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Perspectives on the Management of Vascular Depression.

Publication ,  Journal Article
Taylor, WD; Schultz, SK; Panaite, V; Steffens, DC
Published in: Am J Psychiatry
December 1, 2018

In the next few years, the youngest of the baby boomers will reach age 65, resulting in the greatest proportion of elderly adults in US history. Concurrent with this demographic change is the growing number of adults living with chronic conditions that increase risk of vascular disease, including hypertension, obesity, hypercholesterolemia, insulin resistance and diabetes mellitus. We address how these conditions contribute to age-related cerebrovascular changes and lead to subsequent effects on mood and cognitive function, with an emphasis on the role of “vascular depression” as a focus of treatment. The case of an elderly gentleman with vascular disease associated with psychiatric symptoms and cognitive changes is presented. We discuss vascular depression in the context of suicide in late life and provide perspectives on treatment that focus not merely on pharmacologic and psychotherapeutic management of depressive symptoms but also emphasize the importance of sleep and health maintenance strategies. Guidelines are offered to help reduce the burden of disability associated with this condition among our older population.

Duke Scholars

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Published In

Am J Psychiatry

DOI

EISSN

1535-7228

Publication Date

December 1, 2018

Volume

175

Issue

12

Start / End Page

1169 / 1175

Location

United States

Related Subject Headings

  • Vascular Diseases
  • Psychiatry
  • Male
  • Humans
  • Depression
  • Aged, 80 and over
  • Age Factors
  • 5203 Clinical and health psychology
  • 3202 Clinical sciences
  • 17 Psychology and Cognitive Sciences
 

Citation

APA
Chicago
ICMJE
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Taylor, W. D., Schultz, S. K., Panaite, V., & Steffens, D. C. (2018). Perspectives on the Management of Vascular Depression. Am J Psychiatry, 175(12), 1169–1175. https://doi.org/10.1176/appi.ajp.2018.18050568
Taylor, Warren D., Susan K. Schultz, Vanessa Panaite, and David C. Steffens. “Perspectives on the Management of Vascular Depression.Am J Psychiatry 175, no. 12 (December 1, 2018): 1169–75. https://doi.org/10.1176/appi.ajp.2018.18050568.
Taylor WD, Schultz SK, Panaite V, Steffens DC. Perspectives on the Management of Vascular Depression. Am J Psychiatry. 2018 Dec 1;175(12):1169–75.
Taylor, Warren D., et al. “Perspectives on the Management of Vascular Depression.Am J Psychiatry, vol. 175, no. 12, Dec. 2018, pp. 1169–75. Pubmed, doi:10.1176/appi.ajp.2018.18050568.
Taylor WD, Schultz SK, Panaite V, Steffens DC. Perspectives on the Management of Vascular Depression. Am J Psychiatry. 2018 Dec 1;175(12):1169–1175.
Journal cover image

Published In

Am J Psychiatry

DOI

EISSN

1535-7228

Publication Date

December 1, 2018

Volume

175

Issue

12

Start / End Page

1169 / 1175

Location

United States

Related Subject Headings

  • Vascular Diseases
  • Psychiatry
  • Male
  • Humans
  • Depression
  • Aged, 80 and over
  • Age Factors
  • 5203 Clinical and health psychology
  • 3202 Clinical sciences
  • 17 Psychology and Cognitive Sciences