cohort study. Lancet Psychiatry. 2018;5(7):581–590. doi:10.1016/S2215-0366(18)30166-4
  • Calati R, Salvina Signorelli M, Balestri M, et al. Antidepressants in elderly: metaregression of double-blind, randomized clinical trials. J Affect Disord. 2013;147(1–3):1–8. doi:10.1016/j.jad.2012.11.053
  • Benraad CE, Kamerman-Celie F, van Munster BC, Oude Voshaar RC, Spijker J, Olde Rikkert MG. Geriatric characteristics in randomised controlled trials on antidepressant drugs for older adults: a systematic review. Int J Geriatr Psychiatry. 2016;31(9):990–1003. doi:10.1002/gps.4443
  • Mallery L, MacLeod T, Allen M, et al. Systematic review and meta-analysis of second-generation antidepressants for the treatment of older adults with depression: questionable benefit and considerations for frailty. BMC Geriatr. 2019;19(1):306. doi:10.1186/s12877-019-1327-4
  • Mallery LH, Ransom T, Steeves B, Cook B, Dunbar P, Moorhouse P. Evidence-informed guidelines for treating frail older adults with type 2 diabetes: from the Diabetes Care Program of Nova Scotia (DCPNS) and the Palliative and Therapeutic Harmonization (PATH) program. J Am Med Dir Assoc. 2013;14(11):801–808. doi:10.1016/j.jamda.2013.08.002
  • Mallery LH, Moorhouse P, McLean Veysey P, Allen M, Fleming I. Severely frail elderly patients do not need lipid-lowering drugs. Cleve Clin J Med. 2017;84(2):131–142. doi:10.3949/ccjm.84a.15114
  • Lin SM, Borges MK, de Siqueira ASS, et al. Serotonin receptor inhibitor is associated with falls independent of frailty in older adults. Aging Ment Health. 2021;25(2):219–224. doi:10.1080/13607863.2019.1675143
  • Brown PJ, Ciarleglio A, Roose SP, et al. Frailty worsens antidepressant treatment outcomes in late life depression. Am J Geriatr Psychiatry. 2021;29(9):944–955. doi:10.1016/j.jagp.2020.12.024
  • Rutherford BR, Slifstein M, Chen C, et al. Effects of L-DOPA monotherapy on psychomotor speed and [11C]raclopride binding in high-risk older adults with depression. Biol Psychiatry. 2019;86(3):221–229. doi:10.1016/j.biopsych.2019.04.007
  • Lavretsky H, Reinlieb M, St Cyr N, Siddarth P, Ercoli LM, Senturk D. Citalopram, methylphenidate, or their combination in geriatric depression: a randomized, double-blind, placebo-controlled trial. Am J Psychiatry. 2015;172(6):561–569. doi:10.1176/appi.ajp.2014.14070889
  • Tundo A, de Filippis R, De Crescenzo F. Pramipexole in the treatment of unipolar and bipolar depression. A systematic review and meta-analysis. Acta Psychiatr Scand. 2019;140(2):116–125. doi:10.1111/acps.13055
  • Cuijpers P, Karyotaki E, Eckshtain D, et al. Psychotherapy for depression across different age groups: a systematic review and meta-analysis. JAMA Psychiatry. 2020;77(7):694–702. doi:10.1001/jamapsychiatry.2020.0164
  • Beltman MW, Voshaar RC, Speckens AE. Cognitive-behavioural therapy for depression in people with a somatic disease: meta-analysis of randomised controlled trials. Br J Psychiatry. 2010;197(1):11–19. doi:10.1192/bjp.bp.109.064675
  • Miguel C, Karyotaki E, Ciharova M, Cristea IA, Penninx BWJH, Cuijpers P. Psychotherapy for comorbid depression and somatic disorders: a systematic review and meta-analysis. Psychol Med. 2021;18:1–11. doi:10.1017/S0033291721004414
  • Delgadillo J, Dawson A, Gilbody S, Böhnke JR. Impact of long-term medical conditions on the outcomes of psychological therapy for depression and anxiety. Br J Psychiatry. 2017;210(1):47–53. doi:10.1192/bjp.bp.116.189027
  • Hetlevik O, Garre-Fivelsdal G, Bjorvatn B, Hjørleifsson S, Ruths S. Patient-reported depression treatment and future treatment preferences: an observational study in general practice. Fam Pract. 2019;36:771–777. doi:10.1093/fampra/cmz026
  • Wuthrich VM, Frei J. Barriers to treatment for older adults seeking psychological therapy. Int Psychogeriatr. 2015;27(7):1227–1236. doi:10.1017/S1041610215000241
