The prevalence, associations and symptoms of depression amongst dementia sufferers

Ballard, Clive; Bannister, Carol; Solís, María Verónica Álvarez; Oyebode, Femi; Wilcock, Gordon

doi:10.1016/0165-0327(95)00072-0

Cited by 126 publications

(110 citation statements)

References 40 publications

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“…Musical memories, words to songs and associated feelings and emotions appear to remain for significant periods of time after other skills have disappeared (Crystal et al, 1989;Nuki, 2009;Yamada & Baba, 2008). Okabe & Kobayashi (2006), demonstrated that two regular weekly sessions of musical activity positively affected levels of communication, interaction, eye contact and concentration in persons with dementia and numerous additional studies have demonstrated how engagement with music can significantly reduce levels of anxiety and agitation (see Cooke, Moyle et al,2010;Lai, 2004;Ledger & Baker, 2007;Lin, 2011;Sung et al, 2012;Vink et al,2013), reduce levels of depression, ( Ballard et al, 1996;Butters et al, 2008;Chou & Lin, 2012;Jorm, 2001), reduce wandering, (Robinson et al, 2007) and assist transition into long-term care (Kydd, 2001).…”

Section: Introductionmentioning

confidence: 99%

Exploring the impact of music concerts in promoting well-being in dementia care

Shibazaki

Marshall

2015

Aging & Mental Health

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Objectives: This study explores the specific effects of live music concerts on the clients with dementia, their families and nursing staff / caregivers. Methods:Researchers attended 22 concerts in care facilities in England and Japan. Interviews were carried out with clients with dementia, nursing staff and family members. Observations were also carried out before, during and after the concerts. All observations were recorded in field notes. Results:The effect of the concerts in both countries were seen to be beneficial to all clients and nursing staff, whether or not they attended the concert. Interviews with clients with mild to mid-stage dementia, noted increased levels of cooperation, interaction and conversation. Those with final stage or advanced dementia exhibited decreased levels of agitation and anti social behaviour. Staff members reported increased levels of care, cooperation and opportunities for assessment. Family members noted an increase in the levels of wellbeing in their partner / parent as well as in themselves.The study also suggested that a knowledge of musical components, an awareness of the rules of music and specific musical preferences appear to remain well beyond the time when other cognitive skills and abilities have disappeared.Conclusions: This initial study provided some further indication in terms of the uses of music as a non pharmacological intervention for those living with all stages of dementia. These included opportunities for assessment of physical abilities as well as facilitating an increasing level of care.

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Section: Introductionmentioning

confidence: 99%

Exploring the impact of music concerts in promoting well-being in dementia care

Shibazaki

Marshall

2015

Aging & Mental Health

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“…It may be the first symptom of dementia [5,6], but it may also be present at any stage of the disorder [7,8]. It is presumed that about 50% of the patients with dementia will suffer from depression during the course of the disorder, with an equal distribution between major and minor depressive disorder [3,5,7,9]. Depression is also common in patients with mild cognitive impairment (MCI), with reported prevalence rates varying as much as 3–63.3% [10].…”

Section: Introductionmentioning

confidence: 99%

“…The reason for this could be that the symptoms are not always pronounced, and many symptoms of depression and dementia overlap [7]. A psychiatric assessment of every patient referred to a memory clinic would be the best way to reveal psychiatric symptoms, but this is seldom possible due to limitations of time and resources.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of the Validity of the Cornell Scale and the MADRS in Detecting Depression among Memory Clinic Patients

Knapskog

Barca

Engedal

2011

Dement Geriatr Cogn Disord

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Background: The aim of the study was to compare the validity of the Cornell Scale for Depression in Dementia (CSDD) and the Montgomery-Aasberg Depression Rating Scale (MADRS) among memory clinic patients. Methods: The scales were independently completed for 125 patients. The diagnosis of depression was made by psychiatrists blinded to the depression scores. Results: The mean score of the Mini-Mental State Examination was 25.5 (SD: 4.6), of the CSDD 6.8 (SD: 4.9), and of the MADRS 8.5 (SD: 6.8). In receiver operation characteristics (ROC) analyses, the AUC for the CSDD was 0.73 (95% CI: 0.63–0.82) using the International Classification of Diseases-10 (ICD-10) criteria for depression, and 0.68 (95% CI: 0.57–0.79) using the DSM-IV criteria. The AUC was 0.88 (95% CI: 0.81–0.95) for the MADRS using the ICD-10 criteria, and 0.84 (95% CI: 0.76–0.92) using the DSM-IV criteria. Conclusion: Both scales are suitable as screening tools. According to the ROC analyses, the MADRS seems better at distinguishing depressed from nondepressed patients.

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“…Factor analysis of the scale showed that the 'wish to die' was included in a factor with other depressive features. More recently it has been reported that 45% of dementia patients with the Research Diagnostic Criteria 'major depression' and nearly 12% with 'minor depression' had suicidal thoughts [17]. However, the relationship between suicidal ideation, the 'wish to die' and depression has not been specifically examined.…”

Section: Introductionmentioning

confidence: 99%

Suicidal ideation and the 'wish to die' in dementia patients: the role of depression

1998

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Objc~ctive: to determine the prevalence of self-reported suicidal ideation and the 'wish to die' in dementia patients, their association with depressive symptoms and the type of dementia. Design: the cohort was formed retrospectively of consecutive referrals between 1985 and 1994 of cognitively impaired patients who met American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, third edition and third edition, revised, criteria for dementia. They were assessed for depression using the 21-item Hamilton Rating Scale for Depression (HRSD) which includes an item on suicide. Settiing: an outpatient multidisciplinary memory disorders clinic in Sydney, Australia. Pati,ents: the sample comprised 221 patients with dementia: 148 with Alzheimer's disease according to NINCDS-ADRDA criteria, 24 with vascular dementia diagnosed by a Hachinski ischaemia scale score of seven or more, plus focal neurological signs, symptoms or computed tomography-visible lesions, and 49 with other dementias. Measures: cognitive impairment was measured by the Mini-Mental State Examination and the Blessed orientationinformation -memory -concentration test and dementia scales, depression by the 21-item HRSD, suicidal ideation and the 'wish to die' as defined by the suicide item on the HRSD, functional capacity by the activities of daily living scale and the instrumental activities of daily living scale. Caregiver psychological morbidity was assessed with the General Health Questionnaire. Results: 12 patients (5.4%) felt life was not worth living, seven (3.2%) 'wished to die' or had thoughts of death, two (0.9%) had suicidal ideation or gestures and none had made any suicide attempts. The nine patients who 'wished to die' or had suicidal ideation scored 12 or more on the HRSD. Of these, six were clinically depressed. Suicidal ideation and the 'wish to die' were significantly correlated with the presence of depressive symptoms as measured by the HRSD (suicide item excluded), but only in those with Alzheimer's disease. There were no significant differences in HRSD scores between the dementia groups. Suicidal ideation was unrelated to the presence of insight into loss of memory. Conclusions: suicidal ideation and/or the 'wish to die' is self-reported in 4% of dementia patients attending a memory disorders clinic and is associated with comorbid depressive symptoms, particularly in Alzheimer's disease.

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The prevalence, associations and symptoms of depression amongst dementia sufferers

Cited by 126 publications

References 40 publications

Exploring the impact of music concerts in promoting well-being in dementia care

Exploring the impact of music concerts in promoting well-being in dementia care

A Comparison of the Validity of the Cornell Scale and the MADRS in Detecting Depression among Memory Clinic Patients

Suicidal ideation and the 'wish to die' in dementia patients: the role of depression

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