+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Behavioral treatment of depression in patients with dementia

Behavioral treatment of depression in patients with dementia

Alzheimer Disease and Associated Disorders 8(Suppl. 3): 66-74

This article provides an overview of the theory, clinical application, and research data on behavioral treatment of depression in dementia patients. Behavioral theory of depression in nondemented adults indicates that decreased positive person-environment interactions initiate and maintain a cycle of depression that may be amenable to treatment. This same cycle is discussed as it appears in demented adults, and treatment is suggested. This treatment focuses on altering the aversive events and interactions that maintain patient depression, by increasing pleasant events and interactions, maximizing cognitive abilities, and teaching caregivers strategies for behavior change and effective problem solving. A 9-week clinical research protocol is provided with specific session-by-session content. Preliminary data are presented from a controlled clinical trial of this approach. Results thus far indicate that behavioral treatment is effective in reducing depression in patients with Alzheimer disease and in reducing the level of depression in their caregivers. The implications of these findings on future clinical care of patients and research directions are discussed.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 008216802

Download citation: RISBibTeXText

PMID: 7999348

DOI: 10.1097/00002093-199424004-00007

Related references

Behavioral treatment of depression in dementia patients: a controlled clinical trial. Journals of Gerontology. Series B Psychological Sciences and Social Sciences 52(4): P159-P166, 1997

Selective Serotonin Reuptake Inhibitors and Trazodone for Treatment of Depression, Psychosis, and Behavioral Symptoms in Patients With Dementia. International Psychogeriatrics 12(S1): 245-251, 2000

Specific psychological and behavioral symptoms of depression in patients with dementia. International Journal of Geriatric Psychiatry 25(10): 1065-1072, 2010

Rate and characteristics of dementia patients who visit psychiatric emergency hospitals for the treatment of behavioral and psychological symptoms of dementia (BPSD) in Japan. Seishin Shinkeigaku Zasshi 115(11): 1113-1121, 2013

Assessment and treatment of nursing home residents with depression or behavioral symptoms associated with dementia: a review of the literature. Journal of the American Geriatrics Society 51(9): 1305-1317, 2003

Association between caregiver depression and individual behavioral and psychological symptoms of dementia in Taiwanese patients. Asia-Pacific Psychiatry 7(3): 251-259, 2015

Cognitive Behavioral Therapy for Depression, Anxiety, and Stress in Caregivers of Dementia Patients: A Systematic Review and Meta-Analysis. Gerontologist 59(4): E343-E362, 2019

Neuroendocrine and behavioral effects of phosphatidylserine in elderly patients with abiotrophic or vascular dementia or mild depression a preliminary trial. Clinical Trials Journal 27(3): 230-240, 1990

Relationship between Dementia Severity and Behavioral and Psychological Symptoms of Dementia in Dementia with Lewy Bodies and Alzheimer's Disease Patients. Dementia and Geriatric Cognitive Disorders Extra 5(2): 244-252, 2015

Treatment of behavioral abnormalities in patients with dementia. Mmw Fortschritte der Medizin 146(24): 43-45, 2004

Impact of Behavioral Symptoms in Dementia Patients on Depression in Daughter and Daughter-in-Law Caregivers. Journal of Women's Health 26(1): 36-43, 2017

Treatment of depression in patients with dementia. American Journal of Psychiatry 147(1): 130-131, 1990

Treatment of Depression in Patients With Dementia. American Journal of Psychiatry 147(1): 130-a-131, 1990

Treatment of Depression in Patients with Dementia. Cns Drugs 14(3): 191-201, 2000

Pharmacological treatment of behavioral symptoms in dementia patients. Przeglad Lekarski 71(4): 215-220, 2014