  • Andrew MK, Fisk JD, Rockwood K. Psychological well-being in relation to frailty: a frailty identity crisis? Int Psychogeriatr. 2012;24(8):1347–1353. doi:10.1017/S1041610212000269
  • Cohen-Mansfield J, Skornick-Bouchbinder M, Brill S. Trajectories of end of life: a systematic review. J Gerontol B Psychol Sci Soc Sci. 2018;73(4):564–572. doi:10.1093/geronb/gbx093
  • Vogel N, Schilling OK, Wahl H-W, Beekman ATF, Penninx BWJH. Time-to-death-related change in positive and negative affect among older adults approaching the end of life. Psychol Aging. 2013;28(1):128–141. doi:10.1037/a0030471
  • Fillit H, Butler RN. The frailty identity crisis. J Am Geriatr Soc. 2009;57(2):348–352. doi:10.1111/j.1532-5415.2008.02104.x
  • Duppen RD, Machielse A, Verté RD, Dury S, De Donder L, Consortium DS. Meaning in life for socially frail older adults. J Community Health Nurs. 2019;36(2):65–77. doi:10.1080/07370016.2019.1582160
  • Frost R, Beattie A, Bhanu C, Walters K, Ben-Shlomo Y. Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies. Br J Gen Pract. 2019;69(680):e171–e181. doi:10.3399/bjgp19X701297
  • Hayes SC, Strosahl KD, Wilson KG, eds. Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. 2nd ed. New York: The Guilford Press; 2012.
  • Zettle RD. The evolution of a contextual approach to therapy: from comprehensive distancing to ACT. Int J Behav Consult Ther. 2005;1:77–89. doi:10.1037/h0100736
  • Twohig MP, Levin ME. Acceptance and commitment therapy as a treatment for anxiety and depression: a review. Psychiatr Clin North Am. 2017;40(4):751–770. doi:10.1016/j.psc.2017.08.009
  • Bai Z, Luo S, Zhang L, Wu S, Chi I. Acceptance and Commitment Therapy (ACT) to reduce depression: a systematic review and meta-analysis. J Affect Disord. 2020;260:728–737. doi:10.1016/j.jad.2019.09.040
  • Hughes LS, Clark J, Colclough JA, Dale E, McMillan D. Acceptance and Commitment Therapy (ACT) for chronic pain: a systematic review and meta-analyses. Clin J Pain. 2017;33(6):552–568. doi:10.1097/AJP.0000000000000425
  • Maghsoudi Z, Razavi Z, Razavi M, Javadi M. Efficacy of acceptance and commitment therapy for emotional distress in the elderly with type 2 diabetes: a randomized controlled trial. Diabetes Metab Syndr Obes. 2019;12:2137–2143. doi:10.2147/DMSO.S221245
  • Zhao C, Lai L, Zhang L, et al. The effects of acceptance and commitment therapy on the psychological and physical outcomes among cancer patients: a meta-analysis with trial sequential analysis. J Psychosom Res. 2021;140:110304. doi:10.1016/j.jpsychores.2020.110304
  • Wetherell JL, Petkus AJ, Alonso-Fernandez M, Bower ES, Steiner AR, Afari N. Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain. Int J Geriatr Psychiatry. 2016;31(3):302–308. doi:10.1002/gps.4330
  • Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. Clin Psychol. 2003;144–156. doi:10.1093/clipsy.bpg016
  • de Frias CM, Whyne E. Stress on health-related quality of life in older adults: the protective nature of mindfulness. Aging Ment Health. 2015;19(3):201–206. doi:10.1080/13607863.2014.924090
  • Epel E, Daubenmier J, Moskowitz JT, Folkman S, Blackburn E. Can meditation slow rate of cellular aging? Cognitive stress, mindfulness, and telomeres. Ann N Y Acad Sci. 2009;1172(1):34–53. doi:10.1111/j.1749-6632.2009.04414.x
  • Li SYH, Bressington D. The effects of mindfulness-based stress reduction on depression, anxiety, and stress in older adults: a systematic review and meta-analysis. Int J Ment Health Nurs. 2019;28(3):635–656. doi:10.1111/inm.12568
  • Geiger PJ, Boggero IA, Brake CA, et al. Mindfulness-based interventions for older adults: a review of the effects on physical and emotional well-being. Mindfulness. 2016;7(2):296–307. doi:10.1007/s12671-015-0444-1
  • Butler RN. The life review: an interpretation of reminiscence in the aged. Psychiatry. 1963;26(1):65–76. doi:10.1080/00332747.1963.11023339
  • Butler RN. Successful aging and the role of the life review. J Am Geriatr Soc. 1974;22(12):529–535. doi:10.1111/j.1532-5415.1974.tb04823.x
