Am J Psychiatry 1989; 146:577-587
Copyright © 1989 by American Psychiatric Association
Overview of depression and psychosis in Alzheimer's disease
RE Wragg and DV Jeste
Department of Psychiatry, University of California, San Diego.
The authors reviewed 30 studies on Alzheimer's disease to determine the
prevalence and phenomenology of affective and psychotic symptoms in
patients with this disorder. Depressive and psychotic symptoms occurred in
30%-40% of the Alzheimer's disease patients. Isolated symptoms were two to
three times as frequent as diagnosable affective or psychotic disorders.
Paranoid delusions were the most common psychotic symptoms reported.
Implications of the relationship of psychiatric symptoms to the clinical
presentation of Alzheimer's disease, patterns of cognitive dysfunction,
clinical management, and areas for future research are discussed.
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[PDF]
|
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|
|
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|
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Cerebral emboli and depressive symptoms in dementia
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189(3):
260 - 263.
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[PDF]
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|
|
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R. L. Ownby, E. Crocco, A. Acevedo, V. John, and D. Loewenstein
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Arch Gen Psychiatry,
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63(5):
530 - 538.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
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S. A. Ropacki and D. V. Jeste
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Am J Psychiatry,
November 1, 2005;
162(11):
2022 - 2030.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. Scarmeas, J. Brandt, M. Albert, G. Hadjigeorgiou, A. Papadimitriou, B. Dubois, M. Sarazin, D. Devanand, L. Honig, K. Marder, et al.
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62(10):
1601 - 1608.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Terada, H. Ishizu, Y. Fujisawa, O. Yokota, A. Kugo, H. Nakashima, Y. Tanaka, T. Ishihara, T. Nakashima, Y. Nakashima, et al.
Delusion of Theft and Phantom Intruder Delusion in Demented Elderly Patients in Japan
J Geriatr Psychiatry Neurol,
September 1, 2005;
18(3):
142 - 148.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. M. Landes, S. D. Sperry, and M. E. Strauss
Prevalence of Apathy, Dysphoria, and Depression in Relation to Dementia Severity in Alzheimer's Disease
J Neuropsychiatry Clin Neurosci,
August 1, 2005;
17(3):
342 - 349.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Mintzer and S. D. Targum
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December 1, 2003;
16(4):
199 - 206.
[Abstract]
[PDF]
|
|
|
|
|
|
|
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December 1, 2003;
16(4):
213 - 218.
[Abstract]
[PDF]
|
|
|
|
|
|
|
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J Geriatr Psychiatry Neurol,
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16(4):
219 - 224.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. M. Bassiony and C. G. Lyketsos
Delusions and Hallucinations in Alzheimer's Disease: Review of the Brain Decade
Psychosomatics,
October 1, 2003;
44(5):
388 - 401.
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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Clinical outcomes of possible versus probable Alzheimer's disease
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September 9, 2003;
61(5):
661 - 667.
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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15(3):
346 - 353.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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Health Care Utilization in Dementia Patients With Psychiatric Comorbidity
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February 1, 2003;
43(1):
86 - 91.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E Pucci, N Belardinelli, G Borsetti, and G Giuliani
Relatives' attitudes towards informing patients about the diagnosis of Alzheimer's disease
J. Med. Ethics,
February 1, 2003;
29(1):
51 - 54.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. S. Wilson, L. L. Barnes, C. F. Mendes de Leon, N. T. Aggarwal, J. S. Schneider, J. Bach, J. Pilat, L. A. Beckett, S. E. Arnold, D. A. Evans, et al.
Depressive symptoms, cognitive decline, and risk of AD in older persons
Neurology,
August 13, 2002;
59(3):
364 - 370.
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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Lack of Association between the Apolipoprotein E Genotype and Depression in Alzheimer's Disease
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April 1, 2002;
15(1):
20 - 23.
[Abstract]
[PDF]
|
|
|
|
|
|
|
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15(1):
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[Abstract]
[PDF]
|
|
|
|
|
|
|
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[PDF]
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
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[PDF]
|
|
|
|
|
|
|
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59(1):
53 - 59.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. A. Sweet, R. L. Hamilton, M. T. Healy, S. R. Wisniewski, R. Henteleff, B. G. Pollock, D. A. Lewis, and S. T. DeKosky
Alterations of Striatal Dopamine Receptor Binding in Alzheimer Disease Are Associated With Lewy Body Pathology and Antemortem Psychosis
Arch Neurol,
March 1, 2001;
58(3):
466 - 472.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
O. L. Lopez, G. Smith, J. T. Becker, C. C. Meltzer, and S. T. DeKosky
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J Neuropsychiatry Clin Neurosci,
February 1, 2001;
13(1):
50 - 55.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
E. Chemerinski, G. Petracca, L. Sabe, J. Kremer, and S. E. Starkstein
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Am J Psychiatry,
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158(1):
68 - 72.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
O.L. Lopez, J.T. Becker, W. Klunk, J. Saxton, R.L. Hamilton, D.I. Kaufer, R.A. Sweet, C. Cidis Meltzer, S. Wisniewski, M.I. Kamboh, et al.
