Discuss psychosocial challenges in older adults.

Discuss psychosocial challenges in older adults:--

Depression and Depressive Symptoms

Older adults with diabetes experience disproportionately high rates of depression and depressive symptoms. An estimated 14%–28% of older adults with diabetes have depression, which is two to four times higher than that the general population aged 65 and older. Depression negatively impacts adherence to self-care regimens and contributes to worsening glycemic control. Further, depression is associated with the presence of serious complications (e.g., retinopathy, neuropathy, nephropathy, macrovascular complications of cardiovascular disease, hypertension, and sexual dysfunction, poor physical functioning, increased hospitalization and mortality. Depression in older adults is particularly troublesome given that global suicide rates are highest in people aged 70 years and older. Thus, timely diagnosis and treatment of depression is necessary to mitigate risk of suicide and improve self-care and clinical outcomes among older adults with diabetes.

Diabetes Distress

Older adults experience diabetes distress, which is distinct from depression as distress develops from living with diabetes. Diabetes distress includes frustration with self-care, concerns about diabetes complications and the future, worries about the quality of medical care and ________ ___ _____ ________ ________.
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