Cerebrovascular risk factors and later-life major depression: Testing a small-vessel brain disease model

Jeffrey M. Lyness, Eric D. Caine, Christopher Cox, Deborah A. King, Yeates Conwell, Telva Olivares

Research output: Contribution to journalArticlepeer-review

Abstract

The topic of vascular depression has received increasing prominence as a putative etiology of depression in later life. The authors examined one aspect of this model by comparing the burden of systemic cerebrovascular risk factors (CVRFs) in 130 psychiatric inpatients with major depression and 64 normal control (NC) subjects, all age ≤50 years. Depressed subjects did not differ statistically from NCs on cumulative CVRF scores. Diabetes mellitus and atrial fibrillation were both associated with depression, but only atrial fibrillation retained an independent association after medical disability was statistically controlled. Among the depressed subjects, CVRF scores were not significantly associated with overall symptom severity, psychiatric disability, age at onset of depression, melancholic subtype, or psychotic depression. These data did not support the notion that a linear model of small-vessel disease might apply to the great majority of older inpatients with major depression.

Original languageEnglish (US)
Pages (from-to)5-13
Number of pages9
JournalAmerican Journal of Geriatric Psychiatry
Volume6
Issue number1
DOIs
StatePublished - 1998
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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