Research evaluation and diagnosis of possible Alzheimer's disease over the last two decades: II
Neurology,
December 26, 2000;
55(12):
1863 - 1869.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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57(10):
968 - 976.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. S Wilson, D. W Gilley, D. A Bennett, L. A Beckett, and D. A Evans
Hallucinations, delusions, and cognitive decline in Alzheimer's disease
J. Neurol. Neurosurg. Psychiatry,
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69(2):
172 - 177.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Bozeat, C. A Gregory, M. A L. Ralph, and J. R Hodges
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J. Neurol. Neurosurg. Psychiatry,
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69(2):
178 - 186.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. C. Groves, J. Brandt, M. Steinberg, A. Warren, A. Rosenblatt, A. Baker, and C. G. Lyketsos
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12(3):
305 - 315.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
R. Hargrave, B. Reed, and D. Mungas
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J Geriatr Psychiatry Neurol,
July 1, 2000;
13(2):
72 - 77.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. V. Jeste,, K. A. Harless,, and B. W. Palmer,
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157(3):
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[Full Text]
|
|
|
|
|
|
|
U. Hohl, P. Tiraboschi, L. A. Hansen, L. J. Thal, and J. Corey-Bloom
Diagnostic Accuracy of Dementia With Lewy Bodies
Arch Neurol,
March 1, 2000;
57(3):
347 - 351.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
O. L. Lopez, S. R. Wisniewski, J. T. Becker, F. Boller, and S. T. DeKosky
Psychiatric Medication and Abnormal Behavior as Predictors of Progression in Probable Alzheimer Disease
Arch Neurol,
October 1, 1999;
56(10):
1266 - 1272.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. L. Cummings and D. V. Jeste
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Psychiatr Serv,
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50(9):
1173 - 1177.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. V. Jeste, G. S. Alexopoulos, S. J. Bartels, J. L. Cummings, J. J. Gallo, G. L. Gottlieb, M. C. Halpain, B. W. Palmer, T. L. Patterson, C. F. Reynolds III, et al.
Consensus Statement on the Upcoming Crisis in Geriatric Mental Health: Research Agenda for the Next 2 Decades
Arch Gen Psychiatry,
September 1, 1999;
56(9):
848 - 853.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. G. Harwood, W. W. Barker, R. L. Ownby, and R. Duara
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J Geriatr Psychiatry Neurol,
July 1, 1999;
12(2):
72 - 75.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. S. Richards and H. C. Hendrie
Diagnosis, Management, and Treatment of Alzheimer Disease: A Guide for the Internist
Arch Intern Med,
April 26, 1999;
159(8):
789 - 798.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D.P. Devanand, K. Marder, K. S. Michaels, H. A. Sackeim, K. Bell, M. A. Sullivan, T. B. Cooper, G. H. Pelton, and R. Mayeux
A Randomized, Placebo-Controlled Dose-Comparison Trial of Haloperidol for Psychosis and Disruptive Behaviors in Alzheimer's Disease
Am J Psychiatry,
November 1, 1998;
155(11):
1512 - 1520.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
N. Hirono, E. Mori, K. Ishii, H. Kitagaki, M. Sasaki, Y. Ikejiri, T. Imamura, T. Shimomura, M. Ikeda, and H. Yamashita
Alteration of Regional Cerebral Glucose Utilization With Delusions in Alzheimer's Disease
J Neuropsychiatry Clin Neurosci,
November 1, 1998;
10(4):
433 - 439.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
R. A. Sweet, V. L. Nimgaonkar, M. I. Kamboh, O. L. Lopez, F. Zhang, and S. T. DeKosky
Dopamine Receptor Genetic Variation, Psychosis, and Aggression in Alzheimer Disease
Arch Neurol,
October 1, 1998;
55(10):
1335 - 1340.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. Hirono, E. Mori, M. Yasuda, Y. Ikejiri, T. Imamura, T. Shimomura, M. Ikeda, M. Hashimoto, and H. Yamashita
Factors associated with psychotic symptoms in Alzheimer's disease
J. Neurol. Neurosurg. Psychiatry,
May 1, 1998;
64(5):
648 - 652.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Kaufer, J. L. Cummings, and D. Christine
Differential Neuropsychiatric Symptom Responses to Tacrine in Alzheimer's Disease: Relationship to Dementia Severity
J Neuropsychiatry Clin Neurosci,
February 1, 1998;
10(1):
55 - 63.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
N. C. Bodick, W. W. Offen, A. I. Levey, N. R. Cutler, S. G. Gauthier, A. Satlin, H. E. Shannon, G. D. Tollefson, K. Rasmussen, F. P. Bymaster, et al.
Effects of Xanomeline, a Selective Muscarinic Receptor Agonist, on Cognitive Function and Behavioral Symptoms in Alzheimer Disease
Arch Neurol,
April 1, 1997;
54(4):
465 - 473.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. P. Devanand, D. M. Jacobs, M.-X. Tang, C. D. Castillo-Castaneda, M. Sano, K. Marder, K. Bell, F. W. Bylsma, J. Brandt, M. Albert, et al.
