Depressive symptoms and white matter changes in patients with dementia
Article first published online: 16 JAN 2006
Copyright © 2006 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 21, Issue 2, pages 119–125, February 2006
How to Cite
Lind, K., Jonsson, M., Karlsson, I., Sjögren, M., Wallin, A. and Edman, Å. (2006), Depressive symptoms and white matter changes in patients with dementia. Int. J. Geriat. Psychiatry, 21: 119–125. doi: 10.1002/gps.1433
- Issue published online: 27 JAN 2006
- Article first published online: 16 JAN 2006
- Manuscript Accepted: 12 JUL 2005
- Manuscript Received: 16 MAR 2005
- Swedish Research Council. Grant Number: K2002-21P-14359-01A
- Handlanden Hjalmar Svenssons Forskningsfond
- Pfannenstills Forskningsstiftelse
- Axel Linders Stiftelse
- Psykiatriska Forskningsfonden
- depressive symptoms;
- white matter;
The aim of the present study was to investigate if depressive symptoms in demented patients are associated with white matter changes (WMCs) in the brain.
WMCs are frequently found in patients with dementia, as well as among elderly nondemented patients with depressive symptoms. However, it is less established whether or not WMCs are related to depressive symptoms in demented patients.
67 (26 men, 41 women) patients with primary degenerative dementia (Alzheimer's disease, frontotemporal dementia), vascular dementia (VaD), or mixed Alzheimer/VaD dementia were included in the study. The patients were young-old (mean 68.1, SD 7.3). All patients underwent a standardized examination procedure and MRI of the brain. The degree of WMCs was visually rated, blindly. Depressive symptoms were rated according to the Gottfries-Bråne-Steen scale (anxiety, fear-panic, depressed mood).
No significant relationship was found between WMCs and depressive symptoms in the demented patients.
The possible involvement of WMCs in the pathogenesis of depressive symptoms in dementia is unclear. A link between disruptions of frontal-subcortical pathways, due to WMCs, and depressive symptomatology in dementia has been hypothesised from earlier findings, which would imply common elements of pathogenesis for depressive symptomatology and cognitive impairment in dementia. However, the results of the present study do not add further support to this hypothesis. Copyright © 2006 John Wiley & Sons, Ltd.