Recent literature on the relationships among dementia, depression, and social support was reviewed, with particular emphasis on the diagnostic differentiation of dementia and depression, and the role of these three entities in elderly individuals with cognitive impairment. Dementia-like symptoms arising in depression and the coexistence of dementia and depression are discussed. Research is necessary to determine more objective criteria for depression and dementia, to provide cognitive and psychiatric testing for elderly individuals, to clarify the diagnostic or prognostic value of the term pseudodementia, and to further elucidate relationships between depression, dementia, and social support.
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References
1.
GershonS. and HermanS., The Differential Diagnosis of Dementia, Journal of the American Geriatric Society, 305, S58, 1982.
2.
ButlerR. N., Charting the Conquest of Senility, Bulletin of the New York Academy of Medicine, 58 p. 362, 1982.
3.
SteelK. and FeldmanR., Diagnosing Dementia and its Treatable Causes, Geriatrics, 3 p. 79, 1979.
4.
KramerB., Depressive Pseudodementia, Comprehensive Psychiatry, 23 p. 538, 1982.
5.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, Washington, D.C., 1980.
6.
KilohL. G., Pseudodementia, Acta Psychiatrica Scandinavica, 37, p. 336, 1961.
7.
GeleinJ., The Aged American Female: Relationships Between Social Support and Health, Journal of Gerontological Nursing, 6 p. 69, 1980.
8.
TurnerR. J., Social Support as a Contingency in Psychological Well-being, Journal of Health and Social Behavior, 22 p. 357, 1981.
9.
KosikK., and GrowdenJ., Aging, Memory Loss and Dementia, Psychosomatics, 23 p. 745, 1982.
10.
RosenW. G., Update on Dementia, Journal of the American Medical Womens Association, 37 p. 214, 1982.
11.
Task Force Sponsored by National Institute of Aging: Senility Reconsidered, Journal of the American Medical Association, 244 p. 259, 1980.
12.
LarsonE. B.ReiflerB. V.FeatherstoneH. J., Dementia in Elderly Outpatients: A Prospective Study, Clinical Research, 31, p. 642A, 1983.
13.
HestonL.MastriA.AndersonV. E., Dementia of the Alzheimer's Type, Archives of General Psychiatry, 38 p. 1085, 1981.
14.
RollerW.GlattS.WilsonR., Primitive Reflexes and Cognitive Function in the Elderly, Annals of Neurology, 12 p. 302, 1982.
15.
CavanaughS. and WettsteinR. M., The Relationship Between Severity of Depression, Cognitive Dysfunction and Age in Medical Inpatients, American Journal of Psychiatry, 140 p. 495, 1983.
16.
FolsteinM. F. and McHughP. R., Dementia Syndrome of Depression, in Alzheimer's Disease: Senile Dementia and Related Disorders (Aging, Vol. 7), KatzmanR.TerryR. D., and BicksK. L. (eds.), Raven Press, New York p. 87, 1978.
17.
CoblentzJ. M.MattisS.ZingesserL. H., Presenile Dementia: Clinical Evaluation of Cerebrospinal Fluid Dynamics, Archives of Neurology, 29 p. 299, 1973.
18.
MattisS., Mental Status Examination for Organic Mental Syndrome in the Elderly Patient, in Geriatric Psychiatry, BellackR. and KarasuB. (eds.), Grune and Stratton, New York, 1976.
19.
VitalianoP.BreenA.AlbertM., Memory, Attention and Functional Status in Community Residing Alzheimer Type Dementia Patients and Optimally Healthy Aged, Journal of Gerontology, 39 p. 58, 1984.
20.
VitalianoP.BreenA.RussoJ., The Clinical Utility of the Dementia Rating Scale for Assessing Alzheimer Patients, Journal of Chronic Disease, 37 p. 743, 1984.
21.
BlumenthalM., Depressive Illness in Old Age: Getting Behind the Mask, Geriatrics, 4 p. 34, 1980.
22.
GaitzC., Identifying and Treating Depression in an Older Patient, Geriatrics, 38 p. 42, 1983.
23.
AneshenselC. and StoneJ., Stress and Depression: A Test of the Buffering Model of Social Support, Archives of General Psychiatry, 39 p. 1392, 1982.
24.
FlahertyJ.GaviriaF. M.BlackE., The Role of Social Support in the Functioning of Patients with Unipolar Depression, American Journal of Psychiatry, 140 p. 473, 1983.
