Differentiation between depressive conditions with cognitive impairment and dementia in the elderly
DOI:
https://doi.org/10.25118/2763-9037.2011.v1.872Keywords:
cognitive impairment, depression, insanity, elderlyAbstract
Depressive disorder in the elderly has a high prevalence rate and the diagnostic criteria are similar to those for depressive disorder in younger adults. However, epidemiological evidence shows that depression in the elderly may present some specific characteristics, such as cognitive symptoms that persist even after remission of depressive symptoms. The main cognitive changes observed in depression in the elderly are changes in subcortical functions, while in dementia the changes occur in cortical areas. However, memory changes and depressive symptoms may be the initial symptoms of Alzheimer's. Differentiating between depressive conditions with cognitive impairment and dementia is necessary and of great importance for the correct institution of appropriate therapeutic measures for each condition.
Downloads
Metrics
References
Alexopoulos GS, Vrontou C, Kakuma T et al. Disability in geriatric depression. AM J Psychiatry 1996; 153(7):877-85. DOI: https://doi.org/10.1176/ajp.153.7.877
Alexopulos GS, Kiosses DN, Klimstra S, Kalayam B, and Bruce ML. Clinical presentation of the “Depression--Executive Dysfunction Syndrome” of late life. Am J Geriat Psychiatry, 2002; 10,: 98-106. DOI: https://doi.org/10.1097/00019442-200201000-00012
Alexopoulos GS. Depression in the elderly. The Lancet, 365(9475), 1961-70, 2005. DOI: https://doi.org/10.1016/S0140-6736(05)66665-2
Baldwin RC E Tomenson B. Depression in laterlife – A comparison of symptoms and risk factors in early and late onset cases. Brit J Psychiatry, 1995; 167:649-52. DOI: https://doi.org/10.1192/bjp.167.5.649
Baldwin RC. Depression in later life. Oxford University Press. Oxford, UK, 2010. DOI: https://doi.org/10.1093/med/9780199569014.001.0001
Beekman AT, Deeg DJ, Braam AW, Smith JH, Van Tilburg W. Consequences of major and minor depression in later life: a study of disability, well-being and service utilization. Psychol Med. 27: 1397-409, 1997. DOI: https://doi.org/10.1017/S0033291797005734
Beekman ATF, Copeland JRM, and Prince MJ. Review of the community prevalence of depression in later life. British Journal of Psychiatry, 174, 307-311, 1999. DOI: https://doi.org/10.1192/bjp.174.4.307
Burns A. Affective symptoms in Alzheimer’s disease. Int J Geriat Psychiatry, 1991; 371-376. DOI: https://doi.org/10.1002/gps.930060607
Charney DS, Reynolds CF 3rd, Lewis L, Lebowitz BD, Sunderland T, Alexopoulos GS, et al. Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Arch Gen Psychiatry. 60: 664-72, 2003. DOI: https://doi.org/10.1001/archpsyc.60.7.664
Conwell Y, Duberstein PR, Caine ED. Risk factors for suicide in later life. Biol Psychiatry. 52: 193-204, 2002. DOI: https://doi.org/10.1016/S0006-3223(02)01347-1
Dolan RJ, Bench CJ, Brown RG, Scott LC, Friston KJ, and Frackowiak RSJ. Regional cerebral blood flow abnormalities in depressed patients
Fountoulakis, K.N., O’Hara, R., Iacovides, A., Camilleri, C.P., Kaprinis, S., Kaprinis,G., Yesavage, J. Unipolar late onset depression: A comprehensive
review. Ann. of Gen. Hosp. Psychiatry; 2003 2(1): 11.
Olin JT, Schneider LS, Katz IR et al. Provisional diagnostic criteria for depression of Alzheimer disease. AM JGeriat Psychiatrt, 2002; 10(2): 125-8. DOI: https://doi.org/10.1176/appi.ajgp.10.2.125
Pancrazi-Boyer MP, Arnaud_Castiglioni R, Boyer P. Lês pseduo-demences depresives: Evolution d’un concept. Ann Med Psychol., 155(9):596-600, 1997
Pearlson GD, Rabins PV, Kim WS, et al. Structural brain CT changes nd cognitive déficits with and without reversible dementia (“pseduodementia”). Psychol Med, 19; 573-84, 1989. DOI: https://doi.org/10.1017/S003329170002417X
Rapp MA et al. Neuropsychological differences between late-onset and recurrent geriatric major depression. AM J Psychiatry, 2005, 162: 691-98. DOI: https://doi.org/10.1176/appi.ajp.162.4.691
Sachs-Ericsson N, Joiner T, Plant EA and Blazer DG. The influence of depression on cognitive decline in community-dweeling elderly ersons. AM J Geriat Psychiatry, 2005; 13:402-8 DOI: https://doi.org/10.1097/00019442-200505000-00009
Stage KB, Belch P, Kragh-Sorensen P, Nair NP, Katona C.Differences in symptomatology and diagnostic profile in youger and elderly depressed inpatients. J Affect Dis. 64:239-48, 2001. DOI: https://doi.org/10.1016/S0165-0327(00)00245-7
Steffens DC, Hays JC, Krishnan KR. Disability in geriatric depression. Am J Geriatr Psychiatry. 7:34-40, 1997. DOI: https://doi.org/10.1097/00019442-199924710-00005
Tannock, C., Katona, C., 1995. Minor depression in the aged: concepts, prevalence, and optimal management. Drugs and Aging, 1995; 6, 278–292. DOI: https://doi.org/10.2165/00002512-199506040-00003
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
License
Copyright (c) 2011 E Castro-Costa, CCT Aguiar, SL Blay
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria allows the author (s) to keep their copyrights unrestricted. Allows the author (s) to retain their publication rights without restriction. Authors should ensure that the article is an original work without fabrication, fraud or plagiarism; does not infringe any copyright or right of ownership of any third party. Authors should also ensure that each one complies with the authorship requirements as recommended by the ICMJE and understand that if the article or part of it is flawed or fraudulent, each author shares responsibility.
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) - Debates em Psiquiatria is governed by the licencse CC-By-NC
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
