Title: WHAT DEPRESSIVE SYMPTOMS ARE REPORTED IN ALZHEIMER'S PATIENTS?
Abstract: International Journal of Geriatric PsychiatryVolume 12, Issue 6 p. 648-652 Research Article WHAT DEPRESSIVE SYMPTOMS ARE REPORTED IN ALZHEIMER'S PATIENTS? MYRON F. WEINER, Corresponding Author MYRON F. WEINER Departments of Psychiatry and Neurology, University of Texas Southwestern Medical Center, Dallas, USADepartment of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Suite F5.400, Dallas, Texas 75235-9070, USA.Search for more papers by this authorDORIS SVETLIK, DORIS SVETLIK Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, USASearch for more papers by this authorRICHARD C. RISSER, RICHARD C. RISSER Academic Computing Center, University of Texas Southwestern Medical Center, Dallas, USASearch for more papers by this author MYRON F. WEINER, Corresponding Author MYRON F. WEINER Departments of Psychiatry and Neurology, University of Texas Southwestern Medical Center, Dallas, USADepartment of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Suite F5.400, Dallas, Texas 75235-9070, USA.Search for more papers by this authorDORIS SVETLIK, DORIS SVETLIK Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, USASearch for more papers by this authorRICHARD C. RISSER, RICHARD C. RISSER Academic Computing Center, University of Texas Southwestern Medical Center, Dallas, USASearch for more papers by this author First published: 04 December 1998 https://doi.org/10.1002/(SICI)1099-1166(199706)12:6<648::AID-GPS575>3.0.CO;2-CCitations: 22AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Purpose. To ascertain the nature of depression-related symptoms in AD. Method. The Hamilton Rating Scale for Depression (HAM-D) was administered as a semi-structured interview to 30 consecutive Alzheimer's disease (AD) patients who also underwent independent psychiatric evaluation. The HAM-D was also administered with a caregiver as the informant. Results. There was no relationship between the number of symptoms reported by patients or caregivers and patients' level of cognitive impairment. Symptom reports by caregivers living in the same household did not differ significantly from symptom reports by caregivers living elsewhere. Caregivers rated AD patients as having significantly more depressive symptoms than did patients themselves. The items most frequently endorsed by caregivers were psychic anxiety (77%), suspiciousness (50%), low energy (50%) and depression (43%). The items most frequently endorsed by AD patients were weight loss (36%), psychic anxiety (33%) and somatic anxiety (33%). Depression was endorsed by 20% of patients. Caregiver-respondent HAM-D scores suggested clinically significant depression in 27% of cases, but AD patients' scores suggested clinically significant depression in only 7% of cases. No case of major depression was found on psychiatric examination. Conclusions. Depressive symptoms seemed more an executive function loss than of primary mood disturbance in that guilt, suicidal rumination and self-perceived loss of interest were uncommon, suggesting that simple environmental measures might be the most appropriate treatment of these symptoms. Citing Literature Volume12, Issue6June 1997Pages 648-652 RelatedInformation
Publication Year: 1997
Publication Date: 1997-06-01
Language: en
Type: article
Indexed In: ['crossref']
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Cited By Count: 1
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