25.
MurrellS. A.HimmelfarbS., and WrightK., Prevalence of Depression and its Correlates in Older Adults, American Journal of Epidemiology, 117 p. 173, 1983.
26.
SteurJ.BankL.OlsenE. J., Depression, Physical Health and Somatic Complaints in the Elderly. A Study of the Zung Self-Rating Depression Scale, Journal of Gerontology, 35 p. 683, 1980.
27.
ReiflerB.LarsonE., and HanleyR., Coexistence of Cognitive Impairment and Depression in Geriatric Outpatients, American Journal of Psychiatry, 139 p. 623, 1982.
28.
BreenA. R.LarsonE.ReiflerB. V., Cognitive Performance and Functional Competence in Coexisting Dementia and Depression, Journal of the American Geriatric Society, 32 p. 132, 1984.
29.
WellsC. E., Pseudodementia, American Journal of Psychiatry, 136 p. 895, 1979.
30.
ShrabergD., The Myth of Pseudodementia: Depression and the Aging Brain, American Journal of Psychiatry, 135 p. 601, 1978.
31.
HimmelhochJ. M.AuchenbackR., and FuchsC. A., The Dilemma of Depression in the Elderly, Journal of Clinical Psychiatry, 43 p. 26, 1982.
32.
ReiflerB. V., Arguments for Abandoning the Term Pseudodementia, Journal of the American Geriatric Society, 30 p. 665, 1982.
33.
CaineE. D., Pseudodementia, Archives of General Psychiatry, 38 p. 1359, 1981.
34.
AndrewsG.TennantC.HewsonD., The Relation of Social Factors to Physical and Psychiatric Illness, American Journal of Epidemiology, 108 p. 27, 1978.
35.
MurphyE., Social Origins of Depression in Old Age, British Journal of Psychiatry, 141 p. 135, 1982.
36.
GalloF., The Effects of Social Support Networks on the Health of the Elderly, Social Work in Health Care, 8 p. 65, 1982.
37.
ConnorK. A.PowersE. A., and BultenaG. L., Social Interaction and Life Satisfaction: An Empirical Assessment of Late-Life Patterns, Journal of Gerontology, 34 p. 116, 1979.
38.
HendersonS.Duncan-JonesP.McAuleyH., The Patient's Primary Group, British Journal of Psychiatry, 132 p. 74, 1978.
39.
HendersonS., A Development in Social Psychiatry: The Systematic Study of Social Bonds, Journal of Nervous and Mental Disease, 168 p. 63, 1980.
40.
ThoitsP. A., Conceptual, Methodological and Theoretical Problems in Studying Social Support as a Buffer Against Life Stress, Journal of Health and Social Behavior, 23 p. 145, 1982.
41.
WilliamsA. W.WareJ. E., and DonaldC. A., A Model of Mental Health, Life Events and Social Supports Applicable to General Populations, Journal of Health and Social Behavior, 22 p. 324, 1981.
42.
MuellerD. P.EdwardsD. W., and YarvisR. M., Stressful Life Events and Psychiatric Symptomatology: Change or Undesirability?, Journal of Health and Social Behavior, 18 p. 307, 1977.
43.
PalmoreE.ClevelandW. P.NowlinJ. B., Stress and Adaptation in Later Life, Journal of Gerontology, 34 p. 841, 1979.
44.
KohenJ. A., Old But Not Alone: Informal Social Supports Among the Elderly by Marital Status and Sex, Gerontologist, 23 p. 57, 1983.
45.
LangerE. J. and RodinJ., The Effects of Choice and Enhanced Personal Responsibility for the Aged: A Field Experiment in an Institutional Setting, Journal of Personality and Social Psychology, 34 p. 191, 1976.
46.
RodinJ. and LangerE. J., Long Term Effects of a Control Relevant Intervention with the Institutionalized Aged, Journal of Personality and Social Psychology, 35 p. 897, 1977.
47.
AvronJ. and LangerE., Induced Disability in Nursing Home Patients: A Controlled Trial, Journal of the American Geriatric Society, 30 p. 397, 1982.
48.
AvornJ., Biomedical and Social Determinants of Cognitive Impairment in the Elderly, Journal of the American Geriatric Society, 31 p. 137, 1983.
49.
MorstynR.HochanadelG.KaplanE., Depression vs. Pseudo-depression in Dementia, Journal of Clinical Psychiatry, 43 p. 197, 1982.
