Dementia in the Aged

Spar, James E.

doi:10.1016/s0193-953x(18)30888-8

Cited by 13 publications

(3 citation statements)

References 85 publications

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“…For the individual who is referred for evaluation of a suspected organic condition, affective states can become an important variable to consider for several reasons. Depression can mimic neurological conditions, especially dementia in the elderly (McAllister, 1983;Spar, 1982). While the concept of "pseudodementia" may have been overgeneralized and applied in questionable cases in the 1980s, it remains an interesting phenomenon observed particularly in inpatient settings.…”

Section: Neuropsychological Findings Mood Disorderssupporting

confidence: 84%

Neuropsychology

1998

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Section: Neuropsychological Findings Mood Disorderssupporting

confidence: 84%

Neuropsychology

1998

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“…Folstein et al [3] found overlap in the scoring of dementia and depression, although demented patients had lower results than depressed ones. From the review of Spar [33], we can conclude that attention tasks are better performed by depressed patients than by de mented ones, further emphasizing our ranking.…”

Section: Discussionmentioning

confidence: 51%

Evaluation of a Short Mental Test for the Diagnosis of Dementia

Treves¹,

Ragolsky²,

Gelernter³

et al. 1990

Dement Geriatr Cogn Disord

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A Short Mental Test (SMT) composed of 26 items was evaluated for screening dementia, taking into account the effect of age and education. The relative contribution of individual items was assessed. The SMT was administered to healthy and demented subjects. Validity was established by a significant relationship between the total score on the SMT (as well as individual items) and the diagnosis established according to DSM-III R criteria. The best diagnostic accuracy (88.4%) was achieved using a cut-off score of 79 correct responses. The question that most successfully diagnosed dementia was subtraction of serial sevens. Subsequent ranking revealed the importance of items requiring abstraction and time orientation. Immediate recall and personal information were least helpful. Age negatively correlated with total scores, but affected recent memory, sentence repetition and proverb interpretation in the higher-schooled population only. Poor schooling evenly lessened general performance.

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“…Any such clear-cut diagnosis is, however, immediately complicated by the fact that the elderly patient's cognitive impairment associated with pure depressive illness may also be extremely severe (Post, 1975). Indeed, it is now well known that depressive illness in the elderly can cause cognitive dysfunction highly suggestive of dementia (Spar, 1982), and although this responds to antidepressant medication it poses an important and difficult potential problem in the diagnosis of true dementia. The degree of cognitive impairment associated with what is known as 'depressive pseudodementia' may well be so profound as to mimic even severe senile dementia (McAllister and Price, 1982), but unlike true dementia, depressive pseudodementia clears with treatment.…”

Section: Introductionmentioning

confidence: 99%

The differentiation of depression from senile dementia in the elderly

Portalska¹,

Bernstein²

1988

Int J Geriat Psychiatry

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SUMMARYTwo studies were carried out to validate the St Thomas' Questionnaire (SQSD) for use by health professionals to distinguish between cases of depression in the elderly without underlying organic involvement, and thus potentially reversible, from those of a progressive and irreversible senile dementing state. In the first study 50 patients with a diagnosis of senile dementia, 50 with functional disorders known to include an affective component and a control group of 50 coping elderly people within the district were psychologically tested. Independent assessments by a psychiatrist were also provided for the two experimental groups. After taking age and IQ differences into account using multiple regression, performance scores on the SQSD were compared between groups. Significant differences were found @

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Dementia in the Aged

Cited by 13 publications

References 85 publications

Neuropsychology

Neuropsychology

Evaluation of a Short Mental Test for the Diagnosis of Dementia

The differentiation of depression from senile dementia in the elderly

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