By Barry Reisberg, Jeffrey Borenstein, Emile Franssen, Stacy Salob, Gertrude Steinberg (auth.), Harvey J. Altman Ph.D. (eds.)
Alzheimer's affliction is a major neurodegenerative ailment whose prevalence and occurrence is quickly forthcoming epidemic proportions. a tremendous reason behind this is often that guy resides longer than he has ever lived ahead of and the possibility of contracting the illness is considerably higher in the aged section of the inhabitants. the matter turns into much more acute within the gentle of modern estimates which expect that the variety of humans dwelling past the age of sixty five is predicted to proceed to extend. The influence of those records at the kin and the healthiness care by way of time, attempt and value are unbelievable. a contemporary document issued by way of the Michigan activity strength on Alzheimer's sickness and similar stipulations (1987) successfully underscores this final aspect. "Each individual with a dementing affliction calls for a normal of 7 years of care, both at domestic or in a residential care facility. Care supplied at house is predicted to price approximately $12,000 each year, for a complete of $84,000 in line with individual. this can be a conservative determine, notwithstanding, simply because many individuals with dementia spend their previous few years in a nursing domestic at a standard 'cost of $22,000 according to yr, and a few spend from 10 to fifteen years in a nursing domestic, for a complete rate of $220,000 to $330,000.
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Extra info for Alzheimer’s Disease: Problems, Prospects, and Perspectives
7% for women up to age 80. The prevalence of depression declines sharply in persons (without physical illness) over 80 (Ban, 1984). Estimates of the incidence and prevalence of depression among the aged of the US vary greatly. Reported prevalence rates in the elderly range from 10% ot 65%, depending on the population surveyed and criteria used (Blazer and Williams, 1980; Gerner, 1985). However, when stricter 33 criteria are used (DSM III), prevalence rates decrease significantly for major affective disorders to about 1-3% (Finlayson and Martin, 1982).
J. , Greden, J. , and Carroll, B. , 1983, BioI. Psychiatry, 18:215. , 1980, The epidemiology of depression and dementia in the elderly: the use of multiple indicators of these conditions, in: "Psychopathology of the Aged," Cole, J. , and Barrett, J. E. , Raven Press, New York. , 1975, Psychiatric symptoms in dementia with onset in the presenile period, Acta Psychiatr. , 247 (suppl):7. Hasse, G. , ed. , 1985, The epidemiological study of depression in late life, J. Affect. , Suppl 1:S3. , and Klerman, G.
42:50-54. , 1985, Occurrence of neuropathological changes and dementia of Alzheimer's disease in Down's syndrome, Ann. , 17:278-82. 28 DEMENTIA, DEPRESSION, AND PSEUDODEMENTIA Barry Siegel 1 and Samuel Gershon 2 lDepartment of Geriatrics Lafayette Clinic Detroit, Michigan 2professor and Chairman Department of Psychiatry School of Medicine Wayne State University Director, Lafayette Clinic INTRODUCTION There has been an increasing interest in the varieties of dementia and particularly their differentiation from pseudodementia (Terry and Katzman, 1983; Bulbena and Berrios, 1985).