Premium
P4‐133: Depressive symptoms and depression in people screened positive for dementia
Author(s) -
Thyrian Jochen René,
Eichler Tilly,
Teipel Stefan J.,
Hoffmann Wolfgang
Publication year - 2015
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2015.06.1839
Subject(s) - dementia , geriatric depression scale , depression (economics) , medicine , psychiatry , medical diagnosis , population , depressive symptoms , medical record , clinical psychology , cognition , disease , economics , macroeconomics , environmental health , pathology
Background:It is known almost exponential increase in the number of elderly in the world, especially in first world countries and developing countries. The Brazil is a constant increase of the elderly population (10.8% in 2010). Population studies on dementia are scarce, and there are still no accurate estimates of its incidence and prevalence. The prevalence of dementia can vary from 1.2% to 54.8% depending on age and study. There are few studies on the prevalence in hospitals, especially in psychiatric hospitals. A systematic review (general hospitals) found the prevalence of dementia varied substantially (from 12.9 to 63%). Less than a third of the studies made screening for depression and delirium, causing some patients could have been misdiagnosed as dementia.Methods:We evaluated 55 patients aged over 60 years hospitalized within 6 months (n 1⁄4 67) in a psychiatric hospital in Southern Brazil. Each patient was clinically evaluated by one of two doctors being performed when necessary to interview family. The Addenbrooke’s Cognitive Examination Revised (ACE-R) was the cognitive battery used. It was also applied for screening delirium and depression: the “Confusion Assessment Method” (CAM) and the Geriatric Depression Scale, respectively. Results:We evaluated 29 (52.7%) female patients with a mean age of 65.72 (6 5.59) and 26 (47.3%) were male with a mean age of 64.38 (6 5, 15). The average schooling in years was 5.33 (6 3.84) for females 4.52 (6 3.87) and male 6.23 (6 3.66). The previous history of psychiatric illness 45 (81.8%) patients presented, with 82.8% of women and 80.8% of men. The prevalence of major neurocognitive disorder was 49% (27). The etiological neurocognitive disorders were: frontotemporal (n 1⁄4 3), vascular (n 1⁄4 2), for alcohol dependence (n 1⁄4 2), Lewy Bodies (n 1⁄4 1), Alzheimer’s disease (n 1⁄4 1) and lack of vitamin B12 (n 1⁄4 4). The other patients could not identify the possible etiology. The prevalence of mild neurocognitive disorder was 12 patients. Conclusions: The prevalence of dementia and mild cognitive impairment was as expected when we think of previous studies in geriatric patients admitted to a hospital.