What is vascular depression

However, the vascular depression hypothesis can generate studies of the outcomes, pathogenesis, and treatment of a large subgroup of geriatric dépressives. However, the disorder is typically described as vascular depression in the literature. In particular, the functional deficits of the subtype have been hypothesized to reflect lesions within frontostriatal circuits that are integral to emotion regulation and executive functioning ( ). Subcortical ischemic depression refers to vascular depression specifically due to lesions and restricted blood flow, known as ischemia, in certain parts of the brain.

The vascular depression hypothesis is specific regarding the location of DWMH.

Vascular means “linked with the blood vessels”, so vascular depression is a form of depression connected with one’s blood vessels. Moreover, when your blood vessels start becoming firm, the blood flow to your brain is reduced. As you grow older, your blood vessels become harder.

Various lines of evidence support this hypothesis, including the following: Higher incidence of depression following a left-sided stroke. Although the term is commonly used in research settings, widely accepted diagnostic criteria are lacking and vascular depression is absent from formal psychiatric manuals such as the Diagnostic and Statistical Manual of Mental. Direct testing of the vascular depression hypothesis is not possible since there is no biological test that can function as a validating criterion.

These end-artery vessels may be particularly susceptible to pulse-wave changes.

The cause of the structural brain changes is thought to be sclerosis in the small arterioles. This hypothesis stimulated much research that has improved our understanding of the complex relationships between late-life depression (LLD), vascular risk factors, and cognition. Strokes take place when the supply of blood carrying oxygen to the brain is suddenly cut off. Vascular dementia occurs when vessels that supply blood to the brain become blocked or narrowed. MRI in addition to depression occurring after evident stroke, i. However, not all people with stroke will develop vascular dementia.

PSD), and MRI-defined vascular depression as reported by Krishnan et al. When changes in your thinking and reasoning seem clearly linked to a stroke, this condition is sometimes called post-stroke dementia. To make matters more confusing, depression is frequently a complication of vascular dementia and should be anticipate identifie and treated. Apathy, which is loss of motivation and initiative, is a very characteristic feature of vascular dementia. Sometimes, apathy is mistaken for depression because both conditions include reduced motivation and social interaction, but mood is not depressed in apathy.

It is caused by reduced blood flow to the brain, usually from a stroke or series of strokes. Newly diagnosed major depressive disorder (MDD) in patients age ≥often has a vascular component. Concomitant cerebrovascular disease (CVD) does not substantially alter the management of late-life depression , but it may affect presenting symptoms, complicate the diagnosis, and influence treatment outcomes. Vascular depression is a type of depression that usually preys on the elderly people who have depression.

People below the age of fifty and sixty seldom suffer from it.

Marked loss of interest or pleasure. Stress—Loss of a loved one, a difficult relationship, or any stressful situation may trigger depression.

For older adults who experience depression for the first time later in life, the depression may be related to changes that occur in the brain and body as a person ages. She is the chief of vascular surgery and a clinical. At least a quarter of cardiac patients suffer with depression , and adults with depression often develop heart disease. What researchers now want to know is “why.

The symptoms can come on suddenly or gradually. They tend to get worse over time, although treatment can help slow this down. Drugs used for the prevention and treatment of cerebrovascular disease may be shown to reduce the risk for vascular depression or improve its outcomes. The choice of antidepressants in vascular depression may depend on their effect on neurologic recovery from. This study sought to examine the relationship between vascular risk, depression , and cognition in Mexican American elders.

Depression and vascular disease: what is the relationship ? Context Research on vascular depression has used approaches to subtype late-life depression , based on executive dysfunction or white matter hyperintensity severity. Objective To evaluate the relationship of neuropsychological performance and white matter hyperintensity with clinical. For example, older adults may suffer from restricted blood flow, a condition called ischemia.