Anxiety, depression and psychosis in vascular dementia: prevalence and associations

J Affect Disord. 2000 Aug;59(2):97-106. doi: 10.1016/s0165-0327(99)00057-9.

Abstract

Background: Little is known about psychiatric symptoms in Vascular dementia (VaD).

Method: 92 patients with VaD, and 92 patients with Alzheimer's disease (AD) are reported. The evaluation included standardised measures of mood and psychosis.

Results: 72% of VaD patients and 38% of those with AD had two or more anxiety symptoms. VaD patients with severe dementia (94%) were the most likely to be anxious. Depression was also significantly more common in VaD patients (19% vs. 8%) whereas psychotic symptoms were prevalent in both dementias.

Conclusion: Psychiatric symptoms are common in VaD, especially in patients with moderate or severe dementia. Rigorous assessment of psychiatric symptoms in VaD should be part of good clinical practice.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / psychology*
  • Anxiety / epidemiology*
  • Anxiety / etiology
  • Dementia, Vascular / psychology*
  • Depression / epidemiology*
  • Depression / etiology
  • Female
  • Humans
  • Male
  • Prevalence
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / epidemiology*
  • Psychotic Disorders / etiology
  • Severity of Illness Index
  • United Kingdom / epidemiology