The nuances of cognition and depression in older adults: the need for a comprehensive assessment
Article first published online: 3 OCT 2013
Copyright © 2013 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 29, Issue 5, pages 506–514, May 2014
How to Cite
Brown, P. J., Sneed, J. R., Rutherford, B. R., Devanand, D. P. and Roose, S. P. (2014), The nuances of cognition and depression in older adults: the need for a comprehensive assessment. Int. J. Geriat. Psychiatry, 29: 506–514. doi: 10.1002/gps.4033
- Issue published online: 7 APR 2014
- Article first published online: 3 OCT 2013
- Manuscript Accepted: 6 SEP 2013
- Manuscript Revised: 21 AUG 2013
- Manuscript Received: 15 APR 2013
- National Alzheimer's Coordinating Center. Grant Numbers: U01 AG016976, 2010-JI-01
- National Institute of Mental Health. Grant Number: T32 MH20004
- mild cognitive impairment;
- vascular risk factors
This study aimed to examine the confluence of depression, cognitive impairment, and vascular risk factors in older individuals.
The study uses baseline data from the National Alzheimer's Coordinating Center. Data were collected across Alzheimer's Disease Centers in the USA. The sample included 12,634 individuals (cognitive intact = 8022; amnestic mild cognitive impairment [aMCI] = 3652; nonamnestic MCI [nonaMCI] = 960). The Geriatric Depression Scale assessed depression; the Trail Making Test assessed executive function.
The proportion of participants with depression was higher in the aMCI (18%) and nonaMCI group (21%) as compared with that in the cognitively intact group (8%); there was no difference in rates of depression between aMCI and nonaMCI groups. The proportion of participants with executive dysfunction differed between nondepressed and depressed individuals for the cognitively intact (8% vs. 12%) and aMCI groups (28% vs. 35%), but not for the nonaMCI group (37% vs. 41%). Nine percent of the cognitively intact group had executive dysfunction compared with 31% of the aMCI group and 40% of the nonaMCI group. The proportion of participants with hypertension was greater in individuals with executive dysfunction compared with those with no executive deficits; the presence of hypertension was not associated with depression severity.
The confluence of vascular risk factors, episodic memory impairment, and depression and executive dysfunction highlights the need for comprehensive assessment of depressed older adults that can aid clinicians in the formulation of treatment planning and inform clinicians and researchers about long-term prognosis. Copyright © 2013 John Wiley & Sons, Ltd.