Abstract
Neurological deficits associated with cerebrovascular disease such as aphasia, dementia, anosognosia and aprosodia may impair the ability to express or experience depressive symptoms. Identification of depression in the absence of verbal report on subjective mood state is a difficult task. The value of various diagnostic methods including depressive rating scales, standard psychiatric interviews and biological variables in the diagnosis of depression in cerebrovascular disease is considered. This review concludes by focusing on the deficiencies of existing approaches in the diagnostic assessment of depression in patients with severe communication and comprehension deficits and emphasizes the importance of devising a standard diagnostic method with less reliance on verbal responses.
Publication types
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Research Support, Non-U.S. Gov't
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Review
MeSH terms
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Agnosia / diagnosis
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Agnosia / physiopathology
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Agnosia / psychology
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Aphasia / diagnosis
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Aphasia / physiopathology
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Aphasia / psychology
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Cerebrovascular Disorders / diagnosis*
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Cerebrovascular Disorders / physiopathology
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Cerebrovascular Disorders / psychology
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Dementia, Multi-Infarct / diagnosis
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Dementia, Multi-Infarct / physiopathology
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Dementia, Multi-Infarct / psychology
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Depressive Disorder / diagnosis*
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Depressive Disorder / physiopathology
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Depressive Disorder / psychology
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Humans
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Neurocognitive Disorders / diagnosis*
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Neurocognitive Disorders / physiopathology
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Neurocognitive Disorders / psychology
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Neurologic Examination*
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Neuropsychological Tests
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Patient Care Team
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Personality Assessment
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Psychophysiologic Disorders / diagnosis*
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Psychophysiologic Disorders / physiopathology
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Psychophysiologic Disorders / psychology
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Sick Role*
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Verbal Behavior / physiology