Background: Vascular depression is regarded as a subtype of late-life depression characterized by a distinct clinical presentation and an association with cerebrovascular damage. Although the term is commonly used in research settings, widely accepted diagnostic criteria are lacking and vascular depression is absent from formal psychiatric manuals such as the Diagnostic and Statistical Manual of Mental Disorders, 5 edition - a fact that limits its use in clinical settings. Magnetic resonance imaging (MRI) techniques, showing a variety of cerebrovascular lesions, including extensive white matter hyperintensities, subcortical microvascular lesions, lacunes, and microinfarcts, in patients with late life depression, led to the introduction of the term "MRI-defined vascular depression".
View Article and Find Full Text PDFIn the context of increasing life duration the issue of prevention and treatment approaches to the basic forms of pathology, in particular--neuropsychic, becomes more important. One of these forms widely spread is depression, which is often triggered by stressful situations. The aim of this work was to study the features of stress-induced depression in old age group and to carry out the content analysis of such situations and specific system of relations in this group of patients.
View Article and Find Full Text PDFThe neurosis-like manifestations take up an important place in the clinical symptomatology of elderly patients with a psychoorganic syndrome of vascular genesis. The objective of this study consisted in identifying the predictors of the therapy effectiveness for similar patients. 109 patients with the mean age equal to 68.
View Article and Find Full Text PDFInt J Geriatr Psychiatry
May 2003
Theory: Mild manifestations of vascular dementia are relatively widespread among the old-age population. Drug therapy for this disorder is insufficiently effective at present, making it necessary to improve the treatment of such patients by means of an adequate psychotherapeutic and rehabilitation program.
Aims: To assess the role of psychotherapeutic and rehabilitation measures in improving outcome in the early stage of vascular dementia.