"Family history of dementia and current depression in nondemented commu" by Dylan G. Harwood, Warren W. Barker et al.
 

Faculty Articles

Family history of dementia and current depression in nondemented community-dwelling older adults.

Publication Title

Journal of geriatric psychiatry and neurology

Publisher

Sage Publications

ISSN

0891-9887

Publication Date

1-1-2000

Keywords

Aged, Cross-Sectional Studies, Dementia, Demography, Depressive Disorder, Female, Humans, Male, Mood Disorders

Abstract

Since it has been postulated that mood disturbance in nondemented older adults may represent a prodromal feature of dementia for a subgroup of patients, it would be expected that patients with these symptoms would evidence a greater prevalence of family history of dementia. In a sample of 3225 community-dwelling cognitively intact elderly recruited from a free memory-screening program, we found that current depression was more common in participants with a positive versus a negative family history of dementia in first-degree relatives (17% versus 11%; Fisher's Exact Test, P < .0001). This relationship remained significant after controlling for age, education, gender, ethnicity, and Folstein Mini-Mental State Examination score (OR = 1.5; 95% CI = 1.2-1.9, Wald X2 = 15.5, P < .001). The results suggest that symptoms of depression may herald the onset of an incipient dementia syndrome in a subset of geriatric patients. Alternatively, the results may be indicative of familial aggregation of dementia and depression.

Volume

13

Issue

2

First Page

65

Last Page

71

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

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