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Depression and the Elderly
1 We all feel sad at times. However, clinical depression is a serious matter. Clinical depression, sometimes called major depression, is a biologically based brain disorder that affects one’s thoughts, feelings, behavior, and physical health. When people complain that they feel terrible, they have no interest or take no pleasure in things, have trouble sleeping, lack energy, have poor appetite, or cannot concentrate, depression is a definite possibility.
2 Depression in its many forms affects more than 6.5 million of the 35 million Americans who are 65 years or older. Most older people with depression have been suffering from episodes (发作) of the illness during much of their lives. For others, depression has a first onset (起病) in late life - even for those in their 80s and 90s. Depression in older persons is closely associated with dependency and disability and causes great suffering for the individual and the family.
3 Many older people and their families don’t recognize the symptoms of depression, aren’t aware that it is a medical illness, and don’t know how it is treated Others may mistake the symptoms of depression as signs of dementia (痴呆). Also, many older people think that depression is a character flaw (缺陷) and are worried about being stigmatized (给...带来耻辱), so they blame themselves for their illness and are too ashamed (羞耻的) to get help. Others worry that treatment would be too costly.
4 Older persons with depression rarely seek treatment for the illness. Unrecognized and untreated depression has fatal consequences in terms of both suicide and non-suicide mortality (死亡率). The highest rate of suicide in the US is among older white men. Depression is the single most significant risk factor for suicide in that population. Tragically, many of those people who go on to commit suicide have reached out for help — 20% see a doctor the day they die, 40% the week they die, and 70% in the month they die. Yet depression is frequently missed.
Many older people commit suicide as a result of ______ .

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F
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The study was the first to tell the difference between 7 and 8 hours of sleep a night. A. Right B. Wrong C. Not mentioned
Although it is a common belief that sleeping for at least eight hours a night is vital for health and well—being. the six. year study involving more than 1. 1 million Americans older than 30 found that those who slept for less than eight hours were far from doing themselves any long—term harm。
"Individuals who now average 6. 5 hours of sleep a night Can be reassured that this is a safe amount of sleep. From a health standpoint。there is no reason to sleep longer," said Daniel Kripke , a professor of psychiatry(精神病学)at the University of California, San Diego.
Dr. Kripke said. "We don’t know if long sleep periods lead to death. Additional studies are needed to determine if setting your alarm clock earlier will actually improve your health. "
The scientists. who were funded by the American Cancer Society, found at the best survival rates were among the men and women who slept for seven hours a night. Those who
slept for eight hours were 12 per cent more likely to die during the six—year period of the study,
when other factors such as diet and smoking were taken into account.
Even those who spent a mere five hours a night in bed lived longer than those who slept eight or more hours. However, an increasing death rate was found among those who slept for less than five hours.
Dr. Kripke said. "Previous sleep studies have indicated that both short-and long-duration(持续时间)sleep had higher mortality rates. However, none of those studies were large enough to distinguish the difference between seven and eight hours a night, until flow. \