The Course of Psychopathologic Features in Mild to Moderate Alzheimer Disease
Arch Gen Psychiatry,
March 1, 1997;
54(3):
257 - 263.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. G. Schmidt, J. Drew-Cates, and M. L. Dombovy
Anoxic Encephalopathy: Outcome After Inpatient Rehabilitation
Neurorehabil Neural Repair,
January 1, 1997;
11(3):
189 - 195.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. P. Devanand, M. Sano, M.-X. Tang, S. Taylor, B. J. Gurland, D. Wilder, Y. Stern, and R. Mayeux
Depressed Mood and the Incidence of Alzheimer's Disease in the Elderly Living in the Community
Arch Gen Psychiatry,
February 1, 1996;
53(2):
175 - 182.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D.P. Devanand and S. R. Levy
Neuroleptic Treatment of Agitation and Psychosis in Dementia
J Geriatr Psychiatry Neurol,
October 1, 1995;
8(1):
S18 - S27.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. J. Knesper
The Depressions of Alzheimer's Disease: Sorting, Pharmacotherapy, and Clinical Advice
J Geriatr Psychiatry Neurol,
October 1, 1995;
8(1):
S40 - S51.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. E. Reichman and A. C. Coyne
Depressive Symptoms in Alzheimer's Disease and Multi-infarct Dementia
J Geriatr Psychiatry Neurol,
April 1, 1995;
8(2):
96 - 99.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. Axelman, H. Basun, B. Winblad, and L. Lannfelt
A Large Swedish Family With Alzheimer's Disease With a Codon 670/671 Amyloid Precursor Protein Mutation: A Clinical and Genealogical Investigation
Arch Neurol,
December 1, 1994;
51(12):
1193 - 1197.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. Volicer, Y. Rheaume, and D. Cyr
Treatment of Depression in Advanced Alzheimer's Disease Using Sertraline
J Geriatr Psychiatry Neurol,
October 1, 1994;
7(4):
227 - 229.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Vida, P. Des Rosiers, L. Carrier, and S. Gauthier
Prevalence of Depression in Alzheimer's Disease and Validity of Research Diagnostic Criteria
J Geriatr Psychiatry Neurol,
October 1, 1994;
7(4):
238 - 244.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. F. Weiner and K. F. Gray
Balancing psychosocial and psychopharmacologic measures in Alzheimer's disease
American Journal of Alzheimer's Disease and Other Dementias,
July 1, 1994;
9(4):
6 - 12.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Vida, P. Des Rosiers, L. Carrier, and S. Gauthier
Depression in Alzheimer's Disease: Receiver Operating Characteristic Analysis of the Cornell Scale for Depression in Dementia and the Hamilton Depression Scale
J Geriatr Psychiatry Neurol,
July 1, 1994;
7(3):
159 - 162.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. L. Mack and M. B. Patterson
The Evaluation of Behavioral Disturbances in Alzheimer's Disease: The Utility of Three Rating Scales
J Geriatr Psychiatry Neurol,
April 1, 1994;
7(2):
99 - 115.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. M. Mellow, C. Solano-Lopez, and S. Davis
Sodium Valproate in the Treatment of Behavioral Disturbance in Dementia
J Geriatr Psychiatry Neurol,
October 1, 1993;
6(4):
205 - 209.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. MCKENNA
Characterizing Organic Delusional Syndrome
Arch Gen Psychiatry,
December 1, 1992;
49(12):
997 - 998.
[Abstract]
[PDF]
|
|
|
|
|
|
|
E. A. Sorrentino
Objective assessment of aggression and irritability in the elderly
American Journal of Alzheimer's Disease and Other Dementias,
July 1, 1992;
7(4):
33 - 37.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J.-Y. Chen, Y. Stern, M. Sano, and R. Mayeux
Cumulative Risks of Developing Extrapyramidal Signs, Psychosis, or Myoclonus in the Course of Alzheimer's Disease
Arch Neurol,
November 1, 1991;
48(11):
1141 - 1143.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. S. Zubenko, J. Moossy, A. J. Martinez, G. Rao, D. Claassen, J. Rosen, and U. Kopp
Neuropathologic and Neurochemical Correlates of Psychosis in Primary Dementia
Arch Neurol,
June 1, 1991;
48(6):
619 - 624.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. J. Flint
Delusions, hallucinations and depression in Alzheimer's disease: A biological perspective
American Journal of Alzheimer's Disease and Other Dementias,
May 1, 1991;
6(3):
21 - 28.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Petry, J. L. Cummings, M. A. Hill, and J. Shapira
Personality Alterations in Dementia of the Alzheimer Type: A Three-Year Follow-up Study
J Geriatr Psychiatry Neurol,
October 1, 1989;
2(4):
203 - 207.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. Summergrad and B. Peterson
Binswanger's Disease (Part I): The Clinical Recognition of Subcortical Arteriosclerotic Encephalopathy in Elderly Neuropsychiatric Patients
J Geriatr Psychiatry Neurol,
July 1, 1989;
2(3):
123 - 133.
[Abstract]
[PDF]
|
|
|
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