2003
DOI: 10.1176/appi.ajp.160.5.857
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A Collaborative Study of the Emergence and Clinical Features of the Major Depressive Syndrome of Alzheimer’s Disease

Abstract: The high rate of major depressive episodes that occur after the onset of cognitive impairment among patients with Alzheimer's disease (the majority of whom had no premorbid history of major depression), common emergence in the early stages of dementia when symptoms of cognitive impairment are least likely to contribute to the syndromal diagnosis of major depression, and differences in the clinical presentations of the major depressive episodes of Alzheimer's disease patients and nondemented elderly comparison … Show more

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Cited by 257 publications
(215 citation statements)
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“…4 Both vascular dementia and AD are associated with a higher prevalence of depression. 49,50 Depression frequently occurs in the early stages of AD and may result from both cell loss in key areas of the brain controlling emotions as well as a psychological reaction to cognitive loss. 4 Vascular changes such as white matter hyperintensities are a risk factor for both depression 51,52 and dementia, 53 and are associated with a high prevalence of depression in cross-sectional studies 54 .…”
Section: Discussionmentioning
confidence: 99%
“…4 Both vascular dementia and AD are associated with a higher prevalence of depression. 49,50 Depression frequently occurs in the early stages of AD and may result from both cell loss in key areas of the brain controlling emotions as well as a psychological reaction to cognitive loss. 4 Vascular changes such as white matter hyperintensities are a risk factor for both depression 51,52 and dementia, 53 and are associated with a high prevalence of depression in cross-sectional studies 54 .…”
Section: Discussionmentioning
confidence: 99%
“…Late onset depression and cognitive impairment often occur together, suggesting a close association between them [Jorm, 2001;Zubenko et al, 2003].…”
Section: Discussionmentioning
confidence: 99%
“…Significant depressive symptoms and mood changes are reported in 20%-30% of cases with early-stage AD (Zubenko et al 2003). Agitation, psychosis, and anxiety are not typically seen in these initial stages (Geldmacher 2009), and become increasingly more common with disease progression.…”
Section: Initial Presentation (Very Mild and Mild Ad)mentioning
confidence: 99%