Disagreement in the reporting of depressive symptoms between patients with dementia of the Alzheimer type and their collateral sources
The authors investigated sources of disagreement on the Geriatric Depression Scale (GDS) between patients and their collateral sources (CSs). There were 198 subjects with possible or probable Alzheimer's disease (DAT) and 64 cognitively intact subjects evaluated at an outpatient geriatric asses...
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| Veröffentlicht in: | The American journal of geriatric psychiatry 1998, Vol.6 (4), p.308-319 |
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| container_title | The American journal of geriatric psychiatry |
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| creator | Burke, W J Roccaforte, W H Wengel, S P McArthur-Miller, D Folks, D G Potter, J F |
| description | The authors investigated sources of disagreement on the Geriatric Depression Scale (GDS) between patients and their collateral sources (CSs). There were 198 subjects with possible or probable Alzheimer's disease (DAT) and 64 cognitively intact subjects evaluated at an outpatient geriatric assessment center. The 30-item GDS was completed by the patient and the CS version of the GDS by the CS. A sizable discrepancy was found in the reporting of depressive symptoms by the subjects vs. the CSs. Multiple-regression analyses revealed that both level of insight and level of physical illness in the subjects with DAT significantly influenced the discrepancy. An increased sense of burden in the CSs was associated with a larger symptom gap in both DAT and control subjects. CSs consistently perceived more depressive symptoms than subjects, especially subjects with DAT who had no insight into their cognitive impairment. |
| doi_str_mv | 10.1097/00019442-199811000-00006 |
| format | Article |
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There were 198 subjects with possible or probable Alzheimer's disease (DAT) and 64 cognitively intact subjects evaluated at an outpatient geriatric assessment center. The 30-item GDS was completed by the patient and the CS version of the GDS by the CS. A sizable discrepancy was found in the reporting of depressive symptoms by the subjects vs. the CSs. Multiple-regression analyses revealed that both level of insight and level of physical illness in the subjects with DAT significantly influenced the discrepancy. An increased sense of burden in the CSs was associated with a larger symptom gap in both DAT and control subjects. CSs consistently perceived more depressive symptoms than subjects, especially subjects with DAT who had no insight into their cognitive impairment.</description><identifier>ISSN: 1064-7481</identifier><identifier>EISSN: 1545-7214</identifier><identifier>DOI: 10.1097/00019442-199811000-00006</identifier><identifier>PMID: 9793579</identifier><language>eng</language><publisher>England: Elsevier Limited</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer Disease - complications ; Alzheimer Disease - diagnosis ; Alzheimer Disease - psychology ; Cognition Disorders - diagnosis ; Cognition Disorders - etiology ; Depressive Disorder - complications ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Female ; Humans ; Male ; Neuropsychological Tests ; Psychiatric Status Rating Scales ; Regression Analysis ; Severity of Illness Index</subject><ispartof>The American journal of geriatric psychiatry, 1998, Vol.6 (4), p.308-319</ispartof><rights>Copyright American Psychiatric Press, Inc. Fall 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-ef8897ea4ed5d6cb431042f095960cb08e61ed4faf8e536613984d9a2a21ab963</citedby><cites>FETCH-LOGICAL-c337t-ef8897ea4ed5d6cb431042f095960cb08e61ed4faf8e536613984d9a2a21ab963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,4012,27910,27911,27912</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9793579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burke, W J</creatorcontrib><creatorcontrib>Roccaforte, W H</creatorcontrib><creatorcontrib>Wengel, S P</creatorcontrib><creatorcontrib>McArthur-Miller, D</creatorcontrib><creatorcontrib>Folks, D G</creatorcontrib><creatorcontrib>Potter, J F</creatorcontrib><title>Disagreement in the reporting of depressive symptoms between patients with dementia of the Alzheimer type and their collateral sources</title><title>The American journal of geriatric psychiatry</title><addtitle>Am J Geriatr Psychiatry</addtitle><description>The authors investigated sources of disagreement on the Geriatric Depression Scale (GDS) between patients and their collateral sources (CSs). 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CSs consistently perceived more depressive symptoms than subjects, especially subjects with DAT who had no insight into their cognitive impairment.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - complications</subject><subject>Alzheimer Disease - diagnosis</subject><subject>Alzheimer Disease - psychology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - etiology</subject><subject>Depressive Disorder - complications</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Neuropsychological Tests</subject><subject>Psychiatric Status Rating Scales</subject><subject>Regression Analysis</subject><subject>Severity of Illness Index</subject><issn>1064-7481</issn><issn>1545-7214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkUtLxDAUhYMoOj5-ghBcuKsmbZrmLgffILjRdUjbWydDXyYZh_EH-LtNdXThIuTBd8495BBCObvgDIpLxhgHIdKEAyjO4zWJi8kdMuO5yJMi5WI3npkUSSEUPyCH3i8nAqTYJ_tQQJYXMCOf19abV4fYYR-o7WlYIHU4Di7Y_pUODa1xdOi9fUfqN90Yhs7TEsMasaejCTbqPF3bsIjkZGLNpJps5u3HAm2HjobNiNT09fRsHa2GtjUBnWmpH1auQn9M9hrTejzZ7kfk5fbm-eo-eXy6e7iaPyZVlhUhwUYpKNAIrPNaVqXIOBNpwyAHyaqSKZQca9GYRmGeSckzUKIGk5qUmxJkdkTOf3xHN7yt0AfdWV9hjNPjsPK6iF8EwCCCZ__AZUzax2yax2mKpfkEqR-ocoP3Dhs9OtsZt9Gc6akn_duT_utJf_cUpadb_1XZYf0n3BaTfQFZipBo</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>Burke, W J</creator><creator>Roccaforte, W H</creator><creator>Wengel, S P</creator><creator>McArthur-Miller, D</creator><creator>Folks, D G</creator><creator>Potter, J F</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>1998</creationdate><title>Disagreement in the reporting of depressive symptoms between patients with dementia of the Alzheimer type and their collateral sources</title><author>Burke, W J ; 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There were 198 subjects with possible or probable Alzheimer's disease (DAT) and 64 cognitively intact subjects evaluated at an outpatient geriatric assessment center. The 30-item GDS was completed by the patient and the CS version of the GDS by the CS. A sizable discrepancy was found in the reporting of depressive symptoms by the subjects vs. the CSs. Multiple-regression analyses revealed that both level of insight and level of physical illness in the subjects with DAT significantly influenced the discrepancy. An increased sense of burden in the CSs was associated with a larger symptom gap in both DAT and control subjects. CSs consistently perceived more depressive symptoms than subjects, especially subjects with DAT who had no insight into their cognitive impairment.</abstract><cop>England</cop><pub>Elsevier Limited</pub><pmid>9793579</pmid><doi>10.1097/00019442-199811000-00006</doi><tpages>12</tpages></addata></record> |
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| identifier | ISSN: 1064-7481 |
| ispartof | The American journal of geriatric psychiatry, 1998, Vol.6 (4), p.308-319 |
| issn | 1064-7481 1545-7214 |
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| source | MEDLINE; Journals@Ovid Complete - AutoHoldings; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Alzheimer Disease - complications Alzheimer Disease - diagnosis Alzheimer Disease - psychology Cognition Disorders - diagnosis Cognition Disorders - etiology Depressive Disorder - complications Depressive Disorder - diagnosis Depressive Disorder - psychology Female Humans Male Neuropsychological Tests Psychiatric Status Rating Scales Regression Analysis Severity of Illness Index |
| title | Disagreement in the reporting of depressive symptoms between patients with dementia of the Alzheimer type and their collateral sources |
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