  • Lan X, Xiao H, Chen Y, Zhang X. Effects of life review intervention on life satisfaction and personal meaning among older adults with frailty. J Psychosoc Nurs Ment Health Serv. 2018;56(7):30–36. doi:10.3928/02793695-20180305-01
  • Dent E, Martin FC, Bergman H, Woo J, Romero-Ortuno R, Walston JD. Management of frailty: opportunities, challenges, and future directions. Lancet. 2019;394(10206):1376–1386. doi:10.1016/S0140-6736(19)31785-4
  • Negm AM, Kennedy CC, Thabane L, et al. Management of frailty: a systematic review and network meta-analysis of randomized controlled trials. J Am Med Dir Assoc. 2019;20(10):1190–1198. doi:10.1016/j.jamda.2019.08.009
  • Klil-Drori S, Klil-Drori AJ, Pira S, Rej S. Exercise intervention for late-life depression: a meta-analysis. J Clin Psychiatry. 2020;81(1):19r12877. doi:10.4088/JCP.19r12877
  • Pérez-López FR, Martínez-Domínguez SJ, Lajusticia H, Chedraui P; Health Outcomes Systematic Analyses Project. Effects of programmed exercise on depressive symptoms in midlife and older women: a meta-analysis of randomized controlled trials. Maturitas. 2017;106:38–47. doi:10.1016/j.maturitas.2017.09.001
  • Swan L, Horgan NF, Cummins V, et al. Embedding physical activity within community home support services for older adults in Ireland a qualitative study of barriers and enablers. Clin Interv Aging. 2022;17:223–234. doi:10.2147/CIA.S351431
  • Murukesu RR, Singh DKA, Shahar S, Subramaniam P. Physical activity patterns, psychosocial well-being and coping strategies among older persons with cognitive frailty of the “WE-RISE” trial throughout the COVID-19 movement control order. Clin Interv Aging. 2021;16:415–429. doi:10.2147/CIA.S290851
  • Cezar NOC, Aprahamian I, Ansai JH, et al. Feasibility of reducing frailty components in older adults with Alzheimer’s dementia: a randomized controlled home-based exercise trial (AD-HOMEX). Exp Gerontol. 2021;150:111390. doi:10.1016/j.exger.2021.111390
  • Ge ML, Simonsick EM, Dong BR, Kasper JD, Xue QL. Frailty, with or without cognitive impairment, is a strong predictor of recurrent falls in a US Population-representative sample of older adults. J Gerontol a Biol Sci Med Sci. 2021;76(11):e354–e360. doi:10.1093/gerona/glab083
  • Espinoza SE, Musi N, Wang CP, et al. Rationale and study design of a randomized clinical trial of metformin to prevent frailty in older adults with prediabetes. J Gerontol a Biol Sci Med Sci. 2020;75(1):102–109. doi:10.1093/gerona/glz078
  • Hazuda HP, Pan Q, Florez H, et al. Association of intensive lifestyle and metformin interventions with frailty in the diabetes prevention program outcomes study. J Gerontol a Biol Sci Med Sci. 2021;76(5):929–936. doi:10.1093/gerona/glaa295
  • Köhler-Forsberg O, Lydholm CN, Hjorthøj C, Nordentoft M, Mors O, Benros ME. Efficacy of anti-inflammatory treatment on major depressive disorder or depressive symptoms: meta-analysis of clinical trials. Acta Psychiatr Scand. 2019;139(5):404–419. doi:10.1111/acps.13016
  • Decade of healthy ageing: baseline report. Geneva: World Health Organization; 2020. Available from: https://www.who.int/publications/i/item/9789240023307. Accessed June 17, 2022.
  • Wassink-Vossen S, Collard RM, Wardenaar KJ, et al. Trajectories and determinants of functional limitations in late-life depression: a 2-year prospective cohort study. Eur Psychiatry. 2019;62:90–96. doi:10.1016/j.eurpsy.2019.09.003
  • Aprahamian I, Suemoto CK, Lin SM, et al. Depression is associated with self-rated frailty in older adults from an outpatient clinic: a prospective study. Int Psychogeriatr. 2019;31(3):425–434. doi:10.1017/S104161021800100X
  • Jung HW, Jin T, Baek JY, et al. Functional age predicted by electronic short physical performance battery can detect frailty status in older adults. Clin Interv Aging. 2020;15:2175–2182. doi:10.2147/CIA.S280542