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Distinguishing Between Depression and Dementia in Older Persons: Neuropsychological and Neuropathological Correlates

2007/11/14 by Sara L. Wright, Carol Persad · 2 citations
Medicine · Neuroscience · Psychology · #Clinical psychology #Cognition #Context (archaeology) #Dementia #Dementia and Cognitive Impairment Research #Depression (economics) #Disease #Functional Brain Connectivity Studies #Medicine #Memory and Neural Mechanisms #Neuropsychology #Prodrome #Psychiatry #Psychology #Psychosis

paper · doi:10.1177/0891988707308801

openalex publication_date 2007/11/14 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/22

Abstract

Dementia and depression are frequently comorbid among older adult patients. Depression is related to cognitive decrement and can even represent the first signs of a neurodegenerative process. It can be difficult to distinguish depressed patients exhibiting the first signs of dementia from those whose cognition will improve with treatment. In this article, studies from the neuropsychological literature are reviewed that aid in accurate diagnosis and prognosis. Furthermore, the relationship between depression and dementia is explored by examining potential neurobiological mechanisms that may potentiate both syndromes in the context of the ongoing debate on depression as a prodrome and/or a risk factor for dementia. This article is concluded with suggestions for clinicians when deciding who to refer for neuropsychological assessment and with ideas for further research that might promote a better understanding of the complex association between depression and dementia during old age.

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