Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
|
DDx for depression.
Psycho-social factor? (1) |
Bereavement
|
|
|
DDx for depression.
Psychiatric factors? (3) |
Schizophrenia: frequent co-morbidity
Schizoaffective disorder: involves episodes of depression Bipolar disorder |
|
|
DDx for depression.
Organic factors? (8) |
1. stroke
2. hypothyroidism 3. MS 4. seasonal affective states 5. TBI 6. infectious disease 7. drug use (particularly alcohol) 8. dementia in the elderly |
|
|
Depression and Dementia
What percentage of elderly with dementia have depression? What happens to dementia vs. depression Dx over time with elderly? |
20% of elderly with dementia feature depression
- 5-15% of initial diagnoses of dementia later changed to depression (Feinberg & Goodman, 1984) - Reverse less frequent: 2.6-3% of major depression later amended to dementia |
|
|
What do families of individuals with DAT tend to do in terms of their other-report of depressive symptoms?
|
Families tend to over pathologize: DATs 13.9%
DSM-III depression, families give rate of 50%. |
|
|
10-20% of the depressed elderly experience ________ ____________in addition to depressive symptoms.
|
10-20% of the depressed elderly experience
cognitive impairment in addition to depressive symptoms |
|
|
Differential diagnosis: Elderly
Are somatic symptoms more or less useful in term of making a DDx in the elderly vs the young? |
Somatic symptoms useful in young but less so in
elderly (less sleep, energy, sex etc) |
|
|
Traditionally thought that “Pseudodementia”
quickly reverses with aggressive psychiatric treatment (eg ECT). Why is it not so clearly the case now? (2 points) |
- Not so clear now; e.g. Alexopolous (1991) 60% of
depressive pseudodementia group went on to develop primary dementia three years later - Most investigators now believe that depression and dementia co-exist (Jones & Reifler, 1994) |
|
|
Affective illness and stroke:
What percentage of stroke survivors subsequently develop depression? |
40% of patients.
Mania rarely seen. |
|
|
What type of stroke (which area? is most likely to result in depression?
|
Left frontal stroke most likely to result in depression, the closer to the left frontal pole the more likely.
|
